What is a recommended treatment option for psychogenic nonepileptic seizures?

Cognitive behavioral therapy (CBT) is highlighted as a recommended treatment option for psychogenic nonepileptic seizures (PNES) due to its focus on addressing the psychological factors contributing to these episodes. PNES are often rooted in emotional or psychological distress rather than neurological causes, making CBT an effective intervention. The therapy helps patients develop coping strategies, understand the connection between their thoughts and behaviors, and ultimately reduce the frequency of seizures through improved psychological resilience.

In addition to CBT, a multidisciplinary approach may be utilized, which often includes physical therapy, education about the condition, and coordination with neurologists and mental health professionals. This holistic strategy ensures the patient receives comprehensive care that addresses both their mental health needs and seizure management, thus fostering better overall outcomes.

Other treatment options, such as anti-seizure medications or muscle relaxants, are not effective because they target neurological mechanisms that are not involved in PNES. Immediate emergency interventions generally focus on providing safety during a seizure, but they do not address the underlying psychological aspects that CBT aims to resolve.