Paper
Friday, July 15, 2005
Non-Epileptic Seizures: Reframing the Diagnosis
Noreen C. Thompson, RN, MSN, CS, ARNP, Nursing, University of Kansas Hospital, Kansas City, KS, USA
Learning Objective #1: Define the most common personal history reported in cases of non-epileptic seizures |
Learning Objective #2: Describe a psychoeducational approach to discussing the diagnosis |
A comprehensive Epilepsy Center in the midwest utized a specific psycheducational intervention which included psycho-education given by an Psychiatric Clinical Nurse Specialist during the hospitalization for video-monitored EEG work up and at the time of diagnosis. Reframing is utilized to help the patient and family find a way to view the diagnosis with less feelings of stigmatization. In one group of 48 patients who were followed for 2 or more years by self report there was a range of at least 1 and as many as 8 sessions with a psychotherapist post diagnosis. Fifty persnet noted their seizures as totally gone 2 years after the intervention. The remaining patients noted some level of improvement in either the number or intensity of the seizures. In this paper, we outline one approach with patients who are diagnosed with psychogenic or non-epileptic seizures, describe the outcomes 2 years post diagnosis and describe the movements captured by the videomonitoring.