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[Subjective dizziness].

Andreas Schröder1, Mariann Dalgaard Høeg, Per Fink

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Summary
This summary is machine-generated.

Subjective dizziness, a non-vertigo sensation, often links to stress and anxiety. Cognitive therapy is effective for chronic cases, addressing factors like catastrophizing and avoidance.

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Area of Science:

  • Neurology
  • Psychiatry
  • Otolaryngology

Context:

  • Subjective dizziness, distinct from vertigo, frequently affects individuals with anxiety and stress-related disorders.
  • It is also observed in functional somatic syndromes, indicating a complex interplay of physical and psychological factors.

Purpose:

  • To define subjective dizziness and explore its association with psychological conditions.
  • To outline management strategies for subjective dizziness, differentiating between mild/moderate and chronic presentations.

Summary:

  • Mild to moderate subjective dizziness may not require specific treatment but warrants attention to underlying stressors like anxiety.
  • Chronic subjective dizziness management should target perpetuating factors such as catastrophizing and avoidance behaviors.
  • Cognitive therapy, potentially combined with vestibular rehabilitation, demonstrates efficacy, whereas the evidence for antidepressants remains limited.

Impact:

  • Provides a clear definition and etiological context for subjective dizziness.
  • Offers evidence-based treatment recommendations for clinicians managing patients with subjective dizziness.
  • Highlights the importance of addressing psychological factors in the management of persistent dizziness.