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Updated: Mar 15, 2026

Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction
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Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction

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Functional and psychiatric vestibular disorders.

J P Staab1

  • 1Department of Psychiatry and Psychology, and Department of Otorhinolaryngology - Head and Neck Surgery, Mayo Clinic, Rochester, MN, USA.

Handbook of Clinical Neurology
|September 18, 2016
PubMed
Summary
This summary is machine-generated.

Anxiety and other psychiatric conditions significantly impact balance and spatial orientation, often causing or worsening vestibular symptoms. Effective treatments are improving for these complex behavioral vestibular disorders.

Keywords:
anxiety disorderscognitive therapydepressionpersistent postural-perceptual dizzinessselective serotonin reuptake inhibitorvestibular habituation

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Otolaryngology

Background:

  • Behavioral factors are known to influence spatial orientation and balance.
  • Recent research highlights strong brain connectivity between threat/anxiety, vestibular, visual, and somatosensory systems.
  • Functional and psychiatric disorders can manifest or exacerbate vestibular issues.

Purpose of the Study:

  • To review functional and psychiatric vestibular disorders.
  • To discuss the central role of anxiety in vestibular morbidity.
  • To align terminology with the International Classification of Diseases, 11th edition, and the International Classification of Vestibular Disorders.

Main Methods:

  • Review of neuroanatomic and neurophysiologic studies.
  • Analysis of clinical investigations into vestibular disorders.
  • Examination of the impact of psychiatric conditions on vestibular symptoms.

Main Results:

  • Anxiety, traumatic stress, obsessive, and depressive disorders are primary or secondary causes of vestibular symptoms in 30-50% of patients.
  • Coexisting psychiatric disorders can negatively affect treatment outcomes for structural vestibular diseases.
  • Persistent postural-perceptual dizziness is a major cause of long-term vestibular disability.

Conclusions:

  • Anxiety is central to behavioral vestibular morbidity.
  • Understanding and treating coexisting psychiatric disorders is crucial for managing vestibular conditions.
  • Pharmacologic, psychotherapeutic, and rehabilitative treatments for these disorders have advanced.