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Treating functional non-epileptic attacks - Should we consider acceptance and commitment therapy?

Sarah R Cope1, Norman Poole2, Niruj Agrawal3

  • 1Neuropsychiatry Service, St George's Hospital, Blackshaw Road, London SW17 0QT, UK.

Epilepsy & Behavior : E&B
|June 27, 2017
PubMed
Summary
This summary is machine-generated.

Functional non-epileptic attacks (FNEA) are common in neurology. Acceptance and Commitment Therapy (ACT), a type of CBT, shows promise for treating FNEA, warranting further investigation into its effectiveness.

Keywords:
Acceptance and commitment therapyCBTDissociative seizuresFunctional nonepileptic attacksPsychogenic nonepileptic seizuresTreatment

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Area of Science:

  • Neurology
  • Psychology
  • Clinical Medicine

Background:

  • Functional non-epileptic attacks (FNEA) present a diagnostic challenge in neurology.
  • While diagnosis can help some patients, many require additional therapeutic interventions.
  • Existing psychological therapies like CBT and PIT show some efficacy.

Purpose of the Study:

  • To introduce Acceptance and Commitment Therapy (ACT) as a potential treatment for FNEA.
  • To review the current evidence supporting ACT for somatic disorders.
  • To explore the rationale for ACT's applicability to FNEA.

Main Methods:

  • Literature review of ACT's efficacy in related conditions.
  • Discussion of theoretical underpinnings of ACT for FNEA.
  • Synthesis of existing evidence to propose ACT as a treatment option.

Main Results:

  • ACT is a form of CBT with demonstrated effectiveness in conditions like epilepsy and chronic pain.
  • The principles of ACT align with addressing the psychological components of FNEA.
  • Preliminary rationale suggests ACT could be beneficial for FNEA patients.

Conclusions:

  • Acceptance and Commitment Therapy (ACT) presents a viable treatment option for functional non-epileptic attacks (FNEA).
  • Further research is essential to establish the efficacy of ACT in treating FNEA.
  • ACT may offer a novel therapeutic avenue for patients with FNEA.