[PNES in General Practice]

Psychogenic non-epileptic seizures (PNES) are a disease concept that is defined by the nuance of "not" epilepsy. In cases where it is unclear from the electroencephalogram alone whether the patient has epilepsy or PNES, even though the seizure pattern and course may be considered as "non-epileptic," those who are not familiar with the treatment of epilepsy may become concerned about the slight "epileptic-like" nature of the seizures. This may easily sway the direction of the treatment. It is important to consider that in treatment this tendency to waver can be a product of the interaction of the psychodynamics between the physician and the patient.