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Morita Therapy for Persistent Postural-Perceptual Dizziness (PPPD): A Case Report
Shogo Saito1, Fumiyuki Goto2,1
1Department of Otolaryngology, Goto Otolaryngology Clinic, Machida, JPN.
Cureus
|June 17, 2025
Summary
Morita therapy (MT) effectively treated persistent postural-perceptual dizziness (PPPD) by reducing symptom focus. This psychotherapy improved quality of life and mental health in a patient resistant to conventional treatments.
Area of Science:
- Neuroscience
- Psychiatry
- Vestibular Science
Background:
- Persistent postural-perceptual dizziness (PPPD) is a chronic vestibular disorder impacting mental health and quality of life.
- PPPD onset and persistence are linked to excessive attention to symptoms, necessitating integrated physical and psychological treatments.
Observation:
- A case study involved a PPPD patient resistant to pharmacotherapy (SSRIs) and vestibular rehabilitation (VR).
- The patient received five sessions of Morita therapy (MT), a psychotherapy focused on attention redirection.
Findings:
- MT intervention reduced the patient's excessive attention to dizziness symptoms.
- Significant improvements were observed in dizziness, anxiety, depressive symptoms, and overall quality of life.
- These positive outcomes were sustained at a three-month follow-up.
Implications:
- Morita therapy shows potential as an effective treatment for PPPD patients unresponsive to standard therapies.
- This case highlights the value of psychotherapeutic approaches in managing complex functional vestibular disorders.
- Further research into MT for PPPD could offer new therapeutic avenues for improving patient well-being.
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