Cognitive behavioural therapy for psychogenic nonepileptic seizures (PNES) in an adult with a learning disability: A case study

Background Psychogenic nonepileptic seizures (PNES) are attacks that often look like epileptic (ES). Unlike ES, PNES not triggered by underlying neurological factors. relatively rare in the general population; however, their prevalence people with learning disabilities is much higher—up to 10%. Individuals and have psychiatric comorbidities, such as anxiety disorders, depression posttraumatic stress disorder. There currently no treatment guidelines for or without disabilities. However, talking therapies, cognitive-behavioural therapy (CBT), recommended. This study explores effectiveness of CBT a woman (Susan) Methods We used single-case experimental design (SCED) investigate intervention. Specifically, withdrawal (also known ABA) was applied. The patient's average frequency, well idiosyncratic mood measure standardised outcome measures (Glasgow Anxiety Scale People an Intellectual Disability Mini-Maslow Assessment Needs Scale-Learning Disabilities), were assess treatment. Findings Results show Susan's monthly frequency reduced from phase A1 (assessment phase) B (treatment phase), this persisted follow-up (phase A2). reduction statistically significant. intervention associated improvements mood, quality life. Reduction clinically Conclusions SCED demonstrates might be functioning disabilities; further research, especially around confounding variables needed.