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E-raamat: Psychogenic Nonepileptic Seizures: Toward the Integration of Care

Edited by (Chief, Division of Epilepsy, Brigham and Womens Hospital, Harvard Medical School, Boston, MA), Edited by (Associate Psychiatrist, Department of Psychiatry, Brigham and Womens Hospital, Harvard Medical School, Boston, MAHarvard Medical School)
  • Formaat: 224 pages
  • Ilmumisaeg: 12-Apr-2017
  • Kirjastus: Oxford University Press Inc
  • Keel: eng
  • ISBN-13: 9780190265052
  • Formaat - PDF+DRM
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  • Formaat: 224 pages
  • Ilmumisaeg: 12-Apr-2017
  • Kirjastus: Oxford University Press Inc
  • Keel: eng
  • ISBN-13: 9780190265052

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Psychogenic nonepileptic seizures (PNES) are attacks that mimic epileptic seizures, but are not caused by abnormal electrical discharges in the brain. Instead, PNES are typically considered involuntary expressions of distress, making diagnosis and treatment a challenge. Historically, patients are referred to neurologists who, after completing a diagnostic work up, refer patients to mental health professionals, including psychiatrists, for treatment. For a number of reasons, this transition of care between specialists is often not successful, and this impacts patient treatment and outcomes.

Psychogenic Nonepileptic Seizures: Toward the Integration of Care offers new insights into the practical diagnostic and treatment challenges faced by clinicians who manage this condition. This book covers the different stages of care, from the initial evaluation to long-term outcomes, and highlights the need to work collaboratively to provide patients with comprehensive care and improved outcomes. It provides up-to-date evidence and shares clinical expertise for the management of this challenging diagnosis that requires the expertise of a multi-disciplinary team. The authors provide a new framework on how to conceptualize and manage this disorder to more effectively address the needs of patients.

Arvustused

Psychogenic nonepileptic seizures are the most common subtype of functional neurologic disorder and it is important for the medical community to know how to help these patients. Unfortunately, functional neurologic disorders have fallen into a black hole between neurologists and psychiatrists, and it has been difficult to find appropriate care. This excellent book points a way forward. Not only does it summarize the current literature on diagnosis, pathophysiology, and therapy, but it emphasizes the need for a multidisciplinary approach. The book gives guidance for how neurologists, psychiatrists and other healthcare professionals can work together." * Mark Hallett, MD, National Institute of Health, Bethesda, MD * Drs. Dworetzky and Blaset, together with their team of experts, have provided a concise and thorough review of psychogenic nonepileptic seizures. This book provides insight on diagnosis, mechanisms, and therapy and is a must read for all neurologists, psychiatrists, and psychologists involved in this underserved, large population." * Orrin Devinsky, MD, Chief of Service, NYU Epilepsy Service, NYU School of Medicine, New York, NY *

Preface vii
Contributors List ix
Section I Clinical Setting
1 Ambulatory Presentations in Adults and Children
3(11)
Mary Angela O'Neal
Rochelle Caplan
2 Emergency Department and Urgent Care Presentations
14(23)
Daniel S. Weisholtz
Barbara A. Dworetzky
Section II Etiological Factors
3 Psychiatric Factors
37(30)
Kim Bullock
John J. Barry
4 Neurological and Medical Factors
67(19)
Victoria S. S. Wong
Martin Salinsky
5 Mechanisms of Possible Neurocognitive Dysfunction
86(20)
Daniel L. Drane
Dona E. C. Locke
6 The Neurobiology of PNES and Other Functional Neurological Symptoms
106(17)
David L. Perez
Valerie Voon
Section III Diagnostic Procedures
7 Diagnostic Challenges for the Neurologist
123(16)
Jigar Rathod
Selim R. Benbadis
8 Diagnostic Challenges for the Mental Health Team and Psychiatrist
139(14)
Lorna Myers
John J. Barry
9 Practical and Diagnostic Challenges for the Neuropsychologist
153(26)
Kim Willment
David Loring
Section IV Principles of Treatment
10 Communicating the Diagnosis
179(14)
Markus Reuber
11 Clinicians' Response to the Diagnosis
193(9)
Sigita Plioplys
Shan Abbas
Brien Smith
12 Models of Care
202(16)
Tyson Sawchuk
Joan K. Austin
Debbie Terry
13 Readiness to Start Treatment and Obstacles to Adherence
218(17)
Benjamin Tolchin
Gaston Baslet
Section V Treatment Interventions
14 Evidence-Based Treatments
235(18)
W. Curt LaFrance Jr.
Laura H. Goldstein
15 The Role of the Neurologist after Diagnosis
253(13)
Adriana Bermeo-Ovalle
Andres M. Kanner
16 The Roles of the Patient and Family
266(13)
Julia L. Doss
Jeffrey Mark Robbins
Section VI Long-Term Outcomes and Prognosis
17 Long-Term Outcomes
279(11)
Roderick Duncan
18 An Integrated Approach to Other Functional Neurological Symptoms and Related Disorders
290(18)
Jon Stone
Alan Carson
19 Toward the Integration of Care
308(7)
Gaston Baslet
Barbara A. Dworetzky
Index 315
Dr. Dworetzky is the Chief of Epilepsy at the Brigham and Women's Hospital and Associate Professor at Harvard Medical School. She leads the large multidisciplinary Bromfield Epilepsy Program and directs the EEG laboratory and the clinical training fellowships in her field. Dr. Dworetzky is the Chair of the Clinical Council of Activities for the American Epilepsy Society and is a leading expert in psychogenic nonepileptic seizures. Together with Dr. Baslet, she sees patients in a shared clinical setting to enhance patient engagement in treatment.

Dr. Gaston Baslet is an Associate Psychiatrist at Brigham and Women's Hospital and Assistant Professor at Harvard Medical School. He specializes in the neuropsychiatric aspects of epilepsy and functional neurological symptom disorder, including psychogenic non-epileptic seizures. His particular focus is in the development of therapeutic strategies for short-term and long-term management of PNES.