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Nonepileptic Seizures: Reframing the Diagnosis

Authors

  • Noreen C. Thompson RN, MSN, CS, ARNP,

    Corresponding author
    1. University of Kansas Medical Center, Department of Nursing, 3901 Rainbow Blvd., Kansas City, Kansas 66160-7220.
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  • Ivan Osorio MD,

    1. University of Kansas Medical Center, Department of Neurology, 3901 Rainbow Blvd., Kansas City, Kansas 66160.
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  • Edward E. Hunter PhD

    1. University of Kansas Medical Center, Department of Psychiatry and Behavioral Sciences, 3901 Rainbow Blvd., Kansas City, Kansas 66160.
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  • Noreen C. Thompson, RN, MSN, CS, ARNP, is Psychiatric Liaison Clinical Nurse Specialist, University of Kansas Medical Center, Department of Nursing, 3901 Rainbow Blvd., Kansas City, Kansas 66160-7220. Ivan Osorio, MD, is Professor, University of Kansas Medical Center, Department of Neurology, 3901 Rainbow Blvd., Kansas City, Kansas 66160. Edward E. Hunter, PhD, is Clinical Associate Professor, University of Kansas Medical Center, Department of Psychiatry and Behavioral Sciences, 3901 Rainbow Blvd., Kansas City, Kansas 66160.

Author contact: nthomps2@kumc.edu, with a copy to the Editor: mary@artwindows.com

Abstract

PROBLEM: Protocols for disclosing the diagnosis of psychological pseudoseizures have been developed. However, outcomes have not been carefully studied.

METHOD: Using a retrospective design, the investigators evaluated the outcomes by interviewing patients 2 years after diagnosis who received the diagnosis using a specific protocol.

FINDINGS: There was a reduction in symptoms demonstrated by reports of lessened intensity of events or actual reduction in the number of events in 86% of those interviewed.

CONCLUSION: This protocol proved helpful in the acceptance of the diagnosis and improved adherence to the treatment recommendations after disclosure of the diagnosis.

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