Pediatric Psychogenic Non-Epileptic Seizures
A Treatment Guide
This volume describes the basics for short- and long-term treatment of Psychogenic Non-Epileptic Seizures (PNES) in children. The text acknowledges that the disorder, though rare and highly morbid, is treatable when it is not misdiagnosed. Given the limited diagnostic and clinical training offered to clinicians, this book aims to equip professionals with the tools needed to improve the poor quality of life of youth with PNES. The text begins by introducing the main features of the disorder and the problems involved in diagnosing PNES in children. It then describes techniques to overcome these problems in order to make a reliable and valid diagnosis of PNES, as well as provide feedback on the diagnosis and treatment plan. The last section describes the indications for cognitive behavior therapy for youth with PNES and suggested treatment paradigms. Incorporation of do's and don'ts and their relevant clinical examples in all sections of the proposed guide provide the reader with skills and techniques. The book also includes an appendix with resources for parents, children, and school nurses and teachers, relaxation techniques for the child and parents, templates of letters for the child's school about the condition and behavior management plan, templates of supporting letters from epileptologists and primary care physicians, CBT treatment paradigm, and information on individual supervision, workshops and webinars. Written by the few experts in this area, Pediatric Psychogenic Non-Epileptic Seizures is the ultimate guide for psychiatrists, psychologists, nurses, primary care physicians, neurologists, epileptologists, social workers, nurses, school counselors, and all medical professionals working with children experiencing seizures.
Over de auteurRochelle Caplan, M.D. Professor Emeritus Department of Psychiatry UCLA, firstname.lastname@example.org Julia Doss, Psy.D. Pediatric Psychologist Minnesota Epilepsy Group email@example.com Sigita Plioplys, M.D. Professor, Department of Psychiatry Northwestern University Splioply@luriechildrens.org Jana Elizabeth Jones, Ph.D. Associate Professor Department of Neurology University of Wisconsin School of Medicine & Public Health firstname.lastname@example.org
Inhoud* Introduction and Overview I Diagnostic Evaluation * Overview * The underlying psychopathology, triggers, and risk factors * Gold standard diagnosis * Why is it difficult to diagnose pediatric PNES? * Red flags during the clinical exam * Techniques for the child diagnostic interview * Strategies to use in the Initial parent interview II Diagnostic Feedback and Treatment Plan * Introduction: The importance of the feedback * How to present feedback and treatment plan to the parents * Approaches to use in the child feedback and description of the treatment plan * Combined parent and child feedback and treatment plan III Short-term Treatment * Psychoeducation about PNES: Child, parents, treatment team, teachers * How to develop rapport with the child and parents * Strategies for NES symptom resolution through individual child therapy and work with the parents * Child reintegration to school and regular life routines * Treatment of comorbid psychopathology IV Long-term Therapy * Introduction * Goals for child therapy * Goals for work with the parents V Cognitive Behavior Therapy * Indications * Application of CBT in anxiety and depression * Essential CBT elements that enhance child goals * Application of CBT to enhance parent goals VI Appendix