Psychogenic dizziness

Abstract

Psychogenic dizziness is one of the most common types of vertigo. To diagnose psychogenic dizziness is a complex task since it requires a thorough patient examination and exclusion of possible organic causes of dizziness. The paper describes the clinical case of a female patient with phobic postural vertigo, which demonstrates the efficiency of the early diagnosis and adequate therapy of this disease. Combination therapy for psychogenic dizziness, which encompasses different psychotherapeutic procedures, vestibular rehabilitation, and drug therapy, is most effective. Among the medications, vinpocetine is effective in treating patients with cerebrovascular disease. Inappropriate treatment may lead to the progression of psychogenic dizziness, to a considerable deterioration in quality of life, and to obvious social disadaptation. There is a worse treatment prognosis with a longer interval between of disease onset and diagnosis.