Cognitive Behavioral Therapy for Pediatric Epilepsy and Psychogenic Non-epileptic Seizures

Abstract

This chapter focuses on pediatric epilepsy and is separated into two sections: epilepsy and psychogenic non-epileptic seizures. Consequently, it illustrates the nuances of cognitive behavioral therapy (CBT) for each condition. Seizure disorders increase risk for developing mood and behavioral problems in youth and can become a major source of ongoing stress. Therefore, addressing these components is critical for continuous adjustment and improving quality of life. For each section, the chapter describes treatment components including adjustment to diagnosis, adherence to complex treatment regimens, and psychosocial comorbidities. The goal of treatment for patients with epilepsy is an emphasis on maximizing quality of life and psychosocial functioning. Psychogenic non-epileptic seizures (PNES) is a conversion disorder, as described by the Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition. Accordingly, PNES is believed to develop as a response to psychological stress, and biopsychosocial model suggests that unresolved distress produces adverse physiological and emotional responses. The chapter uses case example to illustrate the course of CBT treatment with this population. (PsycInfo Database Record (c) 2022 APA, all rights reserved)