Annual Fundamentals of Epilepsy: Psychogenic Nonepileptic Seizures
Program Length: 150 minutes
This symposium is designed to provide an understanding of psychogenic nonepileptic seizures (PNES) in children and adults. Limitations clinicians face and strategies they may utilize to improve care of this common patient population will be identified. Specifically, the symposium will address: 1) steps to accurate diagnosis of PNES, 2) frequent psychiatric comorbidities associated with PNES, and 3) treatment options to consider for PNES. Public health and policy issues will be addressed including screening and coding of PNES. Methods to overcome barriers to multidisciplinary care will be addressed from medical, nursing and social services perspectives.
• Recognize terminology, definitions and coding used in psychogenic nonepileptic seizures (PNES) and identify barriers to care
• Develop a strategy to recognize and diagnose psychogenic nonepileptic seizures in adults in a timely manner, reviewing video / EEG LTM and ictal semiology
• Identify the psychiatric comorbidities and risk factors that may result in the occurrence of PNES in adults
• Utilize various components of the clinical history and information obtained with video / EEG monitoring for accurate diagnosis of PNES in children
• Identify the psychiatric comorbidities and risk factors that may result in the occurrence of PNES in children
• Identify treatment model(s) for patients with nonepileptic seizures
• Formulate strategies by which nursing personnel can be actively involved in care of patients with PNES
• Utilize resources provided from multiple healthcare providers to coordinate care of patients with PNES.
Basic / fundamentals, Intermediate (see page 101 for details)
Co-Chairs: Brien J. Smith, M.D. and W. Curt LaFrance, Jr., M.D., M.P.H.
Introduction and Overview
Brien J. Smith, M.D.
PNES in Children – Diagnosis
Hema Patel, M.D.
PNES in Children – Psychiatric Considerations
Rochelle Caplan, M.D.
PNES in Adults – Diagnosis
Selim R. Benbadis, M.D
PNES in Adults – Psychiatric Considerations
John J. Barry, M.D.
Treatment of PNES
W. Curt LaFrance, Jr., M.D., M.P.H.
Coordination / Barriers to Care – Nursing Perspective
Patricia O. Shafer, M.N., RN
Coordination / Barriers to Care – Social Work Perspective
Patricia A. Gibson, M.S.S.W.
Question and Answer Panel