The feasibility of a multidisciplinary group therapy clinic for the treatment of nonepileptic seizures

Epilepsy & Behavior : E&B
Randi LibbonLaura Strom

Abstract

A high percentage of patients presenting to epilepsy centers have a functional neurological disorder with apparent seizures, ultimately diagnosed as nonepileptic seizures (NES). Meta-analyses suggest that psychological treatment is required, but this treatment is not reliably available, resulting in reentry of these patients to neurology clinics and urgent care settings, reducing access for these services to patients with epilepsy and resulting in inadequate psychological care for patients with NES. A sustainable, group therapy-focused treatment clinic for patients with NES was developed as a combined effort between the departments of neurology and psychiatry at the University of Colorado Hospital, consisting of a full psychiatric evaluation, a five-week psychoeducational group, a 12-week psychodynamic therapy group, individual therapy, medication management, and family assessment. One hundred and six patients were treated in this clinic between July 2016 and October 2018. Patient retention after referral for treatment was 89/136 (65.4%), and group therapy adherence was 89/106 (84.0%). Healthcare utilization, used as a proxy to demonstrate worth, decreased during and after treatment. Analysis of the 106 treated patients elucida...Continue Reading

Citations

Jan 4, 2021·Epilepsy & Behavior : E&B·Wesley T KerrJohn M Stern
Feb 24, 2021·Seizure : the Journal of the British Epilepsy Association·Wesley T KerrJohn M Stern
Feb 19, 2021·Seizure : the Journal of the British Epilepsy Association·Wesley T KerrJohn M Stern
Oct 16, 2020·Current Psychiatry Reports·Randi LibbonSusan Mikulich
Aug 4, 2021·Seizure : the Journal of the British Epilepsy Association·Wesley T KerrJohn M Stern

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