Department of Neurology, Sheffield Teaching Hospitals NHS Foundation Trust, Royal Hallamshire Hospital.
Psychotherapy (Chic). 2009 Mar;46(1):125-38. doi: 10.1037/a0015138.
Nonepileptic seizures (NES) are one of the most common functional (medically unexplained) symptoms seen by neurologists. Although most experts consider psychotherapy the treatment of choice, few therapeutic approaches have been described in detail. Given that NES occur in the context of many different psychopathologies, it remains uncertain whether there is 1 intervention that can benefit all comers or whether it is necessary to offer individualized psychotherapy. This article describes an approach grounded in psychodynamic interpersonal therapy but augmented with elements of cognitive-behavioral therapy, somatic trauma therapy, and the involvement of caregivers and family members. The approach was developed in the setting of a specialist psychotherapy service for patients with functional neurological disorders presenting to British hospital-based neurologists. The authors have previously shown that it is associated with significant improvements in psychological functioning, health-related functioning, and a symptom count. Three case reports illustrate how the treatment can be adapted to meet different patients' needs. (PsycINFO Database Record (c) 2010 APA, all rights reserved).
非癫痫性发作（NES）是神经科医生最常见的功能性（医学无法解释）症状之一。尽管大多数专家认为心理治疗是首选的治疗方法，但很少有治疗方法被详细描述。鉴于 NES 发生在许多不同的精神病理学背景下，目前仍不确定是否有一种干预措施可以使所有患者受益，或者是否有必要提供个体化的心理治疗。本文介绍了一种基于心理动力学人际治疗的方法，但增加了认知行为治疗、躯体创伤治疗以及照顾者和家庭成员参与的元素。该方法是在为英国医院神经内科医生就诊的功能性神经障碍患者提供专业心理治疗服务的背景下开发的。作者先前已经表明，该方法与心理功能、健康相关功能和症状计数的显著改善相关。三个案例报告说明了如何根据不同患者的需求调整治疗方法。（美国心理协会，2010 年版权所有）。
