Contents
Chapter 1. Introductory Information for Therapists
Chapter 2. Introduction Session: Understanding Seizures
Chapter 3. Making the Decision to Begin the Process of Taking
Control
Chapter 4. Getting Support
Chapter 5. Deciding About Your Drug Therapy
Chapter 6. Learning to Observe Your Triggers
Chapter 7. Channeling Negative Emotions into Productive Outlets
Chapter 8. Relaxation Training
Chapter 9. Identifying Your Pre-seizure Aura
Chapter 10. Dealing with External Life Stresses
Chapter 11. Dealing with Internal Issues and Conflicts
Chapter 12. Enhancing Personal Wellness: Learning to Reduce
Tensions
Chapter 13. Other Symptoms Associated with Seizures
Chapter 14. Taking Control: An On-Going Process
Chapter 15. Prognosis (patient outcomes)
Chapter 16. When a Patient Has a Seizure in the Office
Chapter 17. Workbook Appendices
References
About the Authors
W. Curt LaFrance Jr., MD, MPH, is Director of Neuropsychiatry and
Behavioral Neurology at Rhode Island Hospital (RIH) and Associate
Professor of Psychiatry and Neurology at Alpert Medical School,
Brown University. He is the neuropsychiatrist for the RIH
Comprehensive Epilepsy Program and a faculty member of the Brown
Institute for Brain Science. He studied at Wake Forest University
(BA in psychology), Medical College of Georgia (MD), and Brown
University (MPH). He trained in Brown's combined residency in
neurology and psychiatry and is double boarded. His research is in
neuropsychiatric aspects of epilepsy, somatoform disorders, and
Traumatic Brain Injury. He
is co-editor of Gates and Rowan's Nonepileptic Seizures.
Jeffrey Peter Wincze, PhD, is a staff psychologist at Rhode Island
Hospital and a clinical assistant professor of psychiatry and human
behavior at Brown University. He received his PhD in clinical
psychology from Boston University and he worked and completed
post-doctoral training at the Center for Anxiety and Related
Disorders at Boston University. He has been involved in federally
funded research grants investigating the assessment and treatment
of anxiety disorders. He has
published articles in the areas of anxiety disorders, compulsive
hoarding, and biofeedback. His current research is focused on
management of depression and treatment of conversion disorders.
"Years ago, Reiter and Andrews developed a multifaceted behavioral
approach for the treatment of epilepsy, which was modified and
appears to be particularly effective in the treatment of
nonepileptic seizures. This Therapist Guide by LaFrance and Wincze
and the accompanying Workbook, derived from the original Reiter and
Andrews program are, together, a unique and sorely needed
contribution. For the first time, there is a truly
comprehensive
outline for the behavioral management of epilepsy and nonepileptic
seizures that should not only be valuable for the treatment of
individual patients, but also serve as a basis for focused clinical
research." --Jerome
Engel, Jr., MD, PhD, Jonathan Sinay Distinguished Professor of
Neurology, Neurobiology, and Psychiatry and Biobehavioral Sciences,
and Director, Seizure Disorder Center, David Geffen School of
Medicine at UCLA
"Understanding the distinctions between epileptic and non-epileptic
seizures has presented a medical conundrum for over two thousand
years. Dr. LaFrance and his colleagues have taken a grip on these
difficult subjects. Not only have they taken on the responsibility
of setting up treatment programs, they have embarked upon
controlled trials, at last confirming the effectiveness of
psychological interventions. This Therapist Guide and Workbook
for patients are unique in the complex field of neuropsychiatry.
These books serve to emphasize what can be done for people with all
kinds of seizures and lay out a management strategy which will set
a gold standard,
especially for people with non-epileptic seizures." --Michael
Trimble, MD, Professor Emeritus of Behavioural Neurology, Institute
of Neurology, University of London
The Treating Nonepileptic Seizures: Therapist Guide offers hope to
both patients and providers by providing a validated step-by-step
treatment for NES that has been shown to decrease seizures and
increase quality of life... The most significant strength of the
Therapist Guide is that it is the only available book to guide
seizure counselors in a specific treatment of patients with NES,
providing an understanding of NES as well as serving as a
practical
guide for care. It is written for a wide spectrum of healthcare
providers. Other strengths include the introductory chapters which
provide insight into the complexity of NES and the instructions for
handling a
seizure in the office... This book fills a void in clinical
epilepsy in offering both clinically relevant and practical
management strategies for patients with NES. There are no other
books that aim to do this."
--Epilepsy & Behavior
"This workbook and therapist guide provide welcome resources for
managing nonepileptic seizures. They deserve wide reading and
application by psychiatric and neurological clinicians who
encounter patients with this disorder."
--The American Journal of Psychiatry
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