Motivational Interviewing to Enhance Adherence of Patients With Psychogenic Non-epileptic Seizures
Psychogenic Non-epileptic Seizures, Motivational Interviewing
About this trial
This is an interventional treatment trial for Psychogenic Non-epileptic Seizures, Motivational Interviewing
Eligibility Criteria
Inclusion Criteria:
- The study population will be screened from all patients diagnosed with PNES in Brigham and Women's Hospital by capture of a definitive event on video EEG without EEG correlate.
- Patients with a mixed diagnosis of both PNES and epileptic seizures will be included.
Exclusion Criteria:
- Pediatric patients (under age 18) are not evaluated by EEG in our hospital and will therefore be excluded
- Estimated IQ<70
- Active substance use disorder
- Pregnancy or active medical issues anticipated to preclude participation in weekly psychotherapy
Sites / Locations
- Brigham and Women's Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
control
MI
Group will receive standard treatment for psychogenic non-epileptic seizures. They will undergo an initial clinic visit with a neuropsychiatrist and neurologists. They will not undergo any subsequent motivational interview. Following the initial clinic visit, all subjects with ongoing seizures will either be scheduled for ongoing psychotherapy for treatment of PNES at Brigham and Women's Hospital or referred to a local psychotherapist according to their preference.
Group will receive an initial clinic visit with a neuropsychiatrist and neurologists, identical to the initial clinic visit for the control group. In addition they will receive 1 session of motivational interviewing immediately following the initial clinic visit. These patients will be questioned using standardized motivational interviewing techniques by the study author who is a board certified neurologist and who has formal training and certification in motivational interviewing. Following the initial clinic visit, all subjects with ongoing seizures will either be scheduled for ongoing psychotherapy for treatment of PNES at Brigham and Women's Hospital or referred to a local psychotherapist according to their preference (identical treatment in control and MI arms).