Psychogenic nonepileptic seizures (PNES) in children are associated with high rates of psychiatric and medical comorbidities, including epilepsy. Early PNES diagnosis leads to timely psychiatric treatment and improved outcomes. The gold standard approach to diagnosis includes a comprehensive history, a psychiatric assessment, and a video-EEG recording capturing the PNES event without an ictal EEG epileptiform correlate. PNES treatment is multidisciplinary and includes a mental health clinician taking the primary role, a neurologist/epileptologist, the patient’s primary care provider, school staff, and family. The treatment strategy for patients with PNES and comorbid epilepsy must address both disorders. This chapter includes a case discussion of a teenage girl with PNES and epilepsy.
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LaFrance WC, Baker GA, Duncan R, Goldstein LH, Reuber M. Minimum requirements for the diagnosis of psychogenic nonepileptic seizures: a staged approach. Epilepsia. 2013;54(11):2005–18.CrossRefGoogle Scholar