Non-epileptic seizures in children: Views and approaches at a UK child and adolescent psychiatry conference. (December 2017)

• Record Type: Journal Article
• Authors: McWilliams, Andrew; Reilly, Colin; Heyman, Isobel
• Is Part Of: Seizure. Volume 53(2017)
• Page Start: 23
• Page End: 25
• Publication Date: 2017-12
• Subjects: Children -- Non-epileptic -- Psychogenic -- Dissociative -- Cognitive behavioural; Epilepsy -- Periodicals; Epilepsy -- Periodicals; Seizures -- Periodicals; Épilepsie -- Périodiques; Electronic journals; Electronic journals; 616.853
• DOI: 10.1016/j.seizure.2017.10.021
• Languages: English
• ISSNs: 1059-1311

Abstract

Abstract: Purpose: To describe clinical experiences of paediatric non-epileptic seizures (NES) among doctors attending a UK child and adolescent psychiatry conference. Methods: Sixty-six participants completed a semi-structured bespoke questionnaire. Results are reported using descriptive statistics. Results: Two-thirds of respondents regarded the best name for the disorder to be "non-epileptic seizures". Although most doctors saw new cases each year, two-thirds described their own service as poorly equipped to manage NES. Anti-epileptic drugs (AEDs) were commonly still being taken by children without epilepsy 6 months after their diagnosis. Preferred treatment approaches included supportive case management and cognitive behavioural therapy. Joint working with paediatrics and liaison with schools were seen as important. Conclusion: Despite many clinicians having experience of the disorder, NES seemed to occupy a neglected status, often falling between paediatrics and child mental health, with inadequately defined care pathways leading to sub-optimal treatment. Re-configuration of services to prioritise liaison with paediatrics and education may support development of effective treatment, thus maximising health, social and educational opportunities for young people and their families.