A conceptual structure and methodology for the systematic approach to the evaluation and treatment of patients with chronic dizziness

Research output: Contribution to journalArticle

Abstract

The patient with chronic dizziness should never be labeled with psychogenic dizziness. Chronic does not mean psychogenic. Chronic means that health care has been unsuccessful. A systematic approach that yields a comprehensive formulation and rational treatment plan will increase the probability of a successful outcome and return to health. The four perspectives of diseases, life stories, dimensions, and behaviors provide a comprehensive yet flexible methodology for the evaluation of the patient in distress with chronic and disabling dizziness. The design of a comprehensive treatment plan involves the determination of each perspective's contribution to the patient's distress and to what relative degree. This process recognizes that the perspectives are distinct from one another but complementary in illuminating the various reasons for a patient's distress. The perspectives come together as the formulation of the patient's case and offer a recipe for treatment rather than just a list of ingredients such as bio, psycho, and social.

Original languageEnglish (US)
Pages (from-to)95-106
Number of pages12
JournalJournal of Anxiety Disorders
Volume15
Issue number1-2
DOIs
StatePublished - Jan 1 2001

Keywords

  • Disability
  • Dizziness
  • Evaluation
  • Psychiatry
  • Rehabilitation
  • Somatization
  • Treatment
  • Vertigo

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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