Treatment
Kate provides brief, focused cognitive behavioural therapy treatment (CBT) to people with psychophysiological conditions such as persistent postural perceptual dizziness (PPPD). This is a syndrome in which patients feel persistently unbalanced and as though they are moving, despite being stationary.
PPPD can be triggered by, or can coexist with, other causes of dizziness, such as vestibular migraine or benign paroxysmal positional vertigo. PPPD is classified as a chronic functional vestibular disorder, overlapping with functional neurological disorders (FND), in which symptoms are caused by changes to the functional connectivity of the brain, rather than structural changes.
Cognitive Behaviour Therapy (CBT) is an evidence-based psychological approach for treating PPPD and FND. It involves using cognitive techniques (new ways of thinking about the symptoms) and behavioural techniques (new ways of behaving in the presence of the symptoms). By responding differently to the symptoms, ie., experiencing them with a new understanding and behavioural approach rather than trying to stop them, the brain’s internal models can be challenged and re-built, which in turn reduces the intensity of the symptoms.
Our published outcome data, Waterston et al (2021), demonstrates a significant reduction in symptoms and related disability following brief and focused CBT. We have also collected data showing lasting or further improvements at 6-to-12-month follow-up. These results were similar to clinical research by Sydney clinical psychologists and neurologists, Edelman et al (2012).