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The focus on functional impairments in the rehabilitation of patients with unexplained functional dizziness


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Abstract

Dizziness is a complex symptom that will not always lead to a diagnosis. When clinical examination or objective tests cannot explain symptomology, physicians may not know how to manage these patients aside from surgical and pharmacological means. Clinicians may subscribe to traditional dichotomous thinking that dizziness must be of a psychiatric origin especially; if there are no identified structural or organic problem. However, there is a need for clinicians to recognize functional dizziness as an entity and focus on improving the functional impairments that arise from this condition. In place of long-term pharmacological treatments or surgery, a hybrid approach of psycho education, cognitive behaviour therapy and habituation exercises can empower and reduce dizziness handicap in this group of patients.

Keywords

functional impairments, psycho education, cognitive behaviour therapy, habituation, counselling, rehabilitation, chronic subjective dizziness, functional dizziness, vestibular rehabilitation therapy, anti-cholinergic, benzodiazepines

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