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What to Know If You’ve Recently Been Diagnosed with Psychogenic nonepileptic seizures (PNES)

6/30/2025

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What to Know If You’ve Recently Been Diagnosed with PNES
If you’ve just been told that you have Psychogenic Non-Epileptic Seizures (PNES), you might be feeling overwhelmed, confused, or even dismissed. A PNES diagnosis can bring relief—finally, an explanation—but also a lot of questions.

This blog post will help you understand what PNES is, why it happens, and how trauma-informed therapy can help you move forward. Whether you’re just beginning your journey or searching for the right support, this guide is for you.
 
What Is PNES?
Psychogenic Non-Epileptic Seizures (PNES) are seizure-like episodes that resemble epilepsy but are not caused by abnormal brain electrical activity. Instead, PNES is considered a functional neurological disorder—a real and physical response to psychological stress, trauma, or emotional overload.

PNES is not “in your head,” and it’s not something you’re making up. Your nervous system is reacting in a very real way to emotional pain, often outside of your awareness.
 
Why a PNES Diagnosis Can Be Difficult
Many people with PNES go years without a clear diagnosis. Some are misdiagnosed with epilepsy. Others are told they’re exaggerating or faking symptoms. Receiving a PNES diagnosis can be validating, but also confusing or even stigmatizing—especially if your medical providers don’t fully explain what it means.
It’s important to know:
  • You are not faking.
  • Your experiences are valid.
  • Help and recovery are possible.
 
Is There Treatment for PNES?
Yes. While there is no medication that directly treats PNES seizures, psychotherapy—especially trauma therapy for PNES—has been shown to help reduce or eliminate episodes. Treatment focuses on helping you understand what your body is trying to express, and learning to feel safer in your own nervous system.
Effective options include:
  • EMDR for PNES (Eye Movement Desensitization and Reprocessing)
  • Hypnotherapy and guided imagery
  • Somatic and mindfulness-based therapy
  • Cognitive Behavioral Therapy (CBT)
These treatments focus on healing the emotional roots of PNES symptoms—like trauma, dissociation, anxiety, and chronic stress.
 
What Causes PNES?
Psychogenic non-epileptic seizures are usually linked to a history of trauma, emotional neglect, or ongoing stress. Your brain and body may have learned to disconnect or shut down as a survival mechanism.
Common triggers or contributing factors include:
  • Childhood trauma or abuse
  • Chronic stress or anxiety
  • Dissociation or feeling “out of body”
  • Past medical trauma or invalidation
  • Unprocessed grief or emotional pain
Your nervous system is not broken. It’s doing what it learned to do to keep you safe. With the right care, you can gently retrain it.
 
How to Find the Right Therapist for PNES
When seeking treatment for PNES, it’s important to work with a therapist who:
  • Understands functional neurological disorders
  • Uses trauma-informed and nervous system-based approaches
  • Will never dismiss or minimize your symptoms
  • Can help you connect emotional experiences with body symptoms
You may want to ask potential therapists:
  • “Do you have experience with clients diagnosed with PNES?”
  • “What approaches do you use for trauma and nervous system regulation?”
  • “Do you offer EMDR or somatic therapy?”
 
PNES and the Mind-Body Connection
PNES episodes are real, physical expressions of emotional or psychological pain. They happen because your body is trying to say something it can’t say in words. This is the essence of the mind-body connection.
With support, many people learn to:
  • Understand their triggers
  • Reduce the frequency of episodes
  • Heal trauma at the root
  • Reclaim a sense of control
Recovery is possible—and you don’t have to do it alone.
 
You’re Not Alone—Support Is Available
A PNES diagnosis can be the beginning of healing, not the end of the road. If you’re looking for compassionate, trauma-informed help, working with a therapist who understands PNES treatment options can make a meaningful difference.
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Treating depression with emdr: a powerful path to Transformative healing

1/5/2025

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Depression can feel like an overwhelming weight that refuses to lift, leaving individuals stuck in a cycle of negative thoughts, emotions, and hopelessness. While there are many treatment options available, one approach that has been gaining attention in recent years is Eye Movement Desensitization and Reprocessing (EMDR) therapy. Originally developed to treat trauma, EMDR has shown promise in helping individuals with depression break free from the patterns that hold them back.

In this post, we’ll explore what EMDR is, how it works, and why it’s becoming an effective treatment for depression.

What is EMDR?
EMDR is a type of psychotherapy that was developed by Francine Shapiro in the late 1980s to help people process and heal from traumatic memories. The therapy involves guiding clients through a series of eye movements or bilateral stimulation (such as tapping or auditory tones) while they focus on distressing memories or emotions. The goal of EMDR is to help the brain reprocess these memories in a way that reduces their emotional charge and the distress they cause. While initially used to treat PTSD (Post-Traumatic Stress Disorder), EMDR has proven to be effective for a variety of mental health conditions, including anxiety, phobias, and depression.

How EMDR Helps with Depression
At its core, depression often involves negative thought patterns, low self-worth, and an inability to move past painful past experiences. These patterns can be triggered by past events, relationships, or unresolved trauma that the brain has not fully processed. In many cases, the emotional pain from these experiences continues to affect an individual's daily life, leading to feelings of sadness, hopelessness, and despair.

EMDR helps by targeting these negative thought patterns and processing the underlying emotions that may be fueling the depression. Here’s how it works:

1. Identifying the Source: During an EMDR session, the therapist will help the client identify specific memories or negative beliefs that are contributing to their depression. These could be related to childhood events, past relationships, or other traumatic experiences.

2. Bilateral Stimulation: The therapist then guides the client through a series of eye movements, taps, or sounds while they focus on these distressing memories. This bilateral stimulation is thought to activate both sides of the brain, helping to process and reframe the traumatic memories more effectively.

3. Reprocessing the Experience: As the client continues to process the memory with the bilateral stimulation, they begin to experience less emotional charge around the memory. Over time, the brain can reframe these memories in a way that reduces their negative impact on the individual’s thoughts, emotions, and behaviors.

4. Developing New Beliefs: One of the key goals of EMDR is to help clients shift from negative, self-limiting beliefs (e.g., "I’m not worthy," "I’m always going to be alone") to more balanced and positive ones (e.g., "I am deserving of love and happiness," "I can handle challenges"). This shift helps to alleviate the deep-rooted sadness and hopelessness that often accompany depression.

Why EMDR Works for Depression
What makes EMDR particularly effective for depression is its ability to address the root causes of the condition, rather than just alleviating symptoms. Depression is not just about feeling sad—it’s often about unresolved emotional wounds that impact the way we see ourselves and the world around us. By reprocessing these painful memories, EMDR allows individuals to let go of the past, so they can live more fully in the present. Moreover, EMDR doesn’t require a client to talk in-depth about every traumatic memory, which can sometimes be difficult or re-traumatizing for people with depression. Instead, the focus is on processing the emotional intensity of those memories through the bilateral stimulation, which can make it feel less overwhelming.

Research Supporting EMDR for Depression
While EMDR is best known for treating trauma-related disorders, there is a growing body of research supporting its effectiveness in treating depression. Studies have shown that EMDR can help reduce depressive symptoms, improve emotional regulation, and help individuals develop more adaptive coping mechanisms. For instance, a study published in the Journal of EMDR Practice and Research found that EMDR significantly reduced depression symptoms in patients with co-occurring trauma.

Another study published in Psychiatry Research found that EMDR was effective in treating patients with both depression and PTSD, helping them to experience greater emotional relief and improved mental health outcomes.

Conclusion
Depression can feel isolating and unrelenting, but with the right treatment, healing is possible. EMDR offers a unique and powerful approach to addressing the underlying causes of depression, helping individuals to process painful memories, break free from negative thought patterns, and develop healthier beliefs about themselves and their future. If you’re struggling with depression and traditional therapies haven’t brought the relief you need, it may be worth exploring EMDR as part of your healing journey. As always, be sure to consult with a qualified mental health professional to determine the best treatment approach for your unique situation.

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    Brian Taylor, LMSW, C.Ht.

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