Consultant Clinical Psychologist/Neuropsychologist and two Assistant Psychologists, combined experience 23 years, UK
This chapter examines how a Clinical Psychologist helps patients with Non-Epileptic Attacks (NEA). The care process for people with NEA takes a variety of forms. In hospitals, a variety of skilled colleagues are involved and the Clinical Psychologist is fortunate to be able to contribute in numerous ways, from service developments to abstract case discussions to individual patient care. The delivery of direct psychological care sometimes takes the form of psychological assessment, therapy, and ongoing psychological support, which—when based on a lifespan bio-psycho-social perspective—can work well but with numerous challenges and uncertainties. The patients the Clinical Psychologist sees have NEA in common, but the underlying mechanisms vary. Attention has long been given to the role of stressful events for some patients, while for others, issues of social-emotional processing, interpersonal communication, self-regulation, and executive functions have started to receive overdue recognition. In many cases, there is some combination of psychological, social, stress-based, coping-based, neuropsychological, and/or neurodevelopmental mechanisms. This can complicate the delivery of psychological therapy or support.