Abstract
Cognitive behavioral therapy (CBT) has been applied to persistent postural-perceptual dizziness (PPPD), a functional vestibular disorder in which the condition is maintained after acute balance symptoms without readaptation of the balance system. Antidepressants, vestibular rehabilitation, and CBT are known treatments for PPPD, and only CBT for PPPD-related disease has been tested for its effectiveness in randomized controlled trials. Targeting hypervigilance and negative appraisals for dizziness and related sensations may be the key factor in CBT for PPPD, and thus CBT for PPPD is similar to CBT for panic disorder and health anxiety. The typical CBT for PPPD consists of psychoeducation followed by relaxation techniques, cognitive techniques (e.g., behavioral experiment), and behavioral techniques (e.g., interoceptive exposure). Acceptance and commitment therapy, which aims to accept symptoms without trying to control them, has recently been tried for PPPD.
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