A - 27 Case Study Approach to Initial Exploration of Adaptations of Cognitive Behavioral Therapy (CBT) for Non-Epileptic Seizures (NES) in the Context of Cognitive Impairment.

This article focuses on a case study exploring adaptations of cognitive behavioral therapy (CBT) for non-epileptic seizures (NES) in a 49-year-old Hispanic male with mixed epileptic and non-epileptic events and mild cognitive impairment. The study reviews psychotherapeutic modifications, such as extended sessions and caregiver involvement, to accommodate cognitive deficits while maintaining treatment fidelity. Results showed increased emotional awareness and recognition of triggers but no reduction in seizure episodes, highlighting challenges in treating individuals with overlapping epileptic and non-epileptic seizures and cognitive impairment. The authors suggest that concrete, behaviorally based psychotherapeutic techniques may be more effective, and that measures beyond episode reduction—such as self-management ability, quality of life, and functional status—are important indicators of treatment success.