ReviewTreating functional non-epileptic attacks - Should we consider acceptance and commitment therapy?

- Acceptance and commitment therapy (ACT) is used to treat somatic disorders.
- There is evidence that ACT is helpful for patients with chronic pain and epilepsy.
- ACT is a promising treatment option for functional non-epileptic attacks.

Patients who experience functional non-epileptic attacks (FNEA) are frequently seen in Neurology clinics. Diagnosis alone can result in cessation of attacks for some patients, but many patients require further treatment. There is evidence that certain psychological therapies, like cognitive-behavioral therapy (CBT) and psychodynamic interpersonal therapy (PIT) can be beneficial. Acceptance and commitment therapy (ACT) is a type of CBT that has been found to be effective at treating other somatic disorders, like epilepsy and chronic pain. In this paper, we explain what ACT is, the current evidence-base for its use, and the rationale for why it may be a beneficial treatment for patients who experience FNEA. We conclude that ACT is a potential treatment option for FNEA, and further research is required.