Natural Ways to Calm and Manage Pseudo-Seizures Effectively

Psychogenic Non-Epileptic Seizures (PNES), often referred to as "pseudo-seizures," are episodes that resemble epileptic seizures but have no neurological basis. Instead, these seizures are typically psychological in origin, often linked to stress, trauma, or unresolved emotional conflicts. PNES can be distressing and life-disruptive, but they can often be managed effectively through natural, holistic approaches that address the root causes and provide ongoing support for mental and emotional well-being.


This article explores natural ways to manage and reduce PNES, emphasizing lifestyle, psychological, dietary, and complementary therapies.


Understanding Psychogenic Non-Epileptic Seizures (PNES)


PNES are characterized by episodes that may involve convulsions, loss of consciousness, or other seizure-like symptoms. Unlike epileptic seizures, PNES is not caused by abnormal electrical activity in the brain, and diagnostic tests like EEG (electroencephalogram) typically show no signs of epilepsy during these episodes.


Causes of PNES


The underlying causes of PNES are complex and often multifactorial:

  • Emotional or Psychological Stress: PNES often emerges as a response to significant stress or trauma, such as abuse, loss, or prolonged anxiety.


  • Coping Mechanism: In some cases, these seizures can act as a coping mechanism for emotional or psychological pain.

  • Comorbid Conditions: PNES frequently co-occurs with anxiety, depression, PTSD, and other mental health disorders (Reuber et al., 2020).

Understanding the root cause of PNES is key to implementing effective natural strategies that target the mind-body connection.


Natural Approaches to Managing PNES


1. Mindfulness and Stress Reduction Techniques


Since stress is a primary trigger for PNES, mindfulness practices and stress management techniques are essential in reducing the frequency and intensity of episodes.


Mindfulness Meditation


Mindfulness meditation, which involves focusing on the present moment and observing thoughts and feelings without judgment, has been shown to reduce stress and anxiety. Studies show that mindfulness-based stress reduction (MBSR) can improve self-awareness, reduce the impact of negative emotions, and provide individuals with tools to manage stress more effectively (Kabat-Zinn, 2013).


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Breathing Exercises


Deep, controlled breathing can have an immediate calming effect, reducing the stress response that might trigger PNES episodes. Diaphragmatic breathing, or “belly breathing,” helps stimulate the parasympathetic nervous system, which encourages relaxation.


  • 4-7-8 Breathing Technique: Inhale for 4 seconds, hold the breath for 7 seconds, and exhale slowly for 8 seconds. Practicing this technique during stressful moments or daily can help manage stress and anxiety.


2. Cognitive-Behavioural Therapy (CBT) and Trauma-Focused Therapies


Therapies focusing on cognitive and emotional aspects can significantly reduce PNES episodes by addressing the psychological root causes.


Cognitive-Behavioural Therapy (CBT)


CBT is a well-researched psychological approach that focuses on identifying and changing negative thought patterns. It helps patients understand how thoughts, emotions, and behaviours are interconnected, empowering them to manage stress responses that may trigger PNES (Goldstein et al., 2020).


Eye Movement Desensitization and Reprocessing (EMDR)


EMDR is particularly effective for those whose PNES may stem from trauma. The therapy involves guided eye movements that help process traumatic memories, making them less emotionally triggering. Research suggests that EMDR can significantly reduce symptoms of trauma and PTSD, which often contribute to PNES (Shapiro, 2014).


Psychodynamic Therapy


Psychodynamic therapy can help individuals explore unconscious processes and unresolved emotional conflicts that may underlie PNES. This form of therapy is particularly helpful for individuals who may not be fully aware of the psychological reasons behind their seizures, as it can bring suppressed memories and emotions to light.

3. Nutrition and Dietary Support


Proper nutrition and dietary support are essential for maintaining stable mental health and managing PNES symptoms.


Anti-Inflammatory Diet


Chronic inflammation has been linked to mental health disorders and may exacerbate symptoms of stress, anxiety, and depression. An anti-inflammatory diet rich in fruits, vegetables, whole grains, and omega-3 fatty acids can reduce inflammation and improve brain function (Jacka et al., 2017).


  • Foods to Include: Leafy greens, berries, fatty fish (like salmon and sardines), nuts, seeds, and whole grains.

  • Foods to Avoid: Processed foods, refined sugars, and trans fats can trigger inflammation and should be minimized.


Omega-3 Fatty Acids


Omega-3 fatty acids have been shown to support mental health by reducing symptoms of anxiety and depression, which are common in PNES patients. These essential fats help modulate neurotransmitter function, providing a calming effect that can reduce the intensity of PNES episodes.


  • Sources: Fatty fish, flaxseeds, walnuts, and chia seeds.


Magnesium and B Vitamins


Magnesium and B vitamins, particularly B6 and B12, play an essential role in nervous system function. Magnesium has a calming effect on the nervous system, helping to reduce anxiety and tension, while B vitamins support energy metabolism and stress resilience.


  • Sources of Magnesium: Leafy greens, nuts, seeds, and dark chocolate.

  • Sources of B Vitamins: Whole grains, eggs, meat, dairy, and leafy vegetables.


4. Physical Activity and Yoga


Physical activity has a range of benefits for both physical and mental health. Regular exercise releases endorphins, which are natural mood boosters, and helps reduce stress and anxiety levels.


Regular Aerobic Exercise


Moderate aerobic exercise like walking, swimming, or cycling helps reduce anxiety and improve mood stability. Engaging in physical activity at least 3–4 times per week has been shown to lower stress and anxiety, potentially reducing PNES episodes.


Yoga and Relaxation Exercises


Yoga combines physical movement with breathwork and mindfulness, making it an ideal practice for PNES management. Certain poses stimulate the parasympathetic nervous system, which reduces the fight-or-flight response associated with PNES.


  • Poses to Try: Child’s Pose (Balasana), Legs-Up-the-Wall (Viparita Karani), and Corpse Pose (Savasana) are known for their calming effects.


  • Yoga Nidra: Also known as “yogic sleep,” Yoga Nidra is a guided meditation practice that promotes deep relaxation and can help manage symptoms of anxiety and stress.


5. Herbal and Natural Supplements


Several herbal supplements may help reduce anxiety and improve resilience to stress, thereby potentially reducing PNES episodes. However, it’s essential to consult a healthcare professional before starting any new supplements.


Adaptogens


Adaptogenic herbs support the body’s ability to handle stress and can help balance stress hormones:


  • Ashwagandha: This herb is known for its calming effects on the nervous system, reducing cortisol levels and promoting a sense of calm.


  • Rhodiola Rosea: Rhodiola can help improve stress resilience and reduce fatigue, supporting emotional stability.

Valerian Root and Passionflower


Valerian root and passionflower have been traditionally used to promote relaxation and improve sleep quality. They may be helpful for individuals who experience PNES episodes related to stress and anxiety.

  • How to Use: Both herbs can be taken as teas or in supplement form, often before bed to support sleep and relaxation.


CBD Oil

Cannabidiol (CBD) is known for its anxiolytic (anxiety-reducing) effects, which may be helpful for individuals with PNES. Some studies suggest that CBD can modulate the body’s stress response and improve anxiety symptoms without the psychoactive effects associated with THC (Shannon et al., 2019).



6. Establishing a Support System and Regular Routine


Support and structure are essential in managing PNES, as consistency and a safe environment can help reduce stress levels and provide emotional stability.


Support Groups and Therapy


Participating in PNES support groups can provide individuals with valuable insights, shared experiences, and a sense of community. Group therapy or individual therapy with
a counsellor who specializes in trauma or somatic disorders can provide essential tools for managing PNES.


Maintaining a Routine


A regular routine can provide stability and help reduce stress triggers that may precipitate PNES episodes. Consistent sleep, meal times, and relaxation practices provide the body and mind with a predictable structure, promoting calm and reducing unpredictability, which can trigger PNES symptoms.



Conclusion


Reducing and managing PNES naturally involves a multi-faceted approach that addresses physical, emotional, and psychological health. By incorporating mindfulness practices, nutritional support, physical activity, and herbal supplements, individuals can often reduce the frequency and severity of PNES episodes. Furthermore,
psychotherapeutic methods like CBT and EMDR can address the underlying
psychological triggers, providing a comprehensive approach to managing PNES.

Always consult healthcare professionals before starting new treatments, particularly with herbal supplements or new therapies. A combination of professional guidance and natural practices can offer a supportive and holistic path to managing PNES, improving quality of life and overall well-being.


Hope this article can help inform and assist in alleviating the symptoms of pseudo-seizures and reduce them.

Take care and may the journey be easy on you.

Healution



References

  • Goldstein, L. H., et al. (2020). "Cognitive-behavioral therapy for psychogenic
non-epileptic seizures: A randomized controlled trial." Journal of
Neurology, Neurosurgery & Psychiatry, 91(8), 851-859.
  • Jacka, F. N., et al. (2017). "Diet and inflammation: A focus on mental health." Frontiers in Psychiatry, 8, 105.

  • Kabat-Zinn, J. (2013). "Mindfulness-based stress reduction (MBSR)." Clinical Psychology Review, 33(6), 763-771.

  • Reuber, M., et al. (2020). "Psychogenic nonepileptic seizure: A review and understanding of diagnostic and treatment approaches." Neuropsychiatric Disease and Treatment, 16, 1885-1898.

  • Shannon, S., et al. (2019). "Cannabidiol in anxiety and sleep: A large case series. "The Permanente Journal, 23, 18-041.

  • Shapiro, F. (2014). "Eye movement desensitization and reprocessing (EMDR) therapy." Clinical Psychology, 70(4), 329-343.