Persistent Postural Perceptual Dizziness (PPPD)is a cluster of symptoms that arises for some people in the period following:
1. a vestibular or medical event (e.g. rotational vertigo, labyrinthitis, vestibular migraine, postural hypotension, inner ear infection, reaction to medication) OR
2. a period of severe anxiety (may include panic attacks
Persistent non-vertiginous dizziness, unsteadiness, or both lasting three months or more.
Symptoms are present most days, often increasing throughout the day, but may wax and wane. Momentary flares may occur spontaneously or with sudden movement.
Affected individuals feel worse when upright, exposed to moving or complex visual stimuli, and during active or passive head motion. These situations may not be equally provocative.
Typically, the disorder follows occurrences of acute or episodic vestibular or balance- related problems. Symptoms may begin intermittently, and then consolidate.
Dr Sarah Edelman is a clinical psychologist specialising in the treatment of anxiety disorders. Sarah facilitates training programs for psychologists at the Black Dog Institute Sydney and the Australian Psychological Society, runs training programs for government and business organisations, conducts public workshops on the use of CBT therapy at Sydney University Centre for Continuing Education. She published 'Change your Thinking" a best seller in the self-help genre.
Consultant Neurologist and Honorary Professor of Neurology, Centre for Clinical Brain Sciences, University of Edinburgh
Persistent Postural Perceptual Dizziness
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