Behavioral HealthCASE REPORT

Psychogenic Dizziness: An Important but Overlooked Differential Diagnosis in the Workup of the Dizzy Patient

Zak Kelm, MAPP, OMS IV; Kimberly Klapchar, DO; Christopher R. Kieliszak, DO; and Christopher Selinsky, DO
Notes and Affiliations
Notes and Affiliations

Received: September 6, 2017

Accepted: October 10, 2017

Published: May 1, 2018

J Osteopath Med; 118(5): e22-e27

Chronic dizziness can be challenging for both patients and physicians, as a variety of specialists may be consulted and tests ordered before a diagnosis is established. The various potential etiologic processes involved in chronic dizziness require an interdisciplinary approach to care. Common causes include neurologic, vestibular, and cardiac diseases. Psychiatric disorders, however, may be overlooked when establishing a differential diagnosis. This case report illustrates some of the complexities in diagnosing and effectively managing chronic dizziness and serves as a reminder that psychiatric disorders should be considered in the differential diagnosis.

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