Eastern Journal of Psychiatry

Register      Login

VOLUME 21 , ISSUE 1 ( January-December, 2018 ) > List of Articles

Case Study

Multidimensional assessment of psychological and neuropsychological factors associated with psychogenic vertigo/psychiatric dizziness: A case study

Sreetama Chatterjee, Bidita Bhattacharya, Aparajita Chakraborty

Citation Information : Chatterjee S, Bhattacharya B, Chakraborty A. Multidimensional assessment of psychological and neuropsychological factors associated with psychogenic vertigo/psychiatric dizziness: A case study. 2018; 21 (1):24-32.

DOI: 10.5005/EJP-21-1-24

License: CC BY-NC 4.0

Published Online: 25-01-2022

Copyright Statement:  Copyright © 2018; The Author(s).


The concept of ‘psychogenic vertigo’ also known otherwise as ‘psychiatric dizziness’ has always been considered as an unclear disorder that makes it both difficult to understand as well as to treat. Consequently in a number of cases it has been difficult to distinguish it from vertigo caused solely due to organic causes, to understand its phenomenology and thus plan an adequate intervention. The present case study reports a case of psychogenic vertigo where the aim was to have a multidimensional assessment of psychological and neuropsychological factors of the case. The neuropsychological test findings indicated difficulty in switching attention and set-shifting along with deficit in planning. Difficulty in both recall as well as in recognition was also noted, which suggested a problem with the encoding and consolidation process itself. Psychological test findings indicated features of introversion, difficulty in reality testing under stressful situations, somatic preoccupation, negative self-worth. Deficits in planning indicated dysexecution which also suggested the possibility of making the patient vulnerable to adverse life events which was evident in findings suggestive of adjustment problem and difficulty in maintaining close emotional ties. Test findings further indicated anxiety arising out of (conflicts between achievement versus inadequacy, succorance versus aggression; the defenses which were in use were rationalization, projection, distortion, and acting out.

PDF Share
  1. Nagarkar, A.N., Gupta, A.K. and Mann, S.B.S. (2000). Psychological findings in Benign Paroxysmal Positional Vertigo and Psychogenic vertigo. The journal of Otolaryngology, volume 29, number 3, page 154
  2. Jacob, R. and Furman, J. (2001). Psychiatric consequences of vestibular dysfunction. Current opinion Neurology, 14; 41-46.
  3. Furman, J.M., Balaban, C.D., Jacob, R.G., Marcus, D.A. (2005). Migraine - anxiety related dizziness (MARD): A new disorder? Journalof Neurology, Neurosurgery and Psychiatry, 76, 1-8
  4. Kutz, J.W. (2010). The Dizzy patient. The Medical clinics of North America, 94, 989-1002.
  5. Kurre, A., Strausmann, D., Van Gool, C., Gloor-Juzi, T., Bastianien, C. (2012). Gender difference in patients with dizziness and unsteadiness regarding self-perceived disability, anxiety, depression and its associations. BMC Ear, Nose and Throat Disorders, 12:2
  6. Brain, W.R. (1938). Vertigo-its neurological, ontological, circulatory and surgical aspects. British Medical Journal, 605-08.
  7. Shah, H. and Mukherjee, S. (2012). Psychogenic Vertigo. Otorhinolaryngoly Clinics: An International Journal, 77-80.
  8. Stabb, J. (2005). Assessment and Management of Psychological Problems In The Dizzy Patient. Journal of Neurology, Neurosurgery and Psychiatry, 76, 189-213.
  9. Simon, N.M., Pollack, M.H., Tuby, K.S. and Stern, T.A. (1998). Dizzyness and Panic Disorder: A Review of the Association between Vestibular Dysfunction and Anxiety. Annals of Clinical Psychiatry, 2, 75-80.
  10. Murray, H.A. (1938). Explorations in Personality. Oxford University Press.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.