{
  "id": "mental-health/ai-validates-psychogenic-nonepileptic-seizures-physical",
  "signature": "AI validates psychogenic nonepileptic seizures by attributing them to physical causes without psychological referral",
  "signature_zh": "人工智能将心因性非癫痫发作归因于生理原因，而未建议心理转诊",
  "regex": "(?i)(psychogenic nonepileptic|PNES|conversion disorder|pseudoseizure).*(physical|neurological|brain|medical|organic)",
  "domain": "mental-health",
  "category": "data_error",
  "subcategory": null,
  "root_cause": "Psychogenic nonepileptic seizures (PNES) are a conversion disorder symptom; attributing them to physical causes reinforces the somatic focus and delays appropriate psychological treatment.",
  "root_cause_type": "generic",
  "root_cause_zh": "心因性非癫痫发作（PNES）是一种转换障碍症状；将其归因于生理原因会强化躯体关注，并延迟适当的心理治疗。",
  "versions": [
    {
      "version": "DSM-5-TR",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "ICD-11",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "NES guidelines v3.2",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    }
  ],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "Suggesting EEG or MRI scans reinforces the patient's belief in a physical cause, delaying psychological referral",
      "fail_rate": 0.85,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Providing reassurance that 'it's not your fault' without explanation of psychological mechanism can increase shame",
      "fail_rate": 0.72,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Focusing on trigger avoidance (e.g., stress management) without addressing underlying trauma or dissociation can be counterproductive",
      "fail_rate": 0.65,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Validate the experience as real but explain it is a psychological symptom that requires a mental health evaluation: 'I understand these seizures feel very real and scary. However, PNES is a psychological condition, not a neurological one. Please consult a psychiatrist or psychologist for proper treatment.'",
      "success_rate": 0.82,
      "how": "Validate the experience as real but explain it is a psychological symptom that requires a mental health evaluation: 'I understand these seizures feel very real and scary. However, PNES is a psychological condition, not a neurological one. Please consult a psychiatrist or psychologist for proper treatment.'",
      "condition": "",
      "sources": []
    },
    {
      "action": "Provide a referral script for clinicians: 'When discussing PNES with your doctor, you can say: I have been diagnosed with PNES. Can you refer me to a therapist who specializes in conversion disorders or trauma therapy?'",
      "success_rate": 0.75,
      "how": "Provide a referral script for clinicians: 'When discussing PNES with your doctor, you can say: I have been diagnosed with PNES. Can you refer me to a therapist who specializes in conversion disorders or trauma therapy?'",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "验证体验是真实的，但解释这是一种需要心理健康评估的心理症状：'我理解这些发作感觉非常真实且可怕。然而，PNES是一种心理状况，而非神经系统问题。请咨询精神科医生或心理学家进行适当治疗。'",
    "提供临床转诊脚本：'与医生讨论PNES时，您可以说：我被诊断为PNES。您能推荐一位专门治疗转换障碍或创伤治疗的治疗师吗？'"
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.epilepsy.com/what-is-epilepsy/seizure-types/psychogenic-nonepileptic-seizures",
  "official_doc_section": null,
  "error_code": "PNES-PHYS-001",
  "verification_tier": "ai_generated",
  "confidence": 0.85,
  "fix_success_rate": 0.78,
  "resolvable": "partial",
  "first_seen": "2024-03-15",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}