Identifying Persistent Postural Perceptual Dizziness

Persistent Postural Perceptual Dizziness (triple PD) is a valuable diagnostic category that involves relentless dizziness triggered by various experiences, often present when standing in busy environments or turning the head. It does not exhibit positive signs like the Hoover sign but has specific diagnostic criteria listed in the ICD. Patients with triple PD often express frustration as the dizziness persists and interferes with daily life. While it can be triggered by vestibular experiences, other causes like panic attacks with dissociation can also induce it. Diagnosis and treatment involve using physiotherapy and psychological therapy techniques, which can be remarkably satisfying for both the patient and physician.