2014 年 73 巻 4 号 p. 229-234
There are several treatment options for patients experiencing dizziness and depression. Two main therapeutic strategies are pharmacological and non-pharmacological. It is important to discern the various non-pharmacological therapies that can be used before using pharmacological therapy. Further, it is important to understand depression or anxiety in patients with dizziness, as these psychological states cause and exacerbate dizziness owing to vestibular dysfunction. Therefore, a good doctor-patient relationship is essential to treat patient with depression. To maintain a good relationship, doctors should speak and behave in an appropriate manner with their patients. Typically, patients can easily sense the doctor's anxiety to cope with and/or manage patients, and this has a negative effect on the patient-doctor relationship. Therefore, the confidence with which a doctor handles a particular case is important. Second, behavioral therapy such as vestibular rehabilitation, also aids pharmacological therapy. The main purpose of vestibular rehabilitation is to obtain vestibular compensation to stimulate the cerebellum. Vestibular rehabilitation can also be used as behavioral therapy to avoid inappropriate behavior and demonstrate appropriate behavior.