Abstract
Chronic and persistent vertigo and dizziness patients are sometimes recognized clinically. In this paper, some
cases of typical chronic dizziness relating to otolaryngology are introduced. Those peripheral vestibular disturbances tend to be prolonged by psychological phobia and a lack of physical exercise. Therefore, cognitive
behavioral therapy and physical exercise therapy must be used for treatment. Sometimes, anti-depressant drugs
are effective in avoiding phobia. In addition, presbystasis (dizziness induced by aging) requires a combination
of cognitive behavioral therapy and physical exercise therapy, including strength exercise. Lifetime treatment is
necessary since presbystasis is a progressive pathological situation like cancer. Also, the new dizziness concept of
PPPD (Persistent Postural Perceptual Dizziness) has recently been described. In general, one important factor that
can postpone recovery is the phobia of dizziness. Introducing the concept of PPPD could be important in clarifying the mechanism and approach to the treatment of this kind of chronic dizziness.
