There is interesting work emerging from the study of qualitative communication patterns between patients and HCPs showing distinct patterns between PNES and epilepsy.7,8 In addition, conversations between HCPs and patients with PNES can involve language that inadvertently distances or even alienates patients, with words revealing HCP beliefs or biases9 such as telling patients they don’t have “real seizures,” “everything is normal,” or that “nothing is wrong” despite the patient feeling physically quite unwell and unable to function. Studies also show that physicians use ambiguous words within their notes that imply a less than certain diagnosis which can lead patients to search for more opinions.10 Treatments are emerging for PNES, but recent data reveal lack of adherence to treatment as a major problem in PNES.11 Given the importance of the clinician–patient relationship, investigations targeting HCP attitudes may help to mitigate treatment adherence obstacles and lead to improved outcomes.