Despite the large literature based on psychogenic nonepileptic seizures (PNES), it is still difficult to ascertain “evidence-based treatment” and to gain a comfort level in managing this condition. Psychogenic nonepileptic seizures are ubiquitous in clinical epilepsy practice and may represent up to 30% of epilepsy monitoring unit admissions.1 Prospective treatment studies that may guide clinical practice are emerging but still uncommon.2 Some reports highlight the perceived lack of access to mental health care; others critique working relationships between neurologists and psychiatrists.3-5 The literature also shows that nomenclature has oscillated wildly over the years.6 Some authors prefer to use the word “events” instead of seizures, and the term psychogenic has gradually become more present in order to characterize apparent psychological etiologies from other epilepsy mimics. Although unfortunate, it is true that in medicine, deeming a condition, “psychogenic” is often a pathway for nonpsychiatrists to abdicate a treatment relationship.