Regrettably, relatively few papers in the epilepsy literature have focused upon how actually to improve the clinical state of patients with this condition. When evidence arrives from prospective treatment of PNES, it is refreshing, and Tolchin et al have provided longitudinal data that are worthy for consumption. Over 100 patients with documented PNES were followed prospectively, essentially for the purpose of determining whether they attended psychotherapy appointments. Treatment aspects varied though consultation was facilitated between study clinicians and therapists regarding possible treatment approaches and the scope of PNES. Episode frequency and quality of life were measured at baseline and after a 1- to 2-year period. The results suggested that increased attendance at psychotherapy visits was associated with reduction in episodes, reduction in emergency department (ED) utilization, and improved quality of life. The improvement occurred regardless of specific philosophical bent, for example, dynamic or cognitive behavioral, and even though complete “seizure” freedom had not typically occurred. Although causality could not be attributed, the fact that treatment was associated with a sustained improved outcome after 1 to 2 years is a legitimate cause for optimism.