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Background: Avoidance is the active process of trying to escape from or not experience situations, places, thoughts or feelings. This can be done through behavioural or cognitive strategies, or more broadly, a combination of both, utilised in an attempt to disengage from private experiences referred to as experiential avoidance (EA). Avoidance is considered important in the development and maintenance of non-epileptic attack disorder (NEAD). This review aimed to understand avoidance in NEAD and evaluate its role as a contributory factor. Methods: Fourteen articles were identified by searching CINAHL, MEDLINE Complete, PsycINFO, and EMBASE and were combined in a narrative synthesis. Six of these articles were included in a meta-analysis comparing levels of experiential avoidance (EA) for individuals with NEAD and healthy controls (HC) and four were included in a meta-analysis comparing EA in NEAD to epilepsy controls (EC). Conclusions: EA appears to be a strategy which is used by a high proportion of the NEAD population. The NEAD group utilised significantly more avoidance compared to both HC and EC. However, further research is needed to understand the extent and types of avoidance which are relevant.

The following article describes a feasibility study to assess whether supervision sessions could be implemented for administrative staff who work within an outpatient neuropsychology service. It considers the evidence base relating to the psychological wellbeing of administrative staff and outlines the process undertaken, reflections on staff experiences, and practical considerations for other services looking to improve administrative staff wellbeing. Overall, the implementation of supervision sessions was a success leading to recommendations for practice in both the department and the wider profession.