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Cognitive Behavioral Model Of Persistent Postural-Perceptual Dizziness (PPPD: Whalley, Cane, 2017)

Persistent postural-perceptual dizziness (PPPD) is a form of dizziness which is thought to be maintained by psychological factors.

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This is a Cognitive Behavioral Model Of Persistent Postural Perceptual Dizziness (PPPD: previously termed ‘chronic subjective dizziness’) adapted from Whalley & Cane (2017). PPPD is a form of persistent dizziness which is maintained by psychological factors. The model bears similarities to other models of health anxiety, and can be considered a specific implementation of such a model. It identifies key maintenance mechanisms which serve to prolong dizziness in PPPD. These include appraisals of balance symptoms, behavioral adaptation strategies (including avoidance and safety behaviors), and attentional adaptation strategies (including vigilance, checking, and some involuntary processes).


This is a Psychology Tools information handout. Suggested uses include:
  • Client handout – use as a psychoeducation resource
  • Discussion point – use to provoke a discussion and explore client beliefs
  • Therapist learning tool – improve your familiarity with a psychological construct
  • Teaching resource – use as a learning tool during training


  • Whalley, M. G., Cane, D. A. (2017). A cognitive-behavioral model of persistent postural-perceptual dizziness. Cognitive and Behavioural Practice, 24(1), 72-89.