Persistent postural-perceptual dizziness causes chronic non-spinning vertigo worsened by standing, motion and visual complexity, with treatment based on therapy and rehab

Persistent postural-perceptual dizziness is a chronic balance disorder that causes non-spinning dizziness, unsteadiness and sensitivity to movement, upright posture and visually busy environments. Symptoms usually persist for at least three months and often begin after a triggering event such as vestibular illness, migraine, panic attacks or another episode of vertigo. Diagnosis depends on symptom pattern and clinical history rather than a single lab test or scan. Treatment commonly combines vestibular rehabilitation, cognitive behavioral therapy and medications such as SSRIs or SNRIs when needed. Recovery can take time, but symptoms often improve when people understand the condition, reduce avoidance behaviors and follow a structured treatment plan.