Persistent Postural-Perceptual Dizziness

What is PPPD?

PPPD is an ongoing feeling of unsteadiness—rocking, swaying, floaty, “on a boat”—that lingers after a trigger such as a vertigo episode, a migraine spell, a concussion/whiplash, a health scare, or a stressful life event. It isn’t classic spinning vertigo. Instead, the brain’s balance network (ears, eyes, body sensors) doesn’t fully settle back to baseline. The nervous system stays “on guard,” so everyday sights and movements feel too loud.

Typical patterns people describe:

Your experience is real—even if tests are “normal.” PPPD is best understood as a learned over-protection that can be un-learned.

Why PPPD sticks

After a trigger, your system becomes hyper-alert. You feel wobbly → you brace and worry → the “alarm” gets louder → you feel even wobblier. Visuals and motion get tagged as threats, so you avoid them. Avoidance briefly helps but teaches the brain, “Yes, this is dangerous.” The loop continues. The way out is not willpower; it’s gentle retraining small, repeatable experiences of safety that turn the volume down.

Who We Help

You’ve had appropriate medical checks and still feel “boat-like,” especially in busy places or on screens.
You’re ready for a skills-based, education-first approach that meets you where you are and grows your capacity week by week.
You want support that respects both mind and body and fits alongside your clinician’s advice.

Our Approach (Mind–Body Support, Not Physio or Medical Care)

We don’t provide vestibular physiotherapy, canalith repositioning, diagnosis, or prescribing. Instead, we specialise in the emotional, psychological, and nervous-system patterns that keep PPPD “turned up,” even after medical checks are clear. We work alongside your GP/ENT/neurology/vestibular physio plan.

What sessions can include

Education & reassurance

Plain-English explanations of PPPD so fear drops and confidence rises. When you understand what your body is doing, the alarm settles.

Psychotherapy & hypnotherapy

Gentle, skills-based work to update subconscious protection habits (catastrophising, scanning, bracing) and rebuild trust in movement and visuals.

Breathwork & nervous-system calming

Practical tools (longer exhales, soft gaze, pacing) to regulate the body’s alarm and reduce symptom spikes day-to-day.

Supportive counselling

A safe space to process the impact on work, relationships and identity, then make simple, doable plans for living well during recovery.

Mind–body integration

We blend everything into a step-by-step plan: tiny visual/motion exposures, kinder self-talk, sleep and routine anchors, light strength/conditioning—so progress is steady and repeatable.

We focus on “process over perfection”: tiny daily wins, short exposures you can repeat tomorrow, and real-life re-engagement.

Disclaimer

DizzinessTherapy.com provides hypnotherapy, psychotherapy, counselling and breathwork as supportive therapies. We do not diagnose, prescribe, or perform repositioning manoeuvres. Our services are designed to complement medical care, not replace it. If you have red-flag symptoms (sudden severe headache, slurred speech, facial droop, one-sided weakness/numbness, chest pain, fainting, new hearing loss with severe vertigo, high fever with stiff neck, or head injury), seek urgent medical care.

What Progress Looks Like

More “forgetting” your body during normal life. Shorter recoveries after busy days. Supermarkets/screens become tolerable, then boring. Confidence returns: walking, driving, travel, work, and play feel possible again not perfect overnight, but steadily more you.

How We Complement Medical Care

Your medical team may use tests, medication (e.g., an SSRI/SNRI), and vestibular rehabilitation. Our role is to help you:

Sessions & booking

In-person in Brisbane

Start with a free 30-minute consult to map your next steps

Online Australia-wide & internationally

We Care About Our Customers Experience Too

Frequently Asked Questions!

Vertigo feels like you or the room is spinning, tilting, or moving when it isn’t like getting off a merry-go-round. Dizziness is a broader word people use for feeling floaty, woozy, light-headed, off-balance, or “walking on a trampoline.” Both experiences are real and very common. After serious causes are ruled out, the sensation is usually your nervous system being over-protective, not broken. Quick helps: steady your gaze on a fixed point, plant your feet hip-width apart, breathe out a bit longer than you breathe in, and let the wave pass without bracing against it.

Once a clinician has ruled out urgent causes, the sensations are usually uncomfortable, not unsafe. They feel dramatic because the balance/threat system is loud. When a wave hits: pause, feel your feet, pick one steady object to look at, and breathe out longer for 60–90 seconds. Let it pass like a swell in the ocean. Then gently continue what you were doing.

No. They’re intense but temporary—like a thunderstorm. When one hits, name it: “My body alarm is loud, but I’m safe.” Sit or stand with support, look at a still object, and ride the wave with longer exhales. When it settles, do one small, normal action (wash a cup, step outside). That teaches your brain you don’t have to hide from life.

Community can help but choose carefully. Spaces that collect worst-case stories can spike fear and compulsive checking. Look for solution-focused groups where wins are shared, progress is measured in tiny steps, and people talk about living not just symptoms. A practical rule: if you leave the forum more anxious than you entered, unfollow for a month. Replace scrolling with five minutes of skill practice or a text to a supportive friend. Curate your inputs like your diet.

It varies. Some feel meaningful change in weeks, others over months. What predicts faster progress? Consistency over intensity, tiny daily exposures, process focus, and kinder self-talk. What slows it? All-or-nothing goals, constant body-checking, and waiting to “feel ready” before living. Compare only with yesterday-you. If you’re doing the right things, improvement can be sneaky: more normal moments, longer stretches of “forgetting,” fewer meltdowns after busy days. Those are the real markers.

Book a Session

If you’ve experiencing chronic dizziness and anxiety, we are here to help. Schedule your FREE Initial Consultation.

Disclaimer

The Dizziness Clinic – provides hypnotherapy, psychotherapy, counselling and breathwork as supportive therapies. We do not diagnose, prescribe, or perform repositioning manoeuvres. Our services are designed to complement medical care, not replace it. If you have red-flag symptoms (sudden severe headache, slurred speech, facial droop, one-sided weakness/numbness, chest pain, fainting, new hearing loss with severe vertigo, high fever with stiff neck, or head injury), seek urgent medical care.