All patients completed the Vertigo Handicap Questionnaire (VHQ [[11]]) to measure physical and psychosocial handicap due to vertigo and dizziness using 25 items. The present data strongly support the view that a functioning peripheral vestibular system is the prerequisite for the development of anxiety related to vertigo and explains why anxiety scores were low in BVP patients. The major point we want to make here is the separation between psychiatric comorbidity in dizzy patients and anxiety triggered by particular vestibular disorders in patients who do not fulfill the diagnostic criteria of an associated psychiatric disorder. 5 Lahmann C, Henningsen P, Brandt T. Psychiatric comorbidity and psychosocial impairment among patients with vertigo and dizziness.