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Facing FND: It's Real! (Inner Circle Group)

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Diagnosis and management of functional neurological disorder
www.bmj.com
Diagnosis and management of functional neurological disorder
Functional neurological disorder (FND), previously regarded as a diagnosis of exclusion, is now a rule-in diagnosis with available treatments. This represents a major step toward destigmatizing the disorder, which was often doubted and deemed untreatable. FND is prevalent, generally affecting young and middle aged adults, and can cause severe disability in some individuals. An early diagnosis, with subsequent access to evidence based rehabilitative and/or psychological treatments, can promote recovery—albeit not all patients respond to currently available treatments. This review presents the latest advances in the use of validated rule-in examination signs to guide diagnosis, and the range of therapeutic approaches available to care for patients with FND. The article focuses on the two most frequently identified subtypes of FND: motor (weakness and/or movement disorders) and seizure type symptoms. Twenty two studies on motor and 27 studies on seizure type symptoms report high specificities of clinical signs (64-100%), and individual signs are reviewed. Rehabilitative interventions (physical and occupational therapy) are treatments of choice for functional motor symptoms, while psychotherapy is an emerging evidence based treatment across FND subtypes. The literature to date highlights heterogeneity in responses to treatment, underscoring that more research is needed to individualize treatments and develop novel interventions.

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Alissa Black
13 days ago · updated the description of the group.

Welcome to the 'Facing FND: It's Real! Inner Circle Group'. This is a supportive community for those affected by Functional Neurological Disorder (FND). Share your experiences, find resources, and connect with others who understand your journey.

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Welcome to our group Facing FND: It's Real! Inner Circle Group! A space for us to connect and share with each other. Start by posting your thoughts, sharing media, or creating a poll.

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    Welcome to the 'Facing FND: It's Real! Inner Circle Group'. ...

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