Difference between revisions of "Functional neurological disorders"
| (3 intermediate revisions by the same user not shown) | |||
| Line 1: | Line 1: | ||
| − | + | ==Overview== | |
Functional neurological disorders (FND) have a long and rich history, spanning many centuries, from ancient Greece to Jean-Martin Charcot in the Salpêtrière to Sigmund Freud's transforming psychoanalytic theories. | Functional neurological disorders (FND) have a long and rich history, spanning many centuries, from ancient Greece to Jean-Martin Charcot in the Salpêtrière to Sigmund Freud's transforming psychoanalytic theories. | ||
| + | |||
Diagnosis of FND is made when clinical findings of neurological symptoms are found to be incompatible with recognized neurological or medical conditions (DSM-V). For example, for psychogenic nonepileptic seizures, the gold standard diagnosis is made with video EEG demonstrating a typical spell in the absence of epileptiform activity. | Diagnosis of FND is made when clinical findings of neurological symptoms are found to be incompatible with recognized neurological or medical conditions (DSM-V). For example, for psychogenic nonepileptic seizures, the gold standard diagnosis is made with video EEG demonstrating a typical spell in the absence of epileptiform activity. | ||
| + | |||
Treatment considerations include: | Treatment considerations include: | ||
| − | - Psychopharmacologic trials have not proven successful treating FND in clinical trials. Patients may benefit, however, from psychopharmacologic intervention for other comorbid diagnoses (anxiety or affective disorders, for example) | + | : - Psychopharmacologic trials have not proven successful treating FND in clinical trials. Patients may benefit, however, from psychopharmacologic intervention for other comorbid diagnoses (anxiety or affective disorders, for example) |
| − | - The main treatment for FND is psychotherapy and/or rehabilitation with PT, OT, and/or SLP depending on the specific area of dysfunction. (i.e. physical therapy for functional gait disorders, cognitive rehabilitation therapy for functional cognitive disorders, or speech and language therapy for functional speech disorders) | + | : - The main treatment for FND is psychotherapy and/or rehabilitation with PT, OT, and/or SLP depending on the specific area of dysfunction. (i.e. physical therapy for functional gait disorders, cognitive rehabilitation therapy for functional cognitive disorders, or speech and language therapy for functional speech disorders) |
| + | ==Syndrome specific FND== | ||
[[Psychogenic nonepileptic seizures]] | [[Psychogenic nonepileptic seizures]] | ||
| Line 20: | Line 23: | ||
[[Persistent postural-perceptual dizziness]] | [[Persistent postural-perceptual dizziness]] | ||
| + | [[Functional dystonia]] | ||
| + | |||
| + | ==Helpful educational websites== | ||
| + | |||
| + | https://www.nonepilepticseizures.com/ | ||
| + | |||
| + | https://fndhope.org/ | ||
| + | |||
| + | http://neurosymptoms.org/ | ||
== References == | == References == | ||
American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). (American Psychiatric Association). | American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). (American Psychiatric Association). | ||
Latest revision as of 13:14, 29 June 2021
Overview
Functional neurological disorders (FND) have a long and rich history, spanning many centuries, from ancient Greece to Jean-Martin Charcot in the Salpêtrière to Sigmund Freud's transforming psychoanalytic theories.
Diagnosis of FND is made when clinical findings of neurological symptoms are found to be incompatible with recognized neurological or medical conditions (DSM-V). For example, for psychogenic nonepileptic seizures, the gold standard diagnosis is made with video EEG demonstrating a typical spell in the absence of epileptiform activity.
Treatment considerations include:
- - Psychopharmacologic trials have not proven successful treating FND in clinical trials. Patients may benefit, however, from psychopharmacologic intervention for other comorbid diagnoses (anxiety or affective disorders, for example)
- - The main treatment for FND is psychotherapy and/or rehabilitation with PT, OT, and/or SLP depending on the specific area of dysfunction. (i.e. physical therapy for functional gait disorders, cognitive rehabilitation therapy for functional cognitive disorders, or speech and language therapy for functional speech disorders)
Syndrome specific FND
Psychogenic nonepileptic seizures
Functional cognitive disorder (cogniform disorder)
Persistent postural-perceptual dizziness
Helpful educational websites
https://www.nonepilepticseizures.com/
References
American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). (American Psychiatric Association).
