Functional Neurological Disorder (FND) is a condition where your brain and body aren't communicating quite right. It can cause a variety of symptoms, from weakness and tremors to speech problems and seizures (commonly called non-epileptic seizures). Your symptoms are real; however, your brain is playing tricks on you and your body.
FND is a complex illness that has many biological, psychological, and sociological factors that affect it. Researchers are still learning about it, but one thing we know for sure is that it's not your fault. Stress, trauma, and other psychological factors often play a role. Think of it like your brain's way of saying, "Hey, you're not handling things too well right now."
Current research and theories indicate that FND is a mind-body condition. Essentially, your mind is the control center of your entire body. Your mind is a powerful force within your body; the boss if you will. As such, it can influence you in many ways, some of which can be very surprising (like when it is confused due to a visual illusion or the color of a dress). With FND, psychological factors like stress, anxiety, focus of attention, and past trauma can amplify symptoms or even trigger them. That's why a holistic approach, addressing both mind and body, is key to managing FND.
If you feel overwhelmed, it's understandable. But here's the good news: FND is a manageable and treatable condition. With the right support and strategies, many people see significant improvement in their symptoms. Organizations like FND Hope help connect people to experts to support and care for you. You're not alone in this journey, and high-quality care is available for you.
Treatment for FND often involves a multidisciplinary approach, meaning a team of healthcare professionals working together to support you. This might include doctors, psychologists, physical therapists, and more.
Part of the reason I created this practice is to provide a resource for New Yorkers with FND seeking such treatment. Talking with an expert psychologist can help you explore and address any underlying psychological factors contributing to your symptoms. Cognitive-behavioral therapy (CBT) and mindfulness techniques are often helpful; however, other therapies also provide useful tools to reduce your symptoms and improve your life.
FND is typically treated by incorporating approaches from many disciplines including neurology, physical therapy, occupational therapy, and psychology. These multiple perspectives are necessary to target all relevant factors that may contribute to your FND.
This question can be difficult as many providers are not even trained in FND. I would suggest a few different approaches. (1) Talk with your neurologist and see if they have any recommendations. (2) Visit FNDHope.org's Find a Provider page, and (3) join an FND community and ask them about professionals in your state.
Again, websites such as FND Hope can be helpful. There is also an official FND society that can be helpful. I would also encourage you to read about the provider ahead of time and look at their credentials. If they treat FND, current theory and research should be evident in their website and directory listings. Lastly, ask around with your providers to see if they are aware of the professionals and their approach.
Although the DSM-5 lists them both as the same, the answer is NO. They have different theoretical causes (suppressed trauma in the case of conversion disorder).
Cognitive-behavioral therapy is by far the most well-researched and supported treatment. Other treatments such as Dialectical Behavioral Therapy and Hypnosis have some support also. Finally, techniques such as mindfulness, relaxation training, and hypnosis can be helpful. Other treatments have little research support for their use at this time.
Garry Spink, PhD - Spink Psychology, PLLC
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