What is Functional Neurologic Disorder (FND)?

Functional Neurologic Disorder, also known as Conversion Disorder, is a complex condition that affects the nervous system. It is characterised by neurological symptoms or deficits that cannot be explained by underlying organic disease or structural abnormalities. FND is believed to result from a combination of psychological and neurological factors.

Symptoms:

The symptoms of FND can vary widely and may include:

1. Motor Symptoms: Weakness or paralysis in one or more limbs, tremors, abnormal movements, or gait difficulties.
2. Sensory Symptoms: Altered sensations, such as numbness, tingling, or loss of feeling.
3. Vision Problems: Blurred vision, double vision, or visual disturbances.
4. Speech and Swallowing Difficulties: Speech difficulties, difficulty swallowing, or feeling like there's a lump in the throat.
5. Seizure-Like Episodes: Seizure-like movements or non-epileptic seizures.

Treatment Options:

The treatment of FND is multifaceted and involves a combination of medical, psychological, and rehabilitative approaches. Treatment options may include:

1. Psychotherapy: Cognitive-behavioural therapy (CBT), talk therapy, and other psychological interventions can help address underlying emotional stressors and coping strategies.
2. Physiotherapy: Physical therapy aims to improve mobility, strength, and functionality, focusing on managing specific motor symptoms.
3. Occupational Therapy: Occupational therapy assists in developing strategies to manage daily living activities despite the functional limitations caused by FND.
4. Speech Therapy: For patients with speech or swallowing difficulties, speech therapy can provide valuable support.

Rehabilitation Management:

Rehabilitation is an essential component of managing FND, focusing on maximising function and improving overall well-being. The main goals of rehabilitation in FND management include:

1. Education and Understanding: Providing information about FND and its nature can help reduce anxiety and improve coping.
2. Functional Improvement: Physical and occupational therapy can enhance mobility, strength, and daily living skills.
3. Coping Strategies: Learning adaptive coping techniques and stress management can assist in dealing with symptoms.
4. Gradual Exposure: Gradually exposing patients to their specific triggers or stressors may help desensitise and reduce symptom severity.

Living with Functional Neurologic Disorder:

Coping with FND may require patience and a multidisciplinary approach. Here are some tips to support your well-being:

• Be open to therapy and rehabilitation to improve your functional abilities.
• Engage in relaxation techniques and stress-reduction activities.
• Maintain regular follow-ups with your healthcare provider and therapy team.
• Seek emotional support from family, friends, or support groups.

Our team at Pacifica Health is dedicated to providing you with personalised care and support throughout your FND management journey. Please feel free to reach out if you have any questions or concerns.