A Psychologist's Role in Functional Neurological Disorder

What is FND?

Functional Neurological Disorder (FND) is a complex disorder and exists in the crossroads of neurology and psychiatry. If diagnosed with Functional Neurological Disorder you may experience an array of symptoms that cannot be explained by an underlying disease or anatomical abnormalities. Symptoms can often be debilitating impacting daily functioning if symptoms are not addressed adequately.


Common Symptoms:

There are two common symptom groups of FND:

1. Functional Motor Disorder (symptoms may include: clients experience limb weakness, difficulty swallowing, tremors, abnormal posturing and gait disorders)

2. Dissociative Attacks/Events (symptoms may include: abnormal posturing, shaking, loss of consciousness, excessive movements of the limbs)


Treatment for Functional Neurological Disorder:

A multidisciplinary team approach is often key to managing symptoms of FND, and may comprise of Psychologists, Physiotherapists, Occupational Therapists and/or Speech Pathologists, depending on your presenting concerns.


How can Psychology help?

The development of symptoms and diagnosis of FND is commonly linked to psychological factors such as stress, trauma and emotional distress. A psychologist can help to explore, and address, the underlying contributing factors, and then work collaboratively with you towards fostering long term wellbeing.

Common therapy modalities to treat Functional Neurological Disorder include Cognitive Behavioural Therapy (CBT), Acceptance Commitment Therapy (ACT), Pychodynamic therapy, and Dialectal Behavioural Therapy (DBT). Treatment is individualised to address the factors that contributed towards the onset of symptoms.


There are several ways psychological therapy can be beneficial for individuals with FND including:

  1. Education and Understanding

  2. Symptom identification and understanding

  3. Regulation Techniques

  4. Mindfulness based techniques

  5. Coping Strategies

  6. Confidence Building

  7. Managing Mood associated with Functional Neurological Disorder

  8. Developing helpful thinking patterns

  9. Treating any co-morbid psychological disorders (for example, anxiety, depression)


Ready For The Next Step?

Experiencing symptoms of FND can be a complex and isolating journey. A multidisciplinary approach can guide you in navigating the intricacies of this disorder. At Mind in Mind Psychology, our team of skilled psychologists can collaboratively work with you and your treating team to build a comprehensive and individualized treatment plan to manage your symptoms of Functional Neurological Disorder. We utilise a compassionate approach to empower individuals on their journey to recovery.


For further information regarding FND, please refer to the following websites:

1. https://fndhope.org

2. https://fndaustralia.com.au


Written by Sandhiya Nanthakumar, Registered Psychologist

Jennifer Menon