Download FND app Android Aapp IoS App
FND Links Feedback Donate Language
Home / Causes / Ten Myths of FND

Ten Myths of FND

This is a tweet thread I wrote in May 2020 to support a paper I wrote for the European Journal of Neurology about FND. I hope you find it useful as well

“Ten Myths about FND” just out in Eur Journal of Neurology  @SarahLidstone@rmmaraujo, myself and @basbloem@EANeurology. People with FND come up against a lot of these during diagnosis and treatment.

Functional Neurological Disorder is still emerging from a long period of scientific and clinical neglect. Many clinicians haven’t caught up with recent advances in practice, research or attitudes

We know its frustrating when papers are behind paywalls – so we thought we’d give you a rundown of our myths in an “FND myth tweetorial”. 

Myth 1: FND is a diagnosis of exclusion. No! It’s a “rule in” diagnosis based on typical signs such as Hoover’s sign or tremor entrainment. Figure from… 4/

From Current Concepts in the Diagnosis and Treatment of Functional Neurological Disorders

Myth 2: Patients have either FND or another neurological disorder. No! Having another condition like epilepsy or Parkinson’s disease is one of the strongest risk factors (about 10-20%). 

Myth 3: A bizarre presentation indicates FND. No! There are many examples of unusual presentations in patients with other neurological conditions. FND is not inherently more bizarre.  

Myth 4: Different phenotypes of FND indicate different disorders. No (sort of )! Although a seizure is a very different symptom to paralysis there are shared mechanisms and comorbidities such as pain, fatigue between all patients with FND. 

Myth 5: FND symptoms are voluntary. No! FND symptoms are involuntary; patients are not “putting them on” and feigning is rare. See neurophysiological studies, differential recovery in trials, consistent presentations comorbidities across cultures and across time. 

Myth 6: There is no role for investigations in the diagnosis of FND. No! Other neurological conditions are such a strong risk factor for FND – think – what else could this patient have? Some investigations such as Tremor analysis can help with positive diagnosis. 

Myth 7: There is less harm in missing a diagnosis of FND than missing another neurological disease. No! Any misdiagnosis is distressing but erroneously diagnosing FND, a potentially treatable condition, as another neurological condition can be as harmful as the reverse. 

Myth 8: FND is exclusively a psychological problem. No! Psychological factors are one of many possible risk factors for FND and should not be considered the sole etiological cause. For some they are the most important, for others they aren’t relevant. 

Myth 9: The prognosis of FND is usually good. No! Patients with FND have disability and impaired quality of life as patients with other neuro conditions. Some have complete recovery others long term problems. Dont just assume, ‘the patient will probably just get better’. 

Myth 10: The treatment of FND is SOLELY psychological. No (sort of !). FND needs individualised multidisciplinary treatment. Education, physical + psychological rehabilitation all can have a role. Psychological therapy can be the main treatment for some people with FND especially seizures. 

Attitudes and practices toward FND are changing but the many misconceptions that surround it continue to obstruct good medical care for these patients. 

Thanks @basbloem for having the idea for this paper, @SarahLidstone for leading the writing and @rmmaraujo for coauthoring. END! 

healthy vegan recipes for weight loss weight loss plateau bodybuilding cycling to lose weight lite fit diet pills top 5 weight loss pills diet pills that speed up your metabolism how to lose weight fat dolores catania weight loss keto diet free app what to eat before workout on keto diet keto shred diet weight loss holidays buy weight loss pill beck bennett how to lose weight safe and fast weight loss pills how to lose weight fast at home in a week be fit diet pills best shakes for weight loss hellfire eph 150 ephedr diet pills why am i so tired on the keto diet intro to a keto diet qualifications for weight loss surgery keto light diet carnation instant breakfast weight loss zero weight loss pill best weight loss prescription pill does taking green tea pills help lose weight diabetes meds for weight loss

cbd oil neuropathy ethanol extracted cbd oil is hemp oil legal in wisconsin cbd hemp oil wiki cannabis oil for massage 600 mg cbd oil liquid cbd oil concentrations cbd oil winter haven fl thc infused massage oil rix mix cbd oil cbd oil cancer benefits sparoom cbd oil review sleep roll on where to buy cbd oil in boise trader joes cbd oil concentration how cbd oil affects epilepsy buy and sell cbd oil the fda has announced theyre cracking down on cbd oil vaping sublingual cbd oil mct how to use cbd oil with e juice is it legal to give kids cbd oil in ny where to buy dusk cbd oil cbd oil where to buy in dc dea permit dor import cbd oil how many drops in 1 ml of cbd oil cbd oil for pain for sale on internet hemp seed oil cleansing method cbd oil thc legal cbd oil for rosacea

prednisone and viagra want penis enlargment pills the best ed pill male enhancement pills at the moment pills that beast testosterone booster review male stimulation cialis 200mg does having a girlfriend increase testosterone alpha advanced testosterone booster pills review signs of low libido in males food that increase testosterone levels enhancement cream for men how to have sex with male enhancement pills natural testosterone enhancement supplements penis enlargement sleeve viagra and cialis at the same time p6 chrome testosterone booster reviews sexual stimulant drugs for males testosterone pills for men benifits natural herb to increase libido do penis enlargement work what are the best penis pills ways to increase male libido naturally authentic penis enlargement pills list of penis enlargement pills is there such a thing as penis growth pills performance enhancing supplements

are glass block windows energy efficient window blind repair washington dc home window repair erie pa window repair orland park il truth window crank replacement window replacement albuquerque window spring balance replacement parts repair window sill interior double hung window weatherstripping replacement how much do windows cost to replace simonton window lock replacement reliabilt replacement windows sash window rope replacement home window replacement gilbert az egress window installation contractors awning window repair parts window installation salem oregon window replacement louisville haier window air conditioner installation fixed glass window installation rv window repair kit how to replace window glass in aluminum frame how to repair glass block window window sills replacement window screen repair anchorage window replacement cape coral fl andersen casement window repair parts how often should you replace windows