Functional Neurologic Disorder

Living with Functional Neurologic Disorder (FND) can be an overwhelming and challenging experience. Every day, individuals affected by this condition grapple with the profound impact it has on their daily lives. FND presents a unique set of challenges, as it manifests as a complex interplay between the mind and body, often causing physical symptoms that are difficult to understand and manage. Our healthcare providers, led by Dr. Howard Cohen, are proud to provide expert outpatient care and treatment plans for individuals in Dallas DFW, Fort Worth, and beyond in Northern Texas, suffering from FND and associated chronic pain, functional movement disorders, and other symptoms affecting brain function from our state-of-the-art clinic. 

Find relief from FND. 

What is Functional Neurologic Disorder?

Functional Neurologic Disorder (FND), formerly known as conversion disorder, is a neurological condition that can significantly affect the functioning of the nervous system.1 FND is common and ranks as the second most frequent cause after headaches for adults seeking consultation with a neurologist.2 Unlike many other neurological disorders, FND does not have an identifiable structural or organic cause. Instead, it is characterized by the brain's dissociative response to stress or trauma, leading to a wide range of physical symptoms that may be debilitating.3

Symptoms of Functional Neurologic Disorder

FND can manifest in various ways, making it a challenging condition to identify. Some common symptoms of FND include:4

  • Motor Symptoms: Uncontrolled movements, muscle weakness, paralysis, or tremors.

  • Sensory Symptoms: Numbness, tingling, pain, or altered sensation in various body parts.

  • Non-Epileptic Seizures: Seizure-like episodes that are not associated with abnormal electrical brain activity.

  • Speech and Swallowing Issues: Difficulty speaking or swallowing.

  • Vision Problems: Temporary blindness, double vision, or other visual disturbances.

  • Gait and Balance Problems: Difficulty walking or maintaining balance.

Functional Neurologic Disorder Risk Factors

While the exact cause of FND remains elusive, several factors may increase the risk of developing the condition. These risk factors include mental health issues such as past trauma or stress, alongside physical trauma stemming from prior brain injuries or surgeries. Additionally, a familial history of neurological disorders, including epilepsy and migraines, may heighten susceptibility to FND.

Diagnosing Functional Neurologic Disorder

Diagnosing Functional Neurologic Disorder (FND) involves a comprehensive assessment, considering medical history, physical examinations, specialized imaging tests, and EEG to rule out other conditions. The process aims to rule out other conditions, identify potential triggers, and evaluate brain function and neurological symptoms. FND diagnosis can be challenging due to its varied presentations and the absence of structural abnormalities. Therefore, a thorough evaluation is crucial to reach an accurate diagnosis and develop an effective treatment plan tailored to the individual's unique needs and overall wellness goals.

Functional Neurologic Disorder Treatment

Treatment for FND typically involves a multidisciplinary approach, tailored to each patient's unique needs. Some treatment options may include:

  • Physical Therapy: To address motor and functional difficulties.

  • Psychological Therapy: Managing underlying psychological factors.

  • Occupational Therapy: Occupational therapists can help individuals develop strategies to improve their daily living skills, manage symptoms, and regain independence in their day-to-day activities.

  • Medication: In some cases, medications may help alleviate symptoms.

Supportive Care: Providing education and support to patients and their families.

FAQs about Functional Neurologic Disorder

Can FND be cured?

FND is a complex condition, and while a complete cure is rare, symptom management and improved quality of life are achievable through a combination of therapies.

Is FND a psychological disorder?

FND is considered a neurological disorder with a strong connection to psychological factors. Addressing both aspects is essential for effective treatment.

Can stress trigger FND symptoms?

Yes, stress and trauma are common triggers for FND symptoms. Learning stress management techniques can help manage the condition.

How long does FND treatment take?

The duration of treatment varies from person to person, but it often involves ongoing care to manage and improve symptoms.

Are Alzheimer’s and Parkinson’s disease related to FND?

No, Alzheimer's disease and Parkinson's disease are distinct from Functional Neurologic Disorder (FND). Alzheimer's is characterized by cognitive decline and memory issues due to brain protein abnormalities, while Parkinson's primarily affects motor function and results from dopamine cell loss. FND, on the other hand, is marked by physical symptoms stemming from the brain's response to psychological stress or trauma and is considered a functional disorder, lacking an identifiable structural cause.

Schedule A Consultation to Treat Functional Neurologic Disorder

Understanding FND can be challenging for both patients and their family members, however, early diagnosis and prompt treatment can play a crucial role in symptom management and the path to recovery. At Mind + Body Medicine, we are dedicated to providing comprehensive care and support for individuals living with Functional Neurologic Disorder in Dallas DFW, Ft. Worth, and across Northern Texas. Our experienced professionals are here to guide you on your journey to better health, understanding, and improved quality of life. Contact us today to learn more and take the first step towards healing.

1 Mayo Clinic. Conversion Disorder. Available: https://www.mayoclinic.org/diseases-conditions/conversion-disorder/diagnosis-treatment/drc-20355202. Accessed December 21, 2023.
2 RCP Journals: Clinical Medicine. A practical review of functional neurological disorder (FND) for the general physician. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7850207/. Accessed December 21, 2023.
3 Psychology Today. Recovering from Functional Neurological Disorders. Available: https://www.psychologytoday.com/us/blog/pain-rehabilitation/202108/recovering-functional-neurological-disorders?amp. Accessed December 21, 2023.
4 Massachusetts General Hospital. Basics of FND. Available: https://www.massgeneral.org/neurology/treatments-and-services/functional-neurological-disorder-basics. Accessed December 21, 2023.