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In recent years, the psychiatric community has unified around characterization of functional neurological disorder (FND), including its nomenclature, diagnostic requirements, and treatment. FND's complex assessment and therapeutic challenges rarely fit within a single specialty. Those who treat it need clear, practical guidance on how to assess, explain, and treat a condition that spans neurology, psychiatry, psychology, and rehabilitation.
Treatment of Functional Neurological Disorder: A Case-Based Approach meets this need by bringing together the major evidence-based treatment modalities for FND in one clinically focused, highly usable volume. This book's practical, case-based guidance is designed to help clinicians translate evidence into day-to-day care. Foremost is education—treatment cannot succeed if the patient does not understand the diagnosis or buy in to the goals of therapy.
Written by internationally recognized leaders across multiple disciplines, the book uniquely bridges specialties. Neurologists will better understand psychotherapeutic approaches; mental health and rehabilitation professionals will recognize the condition-specific nuances essential for effective treatment.
Organized to reflect the full continuum of care, the volume
covers
• Clinical assessment, diagnostic formulation, and effective
delivery of the FND diagnosis
• Common psychological characteristics and
psychiatric and medical comorbidities
• Psychotherapeutic models used to
treat FND, including cognitive-behavioral, psychodynamic, mindfulness-based,
acceptance and commitment, exposure-based, hypnosis-based, and
trauma-informed approaches
• Rehabilitation strategies specific to FND,
including physical therapy, occupational therapy, speech and language
pathology, eye movement desensitization and reprocessing (EMDR), and
cognitive rehabilitation
• Telehealth adaptations
• Pharmacological
treatment
• Noninvasive brain stimulation applications
• Pediatric
considerations
• Program development, interdisciplinary care pathways,
and common clinical challenges
Throughout, real-world case examples anchor theoretical concepts in clinical practice, illustrating how treatment approaches can be tailored across symptom presentations, settings, and patient populations.
Designed for psychiatrists, psychologists, social workers, psychiatric trainees, neurologists, rehabilitation specialists, and other frontline clinicians, Treatment of Functional Neurological Disorder serves as an essential resource for clinicians seeking practical, integrated guidance to care for patients with FND from diagnosis through long-term management.
Sepideh Bajestan, M.D., Ph.D., is Clinical Professor of Psychiatry and Behavioral Sciences; Chief of Neuropsychiatry Services; Director of the Neuropsychiatry and Behavioral Neurology Fellowship; and Co-Director of the Individual Psychotherapy Clinic in the Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine in Palo Alto, California.
Gaston Baslet, M.D., is a Neuropsychiatrist in the Department of Neurology, Bruce W. Carter Department of Veterans Affairs, Miami, Florida; Associate Director of Medical Student Education in the Department of Psychiatry, Brigham and Women's Hospital; and Associate Professor of Psychiatry at Harvard Medical School, Boston, Massachusetts.
Alan Carson, M.D., is Consultant, Neuropsychiatrist, and Honorary Professor at the Centre for Clinical Brain Sciences, University of Edinburgh, United Kingdom.
Contributors
Introduction
Chapter 1. Assessment and
Diagnosis
Chapter 2. Psychological Characteristics
Chapter 3.
Psychiatric and Medical Comorbidities
Chapter 4. Formulation
Chapter
5. Diagnosis Delivery and Patient Education
Chapter 6. Disability and
Occupational Issues
Chapter 7. The Role of the Family
Chapter 8.
General Considerations in Individual and Group Psychotherapy
Chapter 9.
Cognitive Behavioral Therapy
Chapter 10. Neurobehavioral
Therapy
Chapter 11 Psychodynamic Interpersonal Therapy
Chapter 12.
Mindfulness-Based Psychotherapies
Chapter 13. Acceptance and Commitment
Therapy
Chapter 14. Prolonged exposure (PE) for Comorbid Functional
Seizures and Post-Traumatic Stress Disorder
Chapter 15. Hypnosis for
Diagnosis and Treatment
Chapter 16. Eye Movement Desensitization and
Reprocessing
Chapter 17. Physical Therapy
Chapter 18. Occupational
Therapy
Chapter 19. Speech, Language, and Cognitive
Rehabilitation
Chapter 20. Pediatric Considerations (Mind Body
Approaches)
Chapter 21. Pharmacological Treatment
Chapter 22.
Non-Invasive Brain Stimulation
Chapter 23. Challenges and Long-term
Considerations
Chapter 24. Telehealth Adaptations
Chapter 25. Higher
Levels of Care Settings
Chapter 26. Creating Functional Neurological
Disorder Programs in Diverse Health Care Systems