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A Protocol for the Administration of Real-Time fMRI Neurofeedback Training

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Inpatient treatment for functional neurologic disorders.

D T Williams¹, K Lafaver², A Carson³

¹Movement Disorders Division, Columbia University Medical Center and Department of Psychiatry, Columbia College of Physicians and Surgeons, New York, NY, USA.

Handbook of Clinical Neurology

|October 11, 2016

Summary

This summary is machine-generated.

Individualized treatment is crucial for functional neurologic disorders (FND). For severe or chronic FND cases unresponsive to outpatient care, integrated inpatient treatment offers a promising rescue strategy.

Keywords:

Conversion disorder Day treatment programs Functional neurological disorder Inpatient treatment Psychogenic movement disorder Psychogenic nonepileptic seizures psychogenic

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Area of Science:

Neurology
Psychiatry

Background:

Functional neurologic disorders (FND) present with diverse symptoms, severity, and patient factors.
Individualized treatment approaches are essential for managing FND.

Purpose of the Study:

To evaluate the efficacy of integrated inpatient treatment for severe or chronic FND.
To explore multimodal day-treatment programs for patients with severe disability.

Main Methods:

Review of current data on inpatient and day-treatment programs for FND.
Integration of various treatment modalities within an inpatient setting.

Main Results:

Inpatient treatment offers a rational rescue strategy for severe/chronic FND cases.
Multimodal day-treatment programs warrant consideration for severely disabled patients.

Conclusions:

Integrated inpatient treatment shows promise for FND patients with severe or chronic impairment.
Further research is needed to refine treatment strategies and identify effective components for FND.