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Area of Science:

  • Neuropsychiatry
  • Psychosomatic Medicine
  • Clinical Psychology

Background:

  • Functional neurologic disorder (FND) bridges psychiatry and neurology, characterized by neurological symptoms without clear organic cause.
  • Diagnostic approaches have evolved towards "rule-in" methods using specific clinical signs.
  • Psychological factors like emotion processing and dissociation are central to FND conceptualization.

Observation:

  • A case presentation details a woman with paroxysmal functional speech and gait disorder.
  • The patient experienced significant distress, impacting daily functioning.
  • Traditional "conversion" models are less favored; a biopsychosocial approach guides treatment.

Findings:

  • Psychotherapy demonstrated positive clinical outcomes for the patient's FND symptoms.
  • The case illustrates effective management through a tailored psychotherapy narrative.
  • Emotion processing and related psychological constructs were key therapeutic targets.

Implications:

  • Addresses the gap in psychotherapist training for FND assessment and management.
  • Enhances clinical proficiency in treating patients with functional neurologic disorder.
  • Supports psychotherapy as a primary intervention within a biopsychosocial framework for FND.