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Why functional neurological disorder is not feigning or malingering
Mark J Edwards1, Mahinda Yogarajah2,3,4, Jon Stone5
1Institute of Psychiatry, Psychology and Neuroscience, Kings College London, London, UK. mark.j.edwards@kcl.ac.uk.
Nature Reviews. Neurology
|February 16, 2023
Summary
Functional neurological disorder (FND) is a common neurological condition causing significant disability. Evidence clearly separates FND symptoms from malingering, aiming to improve patient care and outcomes.
Area of Science:
- Neurology
- Neuroscience
- Psychiatry
Background:
- Functional neurological disorder (FND) is a frequent reason for seeking neurological consultation.
- It often leads to lifelong disability and reduced quality of life.
- Despite growing evidence, ambiguity persists regarding symptom veracity versus feigning or malingering.
Purpose of the Study:
- To present evidence differentiating Functional Neurological Disorder (FND) from feigning and malingering.
- To advocate for improved clinical and academic approaches to FND.
- To foster better attitudes, knowledge, treatments, and outcomes for individuals with FND.
Main Methods:
- Review and synthesis of existing evidence.
- Comparative analysis of FND characteristics against feigning and malingering.
Main Results:
- The available evidence provides a clear distinction between Functional Neurological Disorder (FND) and feigning or malingering.
- This differentiation is crucial for accurate diagnosis and treatment.
Conclusions:
- Functional Neurological Disorder (FND) is a distinct neurological condition, not synonymous with feigning or malingering.
- Improved understanding and acceptance are vital for advancing care pathways and patient outcomes.
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