Evidence-Based Mind-Body Interventions for Children and Adolescents with Functional Neurological Disorder.
Kasia Kozlowska1, Catherine Chudleigh, Blanche Savage
1From University of Sydney Medical School (Drs. Kozlowska and Scher); Department of Psychological Medicine, The Children's Hospital at Westmead (Drs. Kozlowska, Chudleigh, Hawkes, and Nunn, and Ms. Savage); Harvard Medical School (Dr. Scher); and McLean Hospital, Belmont, MA (Dr. Scher).
Harvard Review of Psychiatry
|March 8, 2023
Summary
Functional neurological disorder (FND) in children requires prompt diagnosis and a biopsychosocial approach. This study outlines a model for effective, community-based FND treatment programs to improve care and reduce stigma.
Area of Science:
- Pediatric Neurology
- Neuroscience
- Psychiatry
Background:
- Functional neurological disorder (FND) affects up to 20% of pediatric neurology patients, involving biological changes due to lived experiences.
- Stigma and a lack of understanding contribute to scarce FND services globally.
- Prompt diagnosis and a biopsychosocial, stepped-care approach yield good outcomes for pediatric FND.
Purpose of the Study:
- To describe the elements of a successful biopsychosocial mind-body program for pediatric FND.
- To guide clinicians and institutions in establishing effective community and hospital-based FND treatment programs.
- To increase awareness and standardize care for children and adolescents with FND.
Main Methods:
- The Mind-Body Program at The Children's Hospital at Westmead provides a model for FND care.
- Utilizes a consultation-liaison team for inpatient and outpatient services.
- Empowers community clinicians with diagnosis, assessment, and support for implementing biopsychosocial interventions.
Main Results:
- The described program has successfully treated hundreds of pediatric FND patients.
- Community-based clinicians can effectively implement interventions with appropriate support.
- A positive diagnosis and comprehensive assessment are key to initiating treatment.
Conclusions:
- Effective FND treatment for children and adolescents is achievable through a structured, biopsychosocial approach.
- Establishing accessible, community-based FND programs is crucial for improving patient outcomes.
- Standardizing care and increasing awareness can combat stigma and improve treatment accessibility.
