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Functional neurological disorder (FND) can cause significant iatrogenic harm due to misdiagnosis and delayed treatment. This review outlines harms and proposes strategies to prevent them, improving patient care for FND.

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Area of Science:

  • Neurology
  • Psychiatry
  • Patient Safety

Background:

  • Functional neurological disorder (FND) is increasingly recognized globally.
  • Iatrogenic harm to FND patients is a persistent and significant issue.
  • Despite advances, understanding and mitigating harm in FND requires further attention.

Purpose of the Study:

  • To summarize sources of iatrogenic harm in Functional Neurological Disorder (FND).
  • To identify potential strategies for preventing and addressing such harms.
  • To inform clinical practice and improve patient safety in FND management.

Main Methods:

  • Scoping review methodology.
  • Combination of clinical and research experience.
  • Systematic summary of iatrogenic harm sources and mitigation strategies.

Main Results:

  • Identified key harms: misdiagnosis, delayed diagnosis/treatment, professional interactions, stigma, diagnostic overshadowing, and over-diagnosis.
  • Highlighted the persistence of these harms despite advances in FND understanding.
  • Outlined potential preventative measures and mitigation strategies.

Conclusions:

  • Addressing iatrogenic harm is crucial for effective FND management.
  • Strategies include improving diagnostic accuracy, enhancing education, and promoting parity with other medical conditions.
  • Integrated approaches involving patients and professionals are vital for reducing harm.