Management of Functional Neurological Disorder

Area of Science:

• Psychiatry
• Internal Medicine
• Consultation Liaison Psychiatry

Background:

• Medical and surgical inpatients often present with comorbid psychiatric symptoms.
• Managing these complex cases requires a multidisciplinary approach.
• The Psychiatric Consultation Service addresses this need at Massachusetts General Hospital.

Purpose of the Study:

• To summarize key diagnostic and management strategies discussed during psychiatric consultation rounds.
• To provide a resource for clinicians working at the intersection of medicine and psychiatry.

Main Methods:

• The Psychiatric Consultation Service conducts twice-weekly rounds.
• Discussions focus on diagnosis and management of inpatients with complex medical/surgical issues and psychiatric conditions.
• Rounds reports are generated from these discussions.

Main Results:

• The service effectively manages inpatients with comorbid psychiatric and medical/surgical conditions.
• Rounds reports synthesize complex case discussions.
• These reports offer practical guidance for clinicians.

Conclusions:

• Psychiatric consultation services are vital for comprehensive inpatient care.
• The generated rounds reports serve as a valuable educational tool.
• Improved collaboration between medicine and psychiatry enhances patient outcomes.