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Functional Neurological Disorders
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Presented by:
Mark Hallett, M.D.NIH
Distinguished Investigator and the Chief of the Human Motor Control Section
National Institute of Neurological Disorders and Stroke, NIH
Credit
CE:1.5

Description
Functional neurological disorders (FND) are common conditions that fall between neurology and psychiatry. Having been neglected for many years, knowledge and expertise in such disorders within the health professions has been lacking, but the situation is improving. FNDs are neurological disorders, characterized by almost any type of neurological symptom, caused by a brain network dysfunction that does not exclude the possibility of normal function, is sometimes due in part to a psychological cause, and cannot be explained by other neurological pathology that may or may not be present. The pathophysiology often seems related to hyperactivity of the limbic system of the brain, and is maintained by abnormal illness beliefs. Symptoms may be inconsistent or incompatible/incongruent with other known neurological disorders or with human anatomy and physiology. The diagnosis should be based on positive features, with the characteristics of inconsistency and incompatibility as noted in the definition. Psychological factors are often important in etiology, and the cause of FNDs is best understood within a biopsychosocial model. Rehabilitation of FND is multidisciplinary and typically involves neuropsychology. Psychotherapy of various types can be useful but the best validated is cognitive behavioral therapy (CBT). For functional movement disorders, psychologically-supported physical and occupational therapy has proven to be successful.
Dr. Hallett is an NIH Distinguished Investigator and the Chief of the Human Motor Control Section, National Institute of Neurological Disorders and Stroke, NIH, Bethesda. He is currently past President of the International Federation of Clinical Neurophysiology and the President of the newly founded Functional Neurological Disorder Society. Dr. Hallett is also remote past President of the Movement Disorder Society and past Editor-in-Chief of Clinical Neurophysiology. He has won many awards including, in October 2019, the World Federation of Neurology Medal for Contributions to Neuroscience. His work mainly deals with principles of motor control and the pathophysiology of movement disorders. The work in his Section has a major focus on Functional Movement Disorders.
After the session, participants will be able to:
1. Describe the nature of functional neurological disorders.
2. Discuss how to diagnose a patient with a functional neurological disorder.
3. Explain approaches to rehabilitation of patients with functional neurological disorders.
Target Audience: Neuropsychologists and trainees
Instructional Level: Intermediate
Dr. Hallett is an NIH Distinguished Investigator and the Chief of the Human Motor Control Section, National Institute of Neurological Disorders and Stroke, NIH, Bethesda. He is currently past President of the International Federation of Clinical Neurophysiology and the President of the newly founded Functional Neurological Disorder Society. Dr. Hallett is also remote past President of the Movement Disorder Society and past Editor-in-Chief of Clinical Neurophysiology. He has won many awards including, in October 2019, the World Federation of Neurology Medal for Contributions to Neuroscience. His work mainly deals with principles of motor control and the pathophysiology of movement disorders. The work in his Section has a major focus on Functional Movement Disorders.