Functional Neurological Disorder can be triggered by physical or mental stressors (or both).

One thing to keep in mind re: epidemiology of FND in the military: consider early life as well.

Many people join the military to improve their life from an already tough situation.
That’s not everybody, obviously. People join for lots of reasons. But it’s a not-insignificant number. For many people, military = opportunity they otherwise wouldn’t have
Anyway, the longer I get to spend digging into FND research, the more I appreciate the Keynejad et al paper, which @Tim_R_Nicholson summarized as people often needing “multiple hits” for FND symptoms to spark...
... whether it be injury, stress, trauma, lack of sleep, chronic pain, genetic factors etc.

A combination of things that pushes the brain off-balance, and then the brain is like “oh so this is what we’re doing now”, rather than reverting back to normal

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More from @FndPortal

4 Mar
Alright HOW ABOUT THIS:

an FND tour of the brain

(thread)
Functional Neurological Disorder is a common (but not very well-known) brain disorder.

It can come with a variety of debilitating symptoms: tremors, seizures, paralysis, blindness or other visual disturbances, and pain, for starters. ⚡️
It’s a complex disorder and can be hard to understand. Doing so usually requires talking about how the brain works.

But what if we reversed that? Let’s use FND to introduce you to the brain.
Read 64 tweets
8 Oct 20
Mark Micale’s paper “On the ‘Disappearance’ of Hysteria” is a very neat piece of scholarship I do not agree with at all.

Here’s why it’s useful, and an alternate perspective.
So to start with, Micale is a historian who has done some very interesting work examining historical sources about “Hysteria”, the grossly-named disorder we now know as FND.
This particular paper, like his book “Hysterical Men”, is agnostic about what Hysteria “really is.” For the most part, he doesn’t really deal w that question.

What he examines is what people THOUGHT Hysteria was, and how they got there.
Read 27 tweets
7 Oct 20
if honk works brain your good
doog skrow niarb ruoy fi knoh
686f6e6b20696620796f757220627261696e20776f726b7320676f6f64
Read 4 tweets
30 Aug 20
Hello, here’s a rambling thread-under-construction about my understanding of Functional Neurological Disorder 👇

what is it? what isn’t it?
Normally I plan these things out but not today. So we’ll do a bit at a time and I’ll try to notate the breaks. Ok. Let’s get started!
Functional Neurological Disorder is a kind of health problem that involves both subjective disturbances (like pain, blindness, numbness, tingling)

and objective dysfunction (weakness, paralysis, seizures, etc)

it is also the subject of ~400 years of medical debate
Read 50 tweets
31 May 20
I can’t even say what I think about what’s going on right now. I am so angry.

Let me instead offer a thread of writings that have helped me understand how we got here.

Please take some time to read some of it, for the sake of your fellow humans.
Let’s start with one of the most essential reads of the Trump era

amp.theatlantic.com/amp/article/57…
One thing to know is that police brutality against Black people in America isn’t new

smithsonianmag.com/smithsonian-in…
Read 19 tweets
1 Apr 20
It’s World FND month!

We’re also about to experience a global pandemic unprecedented in our lifetimes!

So why should you care about Functional Neurological Disorder?

👇👀
This thread isn’t meant to take away from the current focus on COVID-19. It’s an extremely dangerous development and it’s of course right that we take it seriously and prioritize it as we’re doing. 👍
But if you have room for something that looks grim at first but turns out to be an opportunity for positive change...

You might want to check this out.
Read 30 tweets

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