Today we are launching the new neurosymptoms.org website and app - now named Neurosymptoms FND Guide. This thread takes you through the new features. I hope you like it! Its at the same address 1/
I started neurosymptoms.org in 2009, frustrated that there was literally NO information for my patients with FND online Since then, the FND landscape has changed dramatically. We have many FND organisations and from 2019 @FNDSociety for health professionals. 2/
Neurosymptoms is used by around 50,000 people a month around the world, and is often recommended by health professionals. Its not a treatment for FND in itself, we’ve shown that in a trial - n.neurology.org/content/95/13/…, but I hope it’s a good starting point. 3/
The old site, was looking REALLY old, and also performed badly on mobile. In Oct 2020, Scottish Government Neurological Framework funding bit.ly/3h34Da8 enabled me to work with Pooja Jain and her team @Cogni_Health. Thanks Pooja - wow you've been patient with me! 4/
Ta-na! The new site follows a similar structure to the old one. You’ll find factsheets have their own page and there is a new FAQ section. 5/
Thank you as well to 434 of you that completed a survey about the site last year (65% people with FND, 24% healthcare professionals). We can't do everything we want to yet but you gave us lots of great advice. 7/
If you don’t like change (or the new site), no worries – the old site is still accessible at old.neurosymptoms.org. 8/
I am really grateful to all my colleagues around the world who have made alternative language versions. They are accessible via the old site still but we will soon be able to get them on this one and the app. 9/
Here are some screenshots from the app. For the first time its clearer which are ‘core’ FND symptoms, like tremor and seizures, and which are ‘common associated’ symptoms like pain and dissociation 11/
We also have a more organised and accessible – ‘personal stories’ section from people who have generously shared their stories with me over the years. And a brand new FAQ section 12/
I’m really pleased with our new ‘Recommender/Save’ function. The neurosymptoms site has a LOT of information about many problems that most people with FND will never get. That can be scary. 13/
The new save/recommender button lets patients or health professionals identify the resources that they think may be helpful and share them. Look for this icon on the site or app. 14/
This takes you to the ‘recommender’ page so you can save items, then share them by email/airdrop/whatsapp with your family/friends or patients in clinic, tailoring the information better to them 15/
As ever the site and all content is free with no adverts. We are doing this because we think its needed, not for any other reason. There are some new pages in there. Ill be tweeting separately about them later this week 16/
Please let me know if you have ideas for FAQs or content and I'll add it to my 'to do' list! 17/
We want to support and complement other FND organisations and advocate. We especially want to plug @MyFNDapp run by @chris_sym which helps people with FND track their symptoms with ideas about self-management. 18/
Iatrogenic harm in FND – new review article @Brain1878 very much the work of Caoimhe McLoughlin – a short thread. 1/ academic.oup.com/brain/advance-…
Iatrogenic harm means harm arising from medical care. There has been progress with FND in terms of diagnosis, treatment and stigma but we still have a long way to go. We identified 8 sources of iatrogenic harm 2/
HARM 1. Unnecessary treatment from misdiagnosis of FND as another condition – eg diagnosing functional seizures as epilepsy, leading to antiepileptic drugs or diagnosing functional motor symptoms as MS leading to immunosuppressive treatment. 3/
This is the first systematic review describing how stigma occurs across the full spectrum of FND symptoms, synthesising viewpoints of individuals with FND, their caregivers, professionals, and the general public. 2/
· This mixed methodology review included 127 studies, with 18,886 participants spanning 148 countries 3/
Pleased to announce a new FND pathway for Scotland organised by NHS Scotland Centre for Sustainable Delivery. @NHSScotCfSD
. Thread 1/ nhscfsd.co.uk/media/zt0h0s0k…
The Neurology Specialty Delivery Group @NHSScotCfSD focuses on adult neurology services They identified FND as a common condition in neurological practice, where a pathway could give useful guidance. They’ve already done a headache pathway. nhscfsd.co.uk/our-work/moder…
I was asked to co-chair the group with @IngridHoeritza1. We have been meeting since Summer 2023 as a multidisciplinary group including representatives from psychology, physio, OT, psychiatry, neurology, SLT and @FNDHopeUK 3/
The idea that you can diagnose a functional movement disorder because it’s ‘incongruent’ with other neurological conditions or with the laws of physics or anatomy has been around for decades 2/
But diagnosing by incongruence is just another way of making a diagnosis by exclusion.
It requires omniscience in neurology that is unattainable, is not future proof and presumes our traditional models of anatomy and ‘how the brain works’ have already been figured out. 3/
It's not unusual to have FND and another condition, like epilepsy or MS. It doesn't have to be one or the other. We're also learning how issues like joint hypermobility, autistic spectrum disorder and many others may be relevant.
Health professionals have found many ways to ignore people with FND over the years including ‘The diagnosis must be wrong’ and ‘It’s not my specialty – go see someone else’ – but the most pernicious has been ‘its probably just a form of feigning’. 2/
You might say, why does anyone have to write this article? It's obvious that people with FND suffer terribly. But that suffering is often compounded by disbelief from health professionals and even friends and family. This recent study is an example. pubmed.ncbi.nlm.nih.gov/36626907/. 3/