Jon Stone Profile picture
Jul 1, 2021 19 tweets 10 min read Read on X
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/ Image
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/ Image
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/ Image
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/ Image
There is a lot of content now that I've co-written with colleagues. Special thanks to @AlanCarson15 @IngridHoeritza1 @lauramcw @BibaStanton @CNicholsonOT @ChristosGanos and many others who either wrote or contributed to sections. 6/
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/
So whats new? Its our brand new free app that Im especially excited about for iphone apps.apple.com/us/app/neurosy… and android play.google.com/store/apps/det… 10/ Image
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/ Image
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/ Image
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/ Image
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/ Image
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/ Image
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/
Everyone in the FND community brings something different and important. I hope neurosymptoms will remain part of that as we carry on growing @FNDHope @FNDHopeUK
@FNDHopeUSA
@FNDAus
@FNDAction
@FNDDimensions
@FndPortal
@FndRecovery
@fndconnect
@FNDSociety
END!

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More from @jonstoneneuro

Dec 5, 2024
Iatrogenic harm in FND – new review article @Brain1878 very much the work of Caoimhe McLoughlin – a short thread. 1/ academic.oup.com/brain/advance-…Image
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/ Image
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/ Image
Read 12 tweets
Jul 9, 2024
"Stigma in FND" led by @dr_caoimhe_mc - new in Clinical psychology review.

Stigma remains a huge problem for people with FND, which we need to understand to help overcome it

Caoimhe and I wrote this 🧵on her massive effort. Free download to 15.8.24 1/ authors.elsevier.com/c/1jIFs~0r1w3Sj
Image
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/ Image
· This mixed methodology review included 127 studies, with 18,886 participants spanning 148 countries 3/ Image
Read 32 tweets
May 16, 2024
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…
Image
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/
Read 22 tweets
Jan 12, 2024
‘Incongruence in FND - time for retirement’ - my new short neuromythology paper for @PracticalNeurol - short thread 1/



FREE download link here pn.bmj.com/content/early/…
bit.ly/48RQANO
Image
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/ Image
Read 10 tweets
Feb 22, 2023
FND thread collection from this account. Went back and chose a few I've been personally involved with- some based on our 10 myths of FND paper. 1/
FND is a diagnosis of inclusion. We covered some of the positive diagnostic features of FND in a BMJ review in 2020.
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.
Read 20 tweets
Feb 16, 2023
‘Why FND is not Feigning or Malingering’ - our new @NatRevNeurol review and synthesis - with @M_Yogarajah and Mark Edwards nature.com/articles/s4158…. a thread… 1/
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/
Read 15 tweets

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