There have been a series of comments on #Twitter (including by MDs) highlighting that Functional Neurological Disorder remains markedly misunderstood & dismissed by portions of the MEDICAL community. Part of the issue is a FALSELY dualistic framing of complex brain disorders. 1/6
In a @FNDHope talk from a few years ago, I shared my viewpoint on how we can bridge Neurologic & Psychiatric/Psychological perspectives in #FND. Link to the talk below. @FNDHopeUK @FNDHopeUSA

ImageImage
Having trained in #Neurology & #Psychiatry, many NeuroPsychiatric conditions (capital N capital P) benefit from an integrated clinical neuroscience perspective. Psychiatry can learn from Neurology, & Neurology can learn from Psychiatry @boeslab @keshavanms
neuro.psychiatryonline.org/doi/10.1176/ap…
An important guiding light for how this can be achieved is to bring the BIOPSYCHOSOCIAL formulation to the assessment & management of a great range of patients cared for in Neurology clinics. @popkirov

thieme-connect.com/products/ejour…
In the context of ensuring that antiquated views are not reinforced (and underscoring the GREAT need for new educational initiatives), we outlined Psychiatry's modern role in Functional Neurological Disorder. @indrit_begue @AlanCarson15 @Tim_R_Nicholson bit.ly/3WCzUDw
Lastly - THANK YOU to the great many #FND advocates found in this online community. Together we are stronger & together we can promote change @FndPortal @TomPlender @ConnectFnd @FndRecovery @FNDAction @FndLifewith @NEAD_UK @tonesqueFND @FNDDimensions @kylakenney21 & Many Others!

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More from @PerezMGHLab

Jan 26
I think often about the TRANSLATION GAP - the ways that state-of-the-art brain science does not enter clinical discourse, practice, & education. MAJOR MISCONCEPTUALIZATIONS of Functional Neurological Disorder by PHYSICIANS point this out. #FND Brain Science: "The Basics". 1/20
Theme 1: MOTOR INHIBITION BY PREFRONTAL BRAIN AREAS - In an early study, Marshall et al. showed that attempted movements of the leg w functional weakness did not activate primary motor areas but led to anterior cingulate & orbitofrontal activity
DOI: 10.1016/s0010-0277(97)00020-6 Image
Theme 1a: Vuilleumier et al. showed that preparing to move the limb with functional weakness led to increased prefrontal activity (i.e. ventromedial prefrontal cortex), suggesting THE INSTRUSION of prefrontal areas into movement.

10.1016/j.neuroimage.2009.05.023 Image
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