Functional Neurological Symptom Disorder:

What Is It And How Do We Treat It In Youth?

Co-sponsored by the Health Psychology and Neuropsychology Divisions of CPA

Date & Time: Monday 07/10/23 at 06:00-07:00 PM

Location: Via Zoom

Presenter: Dr. Areti Vassilopoulos

Brief Abstract

Functional neurological symptom disorder (FNSD) encompasses a broad range of neurological symptoms. FNSD is common in pediatric neurological practice, and places substantial strains on children, families, and health care systems. Both physicians and patients have limited understanding of FNSD, which is often explained as a physical manifestation of psychological distress. Recently, diagnostic criteria have shifted from requiring a preceding stressor to relying on positive symptoms. Current research strongly supports a biopsychosocial approach to pediatric FND and provides a foundation for a stepped approach to treatment. This presentation will provide an overview of (1) diagnostic features, (2) etiological symptom model, and (3) evidence-based treatment for pediatric FNSD.

Learning Objectives:

1. Describe the diagnostic features of FNSD
2. Understand and apply the etiological symptom model of pediatric FNSD
3. Identify at least 2 evidence-based treatment approaches for pediatric FNSD

Citations

1. Fobian, A. D., & Elliott, L. (2019). A review of functional neurological symptom disorder etiology and the integrated etiological summary model. Journal of psychiatry & neuroscience: JPN, 44(1), 8.
2. Vassilopoulos, A., Mohammad, S., Dure, L., Kozlowska, K., & Fobian, A. D. (2022). Treatment approaches for functional neurological disorders in children. Current Treatment Options in Neurology, 24(2), 77-97.
3. Rawlings, G. H., & Reuber, M. (2018). Health care practitioners’ perceptions of psychogenic nonepileptic seizures: a systematic review of qualitative and quantitative studies. Epilepsia, 59(6), 1109-1123.