Masha Y Ivanova, Allison Hall, Stanley Weinberger, Sara L Buckingham, William E Copeland, Phoenix Crockett, Justin Dainer-Best, Casey D'Alberto, Lauren Dewey, DeShan Foret, Maria Galano, Lisa Goodrich, Lindsay Holly, Nalini Emily Lane, Maureen Leahy, Mathew Lerner, Jasmine Marsh, Ellen W McGinnis, Melissa Paiva-Salisbury, Judith S Shaw, Pamela Swift, Rebekah Tinker, James J Hudziak
A Pilot Randomized Controlled Trial of the Family Assessment and Feedback Intervention (FAFI): Effects on Mental Health Literacy and Attitudinal Engagement with Health Supports and Services
Child psychiatry and human development
h3importanceh3 functional neurological disorders fnd common sources disability medicine patients often misdiagnosed correctly diagnosed lengthy delays andor subjected poorly delivered diagnoses prevent diagnostic understanding lead inappropriate treatments iatrogenic harm unnecessary costly evaluations poor outcomes h3observationsh3 functional neurological symptom disorderconversion disorder adopted byithe diagnostic statistical manual mental disorders fifth editioni replacing termipsychogeniciwithifunctionaliand removing criterion psychological stress prerequisite fnd diagnosis made inclusionary manner identifying neurological signs specific fnds without reliance presence absence psychological stressors suggestive historical clues new model highlights wider range past sensitizing events physical trauma medical illness physiologicalpsychophysiological events model strong ideas expectations events correlate abnormal predictions sensory data bodyfocused attention neurobiological abnormalities include hypoactivation supplementary motor area relative disconnection areas select inhibit movements associated sense agency promising evidence accumulated benefit specific physical rehabilitation psychological interventions alone combination clinical trial evidence remains limited h3conclusions relevanceh3 functional neurological disorders neglected potentially reversible source disability research needed determine dose duration various interventions value combination treatments multidisciplinary therapy therapeutic modality best suited patient