Holistic Care in Functional Neurological Disorder: A Neurocognitive Perspective
Holistic Care in Functional Neurological Disorder: A Neurocognitive Perspective
Functional Neurological Disorder (FND) is one of the most challenging conditions seen in neurorehabilitation. Unlike structural neurological illnesses, FND presents with symptoms, such as cognitive difficulties, seizures, paralysis, or sensory loss, that cannot be explained by traditional brain imaging. For individuals living with FND, the impact can be just as disabling as other neurological disorders, often leading to significant disruption in work, relationships, and daily life. Managing this condition requires not only clinical skill but a holistic, person-centred approach that addresses the complex interplay between mind, brain, and environment.
Understanding Functional Neurological Disorder
A neurocognitive perspective reframes FND, recognising that symptoms reflect altered functioning in brain circuits responsible for movement, sensation, and cognition. This understanding allows clinicians to validate the patient’s experience while designing interventions that target both psychological and neurological dimensions.
The Role of Neuropsychological Assessment
Neuropsychological assessment plays a vital role in supporting people with FND. By examining cognitive domains such as attention, memory, and executive functioning, these assessments help to clarify how symptoms affect day-to-day functioning. They also uncover co-occurring conditions such as anxiety, depression, ADHD, or autism, which may exacerbate symptoms or complicate recovery.
A Holistic and Multidisciplinary Approach
The assessment is not limited to testing. It provides a framework for helping clients, families, and healthcare teams to understand the nature of FND and the barriers to recovery. This insight guides treatment planning and ensures support is tailored to each individual’s profile.
Effective treatment for FND requires collaboration across disciplines. Neuropsychologists, neurologists, occupational therapists, physiotherapists, and speech and language therapists all play complementary roles in helping patients regain independence. By integrating medical, psychological, and social care, this approach addresses the whole person, not just the disorder.
Beyond Symptom Management
Recovery from FND is not simply about eliminating symptoms. For many individuals, progress involves learning to live meaningfully alongside ongoing challenges. This may include adapting daily routines, developing coping strategies, and building resilience through social and vocational support. Recognising the lived experience of FND ensures that treatment empowers individuals rather than pathologises them.
At The London Neurocognitive Clinic, we recognise that Functional Neurological Disorder requires more than symptom management. By combining neuropsychological assessment with a holistic, multidisciplinary approach, we help individuals reclaim independence and identity. Our focus is not just on reducing symptoms, but on enhancing wellbeing, validating lived experiences, and supporting recovery in its fullest sense.
