Paediatric Functional Neurological Disorder: Supporting Identity Development During Recovery
Paediatric Functional Neurological Disorder: Supporting Identity Development During Recovery
Functional Neurological Disorder (FND) in children and adolescents presents a unique set of challenges. Often marked by symptoms such as various cognitive difficulties, non-epileptic seizures, limb weakness, sensory disturbances, or gait changes, FND is not caused by structural damage to the brain but by a disruption in how the nervous system functions. Though these symptoms are very real and distressing, they can be misunderstood or stigmatised, particularly in paediatric cases.
Understanding FND in the Paediatric Context
FND in young people often emerges in the context of stress, trauma, or rapid developmental change. However, it is not a condition that exists “in the mind”, rather, it reflects a complex interplay between brain function, psychological factors, and physical symptoms. Children with FND may struggle to articulate what they are feeling or experiencing, and their symptoms can be misinterpreted as attention-seeking or behavioural.
This misunderstanding can erode confidence and increase distress. That’s why a developmentally sensitive and validating approach is essential. Children need to feel believed and supported, not questioned or doubted.
The Role of Neuropsychology in Supporting Identity
Neuropsychologists are uniquely positioned to support recovery from paediatric FND. Using tailored assessments and therapeutic interventions, they help children understand the nature of their difficulties in a way that is age-appropriate and empowering.
Part of this work involves supporting the development of a healthy and resilient sense of identity. FND can disrupt a child’s narrative of who they are, especially if they miss school, withdraw from friendships, or feel “different”. Through psychoeducation, therapeutic dialogue, and emotional support, neuropsychologists help children and families reframe the experience of illness without allowing it to define the child entirely.
This is about more than just symptom reduction; it’s about helping young people build self-worth, agency, and a coherent sense of self in the face of adversity.
Family Involvement and Multidisciplinary Care
Parents and carers play a vital role in recovery. They often feel confused or overwhelmed by the sudden appearance of symptoms. Neuropsychological support involves helping families understand FND and equipping them with strategies to respond calmly, consistently, and supportively.
Collaboration across disciplines including physiotherapy, occupational therapy, and child mental health services further enhances recovery. When professionals work together, the focus shifts from “fixing symptoms” to helping the young person function meaningfully in everyday life.
At The London Neurocognitive Clinic, we offer specialist neuropsychological care for children and adolescents with Functional Neurological Disorder. Our team is experienced in both assessment and therapeutic intervention, supporting not only symptom management but also the emotional and developmental needs of young people. By integrating family support and identity-focused therapy into our care plans, we aim to help each child rebuild confidence, reconnect with their strengths, and move forward with a strong sense of self.
