Exclusive Service
Speech Therapy for Functional Neurological Disorder
Our Approach
At The London Neurocognitive Clinic, our Speech Therapy for Functional Neurological Disorder (FND) is delivered by Speech and Language Therapists with experience in neurological communication difficulties and rehabilitation. The process begins with a detailed assessment of the individual’s symptoms, medical history, communication needs and the situations in which speech, voice or swallowing difficulties become better, worse or more variable. Where appropriate, the Speech and Language Therapist may also work alongside Neuropsychology, Physiotherapy, Occupational Therapy, or other professionals involved in the person’s care. This helps ensure that speech and communication goals are considered as part of the wider rehabilitation plan
Why can functional speech symptoms change so much from one situation to another?
Functional speech symptoms can fluctuate considerably. A person may speak more easily when distracted, relaxed or communicating spontaneously, but experience greater difficulty when closely monitoring their speech, feeling under pressure or attempting to control each element of speaking.
The Speech and Language Therapist may explore these changes during assessment and treatment, identifying situations in which speech becomes easier and using them as a starting point for rehabilitation. The goal is to help the individual access more automatic patterns of communication with less effort and self-monitoring.
What might Speech Therapy for FND involve?
Therapy depends on the person’s symptoms and goals.The aim is not simply to perform well during therapy. Treatment focuses on helping the individual use strategies confidently in everyday life and reduce avoidance of situations where communication has become difficult.
How can I rebuild confidence in speaking again?
Functional communication symptoms can affect much more than speech itself. Therapy may therefore include gradual reintroduction to situations that have become difficult.The therapist will work collaboratively with the individual to identify meaningful communication goals and develop strategies for responding when symptoms fluctuate. Progress may involve not only changes in speech quality but also reduced fear, greater participation and increased confidence in managing symptoms when they occur.
Questions our clients ask
Frequently asked questions
You may have lots of questions and that’s understandable. We have provided some answers below to frequently asked questions but if you’re still unsure about something do get in contact with us.
Can Speech Therapy help if my symptoms have been present for a long time?
Yes, although the response to treatment varies from person to person.The therapist will assess the pattern of symptoms, discuss realistic goals and review progress over time. Improvement may involve reduced effort, fewer fluctuations, greater confidence or better participation even if symptoms do not disappear completely.
Can speech therapy also help if I have swallowing symptoms?
Yes, if swallowing difficulties are thought to have a functional component, a Speech and Language Therapist can assess them and recommend appropriate management. Any swallowing treatment will be tailored to the individual and may focus on reducing unnecessary tension or effort, increasing confidence and restoring more natural swallowing patterns where appropriate.
Will I need psychological therapy as well?
Not everyone with FND requires the same combination of treatments. Some people may benefit primarily from Speech and Language Therapy, while others may benefit from additional Neuropsychology or psychological support, particularly if symptoms are associated with distress, fear, avoidance or adjustment difficulties.
Where multidisciplinary input is appropriate, the team can coordinate treatment so that different clinicians work towards consistent goals rather than addressing symptoms separately.
Have Questions?
If you have any questions about Eye Movement Desensitisation and Reprocessing (EMDR) or would like to find out whether it could benefit you or someone you care for, please don’t hesitate to get in touch. We’re here to help.