Functional neurological disorders: The neurological assessment as treatment

Stone, Jon

doi:10.1016/j.neucli.2014.01.002

Cited by 50 publications

(31 citation statements)

References 42 publications

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“…The consensus document highlights a need for "doctors" to play a role in "treatment maintenance" in a proportion of patients but does not specify the nature of these doctors. 35,36 From a practical standpoint, neurology services, although limited, are more readily available than neuropsychiatric and psychotherapeutic services, 19 whereas general psychiatrists have little interest or expertise in the management of these patients, 37,38 and access to appropriate psychological treatments can be limited. This is in keeping with other studies where GPs report confidence levels of 4/10 to 5/10 in managing patients with functional seizures, 12,13 and are much less confident, compared to neurologists and nurses.…”

Section: Discussionmentioning

confidence: 99%

Functional seizures: An evaluation of the attitudes of general practitioners local to a tertiary neuroscience service in London

et al. 2018

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Summary Objective Functional seizures are a common functional neurologic disorder. Given their chronic nature, and the biopsychosocial factors involved in their etiology, general practitioners (GPs) play a crucial role in the care of these patients. However, little is known about the attitudes of GPs toward, and knowledge of, functional seizures. Methods The Atkinson Morley Regional Neuroscience Centre in London provides a comprehensive service to patients with functional seizures. As part of a service evaluation we conducted an online survey among local GPs over a 1‐month period assessing their attitudes toward, and knowledge of, functional seizures. Results One hundred twenty of 974 surveyed GPs replied to the survey (12.3%). Approximately 75% of GPs readily use the term “pseudoseizures,” and over 50% were not sure or did not think that functional seizures were involuntary. Nearly 30% believed, or were unsure as to whether, functional seizures occur only when patients are stressed. Despite approximately 50% of GPs expressing interest in getting involved in the management of these patients, a similar proportion do not feel confident in dealing with queries from patients with functional seizures. Although most GPs felt that neurology and psychiatry should be the primary caregivers in the diagnosis and management, respectively, of functional seizures, 50% were also of the opinion that neurology should be involved in the management of these patients. Significance This survey highlights the attitudes of, and descriptive terms used by, GPs toward patients with functional seizures. Our findings suggest a need for better and clearer provision of information to GPs about this condition.

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Section: Discussionmentioning

confidence: 99%

Functional seizures: An evaluation of the attitudes of general practitioners local to a tertiary neuroscience service in London

et al. 2018

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“…Effective communication skills are inherent in nursing care and nurses could very easily adopt the strategies advocated by Stone (2005Stone ( , 2014 and Nielsen et al (2015) when caring for patients diagnosed with FNSD. Nurses are seen as trustworthy, an essential attribute in caring for patients who distrust others and suffer with the symptoms associated with abuse or trauma.…”

Section: Management Of Fnsdmentioning

confidence: 99%

Clinical briefing: functional neurological symptom disorder

Ratcliffe

2017

British Journal of Neuroscience Nursing

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“…Ipsilateral jaw and tongue deviation is common. (Reproduced with permission from Stone [87].) evidence to use to distinguish between NES and ES [35].…”

Section: Dissociative (Non-epileptic) Seizuresmentioning

confidence: 99%

Functional neurological disorders: mechanisms and treatment

et al. 2015

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Functional neurological disorders are common problems in neurologic practice. In the past decade there has been an increasing interest in this group of disorders both from a clinical as well as research point of view. In this review, we highlight some of the most salient and exciting publications from recent years focusing especially on new findings illuminating mechanism and studies examining treatment.

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Functional neurological disorders: The neurological assessment as treatment

Cited by 50 publications

References 42 publications

Functional seizures: An evaluation of the attitudes of general practitioners local to a tertiary neuroscience service in London

Functional seizures: An evaluation of the attitudes of general practitioners local to a tertiary neuroscience service in London

Clinical briefing: functional neurological symptom disorder

Functional neurological disorders: mechanisms and treatment

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