Neuromodulation Using Computer-Altered Music to Treat a Ten-Year-Old Child Unresponsive to Standard Interventions for Functional Neurological Disorder

Rajabalee, Nadia; Kozlowska, Kasia; Lee, Seung Yeon; Savage, Blanche; Hawkes, Clare; Siciliano, Daniella; Porges, Stephen W.; Pick, Susannah; Torbey, Souraya

doi:10.1097/hrp.0000000000000341

Cited by 3 publications

(2 citation statements)

References 91 publications

(224 reference statements)

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“…This study illustrates that there are other pathways of neuromodulation that may involve sensory stimuli that are not solely traveling through afferent pathways that directly influence the vagus that have frequently defined the domain of VNS. Their study has conceptual features similar to earlier studies applying other sensory stimuli such as music that has been interpreted as an "acoustic" vagal nerve stimulation (Porges et al, 2014;Rajabalee et al, 2022). Interestingly, this olfactive neuromodulation happens to impact specifically the vagal component of the ANS (but not the sympathetic one), suggesting that the vagal response profiles may be more modifiable and thus more sensitive to epigenetic factors than the sympathetic branch of the ANS, which may be linked to foundational survival circuits and less malleable.…”

Section: Introductionsupporting

confidence: 65%

Editorial: Vagus nerve-mediated drive in supporting homeostasis: optimizing global health through monitoring and stimulating vagal function

Rangon,

Niezgoda,

Moyse

et al. 2023

Front. Physiol.

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Section: Introductionsupporting

confidence: 65%

Editorial: Vagus nerve-mediated drive in supporting homeostasis: optimizing global health through monitoring and stimulating vagal function

Rangon,

Niezgoda,

Moyse

et al. 2023

Front. Physiol.

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“…Because clinical examples of the biopsychosocial assessment are available in case studies published by our team [60][61][62][63][64] and have been described in detail elsewhere, 39,40,58,59,65 here we summarize the key pieces of information to be generated by the initial assessment:…”

Section: Step 3: Clinical (Biopsychosocial) Assessment With the Child...mentioning

confidence: 99%

Evidence-Based Mind-Body Interventions for Children and Adolescents with Functional Neurological Disorder

Kozlowska

Chudleigh

Savage

et al. 2023

Harv Rev Psychiatry

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Learning objectives:• Develop and implement treatment plans for children and adolescents with functional neurological disorder (FND) • Outline a plan to increase awareness and standardize the care for patients with FND using evidence-based interventions Abstract: Functional neurological disorder (FND) in children and adolescents involves the biological embedding of lived experience in the body and brain. This embedding culminates in stress-system activation or dysregulation and in aberrant changes in neural network function. In pediatric neurology clinics, FND represents up to one-fifth of patients. Current research shows good outcomes with prompt diagnosis and treatment using a biopsychosocial, stepped-care approach. At present, however-and worldwide-FND services are scarce, the result of long-standing stigma and ingrained belief that patients with FND do not suffer from a real ("organic") disorder and that they therefore do not require, or even deserve, treatment. Since 1994, the Mind-Body Program for children and adolescents with FND at The Children's Hospital at Westmead in Sydney, Australia-run by a consultation-liaison team-has delivered inpatient care to hundreds of patients with FND and outpatient care to hundreds of others. For less-disabled patients, the program enables community-based clinicians to implement biopsychosocial interventions locally by providing a positive diagnosis (by a neurologist or pediatrician), a biopsychosocial assessment and formulation (by clinicians from the consultation-liaison team), a physical therapy assessment, and clinical support (from the consultation-liaison team and the physiotherapist). In this Perspective we describe the elements of a biopsychosocial mind-body program intervention capable of providing, as needed, effective treatment to children and adolescents with FND. Our aim is to communicate to clinicians and institutions around the world what is needed to establish effective community treatment programs, as well as hospital inpatient and outpatient interventions, in their own health care settings.

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The vagal paradox: A polyvagal solution

Porges

2023

Comprehensive Psychoneuroendocrinology

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Neuromodulation Using Computer-Altered Music to Treat a Ten-Year-Old Child Unresponsive to Standard Interventions for Functional Neurological Disorder

Cited by 3 publications

References 91 publications

Editorial: Vagus nerve-mediated drive in supporting homeostasis: optimizing global health through monitoring and stimulating vagal function

Editorial: Vagus nerve-mediated drive in supporting homeostasis: optimizing global health through monitoring and stimulating vagal function

Evidence-Based Mind-Body Interventions for Children and Adolescents with Functional Neurological Disorder

The vagal paradox: A polyvagal solution

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