Functional neurological disorder: Engaging patients in treatment.

Communication Functional neurologic disorder Treatment

Journal

Epilepsy & behavior reports
ISSN: 2589-9864
Titre abrégé: Epilepsy Behav Rep
Pays: United States
ID NLM: 101750909

Informations de publication

Date de publication:
2021
Historique:
received: 18 10 2021
revised: 29 10 2021
accepted: 03 11 2021
entrez: 8 12 2021
pubmed: 9 12 2021
medline: 9 12 2021
Statut: epublish

Résumé

Patients with a functional neurological disorder can be difficult to engage in treatment. The reasons for this are complex and may be related to physician, patient and health care system issues. Providers contribute to difficulties in treatment engagement by giving confusing explanations for the patient symptoms, stigmatizing patients, and not allowing patients time to voice their questions and concerns. Patient factors include a lack of engagement after an explanation of the diagnosis, resistance to treatment, family/work dynamics and prior negative experiences with the health care system. The scarcity of providers skilled in the treatment of functional neurological disorder is yet another hurdle. This article will define these barriers and discuss good clinical practices to help improve outcomes by tackling those challenges and discuss why for many patients an integrated care team approach is needed.

Identifiants

pubmed: 34877516
doi: 10.1016/j.ebr.2021.100499
pii: S2589-9864(21)00073-3
pmc: PMC8633865
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100499

Informations de copyright

© 2021 The Author(s).

Déclaration de conflit d'intérêts

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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Auteurs

Mary A O'Neal (MA)

Department of Neurology, Brigham and Women's Hospital, United States.

Barbara A Dworetzky (BA)

Department of Neurology, Brigham and Women's Hospital, United States.

Gaston Baslet (G)

Department of Psychiatry, Brigham and Women's Hospital, United States.

Classifications MeSH