Functional Neurological Disorder: Trauma, Emotional Dysregulation, and Treatment with Emotion-Focused Psychotherapies

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Issue Date
2024-08
Authors
Ison, Hilary
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Abstract
Functional neurological disorder (FND) is a complex, stigmatized, and often disabling condition that is presently under-researched compared to other neurological disorders. It is the product of biological, psychological, and social factors, and reflects the interrelated quality of the mind and body. Previously characterized as "psychogenic", in recent decades this view has been challenged by more biological explanations and a strong focus on neuroimaging. However, evidence remains substantial for the relevance of social and psychological factors, particularly trauma and its resulting emotional dysregulation, as well as the personality trait of neuroticism/negative affect. While the most-researched treatment for FND is CBT, its effects are generally small. Given the relevance of emotional factors in FND, emotion-focused treatments should be explored, and there is promising initial evidence supporting their use.
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Keywords
functional neurological disorder , emotional dysregulation , trauma , short-term psychodynamic psychotherapies , emotional awareness and expression therapy
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Attribution-NonCommercial-NoDerivs 3.0 United States , openAccess
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