What is Functional Neurological Disorder (FND)?
Functional Neurological Disorder (FND), formerly known as conversion disorder, is a common condition characterized by neurological symptoms that are not caused by an underlying neurological injury or medical condition but by dysfunctions in the normal functioning of the body.
In FND, the brain "misfires" and sends incorrect signals to the body. The exact cause of FND is not fully understood, although research indicates that it involves brain areas that respond to threats and emergencies. Symptoms of FND may appear suddenly, without an obvious trigger, or following a stressful event or emotional or physical trauma.
Individuals with this disorder experience physical and sensory issues such as paralysis, numbness, or seizures. It is important to note that children with FND are not faking their symptoms; rather, the symptoms are a reflex response that can be alleviated with appropriate treatment. The problems are not caused by underlying medical conditions but by issues in the normal functioning of the body. These symptoms can significantly impact important aspects of a child's life, such as school performance and family life.
Who We Are
The Kennedy Krieger Functional Neurological Disorder (FND) Clinic is an outpatient, interdisciplinary treatment program for children ages 5-25. Our clinic specializes in diagnosing and treating individuals with a wide range of functional neurological symptoms. We have a skilled team of child and adolescent mental health providers who collaborate with medical specialists to accurately diagnose and treat this complex disorder.
Symptoms We Treat Include:
- Limb weakness or paralysis
- Movement disorders such as gait disorders, tremors, or dystonia
- Functional motor and vocal tic-like phenomena
- Functional non-epileptic seizures/attacks
- Vision and hearing problems
- Difficulty speaking or swallowing
- Brain fog, memory problems, and other unexplained cognitive symptoms
Treatment Options Include:
- Physical therapy
- Occupational therapy
- Psychological interventions, including individual and group therapy
- Medication
Your child will be evaluated by a multidisciplinary team based on their symptoms and individual needs. Our team will make recommendations tailored to your child’s symptoms and their severity. Behavioral therapy is typically involved, and many children also benefit from physical and occupational therapy. Treatment options range from outpatient recommendations to more intensive services, such as inpatient and partial rehabilitation programs. We also coordinate with schools to ensure they respond to symptoms appropriately.