Niels Detert
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nielsdetert.bsky.social
Niels Detert
@nielsdetert.bsky.social
Neuropsychologist, John Radcliffe Hospital Oxford, FND, Mindfulness, Nature of mind, ISTDP, Chair UK FND Network www.ukfndnetwork.org
Shakespeare understood the predictive mind model, that the mind creates experience, before it was cool. He understood that the nature of mind is both vivid and empty like an eastern yogi - where did he learn this? Not from someone else
March 11, 2025 at 10:26 PM
And propose a range of recommendations - including for specialist MDT-based services located in physical health organisations in the context of whole system care pathways with new posts and funding and making training in FND a core component of Clinical Psychology training
November 27, 2024 at 3:33 PM
We endorse a formulation-based MDT Matched Care model
November 27, 2024 at 3:33 PM
We address issues in Functional Cognitive Disorder - esp use of Performance Validity Tests - not diagnostic, nor ruling out, but can be one example in Dx pattern of inconsistency - also issues of interpretation of PVTs - highly context dependent, and concept of 'effort' unhelpful
November 27, 2024 at 3:33 PM
Evidence supports diverse psychological therapies, including CBT, Psychodynamic, and a broad range of techniques including mindfulness-based approaches and there is promise in innovative techniques - my own feeling is there is further potential to develop FND-specific therapies
November 27, 2024 at 3:33 PM
We recognise that FND is a disorder of Brain Processing, with biopsychosocial components - treatable by various tools including psychological, physio, OT, SLT, and medical - we summarise theoretical models of psychological processes to target with psychological therapy tools
November 27, 2024 at 3:33 PM
We mean this to be a resource for clinicians in the field, for managers building services, for dialogue with service commissioners and to inform national policy
November 27, 2024 at 3:33 PM
The context is the problem of inadequate services for people with FND in the NHS, and globally - which is a key part of an historical iatrogenic cycle of lack of care and harm, despite this being the second commonest reason to see a neurologist
November 27, 2024 at 3:33 PM
We aim to provide a one stop shop for neuropsychological and psychological scientific, clinical, and policy references in FND, with a focus on the UK but with global relevance
November 27, 2024 at 3:33 PM