Great! Have reposted

If there’s a clear physical cause then that’s the diagnosis - if there’s a positive diagnostic sign of FND then that’s the diagnosis - if there’s no clear physical cause and no FND +ve sign, then it’s uncertain, but could be FND, depending on reasoning about the relative likelihood of the diagnoses

Yes, I would see CBT as just one imperfect tool to try and intervene in the functioning of the brain - others include physiotherapy, the techniques of occupational therapy, mindfulness training, hypnotism, pharmaceuticals, dynamic psychotherapy and so on - all with limitations and capabilities

Interesting question - I think the key point is that the brain’s ‘software’ is written in hardware - so there is no dualism here - cognition, emotion, behaviour, motor and sensory function and symptoms, including physical symptoms, are all what the hardware of the CNS does

Let’s hope. It doesn’t feel like FND Twitter has moved over to Bluesky yet - a lot of us are on here, but the action still seems to be more on the other side - I suppose it’s a transition

It’s just tweeting I think

Thanks Vidya!

👆 please let me know of people I've missed who need to be added. Thanks

@nielsdetert.bsky.social @fndportal.bsky.social @timnicholson.bsky.social @jonstoneneuro.bsky.social @fndsociety.bsky.social @tomplender.bsky.social

As a psychologist there will be complex issues related to this in rel to therapy and capacity (esp for conscientious objectors). Also no explicit protection for conscientious objection, except in narrowly defined situations (‘providing assistance’ ie drugs, and, for doctors, having the discussion)

Welcome to Bluesky!

Please retweet 😊 @jonstoneneuro.bsky.social @timnicholson.bsky.social @fndportal.bsky.social @alancarson15.bsky.social @susannahpick.bsky.social @hamiltonmorrin.bsky.social

Thanks to all the working group who produced this: Richard Brown, Sue Copstick, Tanya Edmonds, Dawn Golder, Laura Goldstein, Tara Murphy, Nigel Little, Sally Robinson, Leo Russell @leoistdp.bsky.social, Daniel Stark, Fiona Summers, Phil Yates, Najma Khan-Bourne @najneuro.bsky.social and Jason Price

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

We endorse a formulation-based MDT Matched Care model

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