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Using evidence-based psychotherapy to tailor treatment for patients with functional neurological disorders, 2021, Myers et al

Discussion in 'Other psychosomatic news and research' started by Andy, Oct 26, 2021.

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  1. Andy

    Andy Committee Member

    Messages:
    21,810
    Location:
    Hampshire, UK
    Highlights

    • Existing evidence-based psychotherapeutic modalities for FNDs are based on different theoretical foundations.
    • However, there is considerable overlap between modalities regarding tools and targets.
    • Congruence between treatment rationale and patient characteristics may guide choice of psychotherapeutic modality.
    • Available treatment modailities may be most useful if applied at different timepoints in the patient’s course of recovery.

    Abstract

    Functional neurological disorder (FND) frequently presents with comorbid psychopathology (e.g., anxiety, depressive, post-traumatic stress disorders (PTSD), somatic symptom and pain syndromes, and dissociative and personality disorders). It can become chronic and lead to unemployment and disability for many patients. Psychosocial factors play an important role in the onset and perpetuation of symptoms. Consequently, psychotherapy is recommended for the treatment of FND in general, and especially for the single symptom-based subtype of functional seizures (FS). Some of the psychotherapy approaches that have been utilized for FND include cognitive-behavioral therapy (CBT), third wave approaches, and psychodynamic psychotherapies as well as group therapeutic and psychoeducational interventions. For patients with FS and PTSD, prolonged exposure therapy, a CBT-based treatment has been implemented. The purpose of this manuscript is to describe and analyze specific elements (e.g., theoretical foundations, tools, targets, definitions of success) of the main psychotherapeutic approaches used in patients with FND. Our premise is that these modalities will overlap considerably in some respects. We will conclude by discussing how discrete differences may render them more suitable for subgroups of patients with FND or for patients at different timepoints of their recovery process.

    Open access, https://www.sciencedirect.com/science/article/pii/S2589986421000526
     
    Solstice and Peter Trewhitt like this.
  2. Mithriel

    Mithriel Senior Member (Voting Rights)

    Messages:
    2,815
    Translated, why should all the money go to CBT therapists?
     

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