This book is a practical manual for clinical practitioners seeking to take an interdisciplinary and multidisciplinary approach to the diagnosis and management of functional movement disorder (FMD). It discusses case vignettes, reviews the diagnostic approach, provides an update on available treatments, highlights clinical pearls and details references for further reading.

Organized into three parts, the book begins with a framework for conceptualizing FMD - including its historical context, the biopsychosocial model and an integrated neurologic-psychiatric perspective towards overcoming mind-body dualism. Part II then provides a comprehensive overview of different FMD presentations including tremor, dystonia, gait disorders, and limb weakness, as well as common non-motor issues such as pain and cognitive symptoms. The book concludes with chapters on updated practices in delivering the diagnosis, working with patients and care partners to achieve shared understanding of a complex condition, as well as an overview of evidence-based and evolving treatments.

Supplemented with high-quality patient videos, Functional Movement Disorder is written for practicing neurologists, psychiatrists, psychologists, allied mental health professionals, and rehabilitation experts with an interest in learning more about diagnosis and management of FMD.

Autorentext

Kathrin LaFaver, MD

Northwestern University Feinberg School of Medicine

Associate Professor of Neurology

259 E Erie Street, Chicago, IL, USA

(As of August 1, 2021: Saratoga Hospital Medical Group, Saratoga Springs, NY, USA)

Carine W. Maurer, MD, PhD

Renaissance School of Medicine at Stony Brook University

Assistant Professor, Department of Neurology

HSC T12-020

Stony Brook, NY, USA

Timothy Nicholson, MBBS, BSc, MSc, PhD, MRCP, MRCPsych,

Maudsley & King's College Hospitals

Clinical Lecturer at the Institute of Psychiatry Psychology & Neuroscience

London, UK

David L. Perez, MD, MMSc Massachusetts General Hospital

Departments of Neurology and Psychiatry

Associate Professor of Neurology, Harvard Medical School

55 Fruit St.

Boston, MA, USA

Inhalt

Part I: Framework

The Case of Anna O and other early historical perspectives [chapter on history]

Free will, emotions and agency [chapter on neurobiology/pathophysiology]

The biopsychosocial formulation [chapter on predisposing vulnerabilities, acute precipitants and perpetuating factors in FMD]

Integrating Neurologic and Psychiatric Perspectives: Bridging the Divide [chapter on brain body dualism, stigma and the utility of an integrated neurologic-psychiatric approach]

Part II: Presentations

Functional limb weakness and paralysis Functional tremor

Functional dystonia

Functional parkinsonism

Functional jerking movements

Functional facial disorders

Functional gait disorders

Functional tics

Functional speech and voice disorders

Functional Cognitive Symptoms

Pain, fatigue and other somatic symptoms in FMD

Pediatric Functional Movement Disorders

Part III: Communication

Breaking the news [chapter on delivering the diagnosis] Motivational Interviewing

Communication Challenges [chapter on special considerations in communication with patients, families and other healthcare providers]

Part IV: Management

Developing a treatment plan [overview of treatment modalities, settings including outpatient clinic, acute hospital setting and inpatient rehab, and stepped care model approach]

Psychological treatments

Chapter on role of psychiatrist and other mental health providers of psychiatric co-morbidities

Physical Therapy: Retraining the motor system

Occupational Therapy: Focus on Function Speech Therapy: Being understood clearly

Multidisciplinary Rehabilitation Approaches

The Role of Placebo Treatment

Emerging Treatment Modalities for FMD: Transmagnetic Stimulation

Measuring Symptoms and Monitoring Progress

Overcoming Treatment Obstacles

Management Considerations for Pediatric FMD

Appendix

Deciding on a career in FMD: Opportunities and Challenges

Patient Education Resources