<img class="aligncenter" src="https://scx1.b-cdn.net/csz/news/800a/2023/prompt-treatment-for-f.jpg"
alt="Prompt treatment for functional neurological disorder in children is highly effective"
title="Visual representation of the autonomic nervous system. The figure is a functional representation of the autonomic nervous system. The red lines depict the sympathetic component that activates the body. The blue lines depict the restorative parasympathetic component that calms the body. The purple lines depict the defensive parasympathetic component that activates defensive programs in the gut (nausea, vomiting, and diarrhea) and heart (fear-induced bradycardia and fainting). The red and purple systems activate together. The figure was used to explain to Freya and her family how autonomic system activation caused her panic attacks (red-system activation), symptoms of nausea and the vomiting sensation (purple-system activation) and her postural orthostatic tachycardia syndrome (on standing up, too much red-system activation, where to buy cheap tadagra online no prescription and too little blue-system activation). Treatment would include mind-body strategies that help switch on the blue system and that help switch off the red and purple systems. Credit: Harvard Review of Psychiatry (2023). DOI: 10.1097/HRP.0000000000000358″ width=”800″ height=”530″>
A treatment gap exists worldwide for pediatric patients with FND
A seven-component treatment program
- Pediatricians and pediatric neurologists already have the skills necessary to diagnose FND: they simply need to learn to recognize the rule-in signs for FND and to practice communicating an FND diagnosis.
- Physical therapists can shift their approach from a “musculoskeletal framework that focuses attention on the problem area” to a framework in which the patient’s attention is drawn away from the symptoms, with particular focus on building a therapeutic relationship, using play, and applying interventions in ways that address the problem indirectly.
- Mental health clinicians already know how to conduct a biopsychosocial assessment and provide individual and family interventions; they just need to understand “the somatic narrative,” the bottom-up approach to emotion regulation, and strategies for managing focus of attention.
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