Functional neurological disorder: Engaging patients in treatment
Patients with a functional neurological disorder can be difficult to engage in treatment. The reasons for this are complex and may be related to physician, patient and health care system issues. Providers contribute to difficulties in treatment engagement by giving confusing explanations for the pat...
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Elsevier
2021
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oai:doaj.org-article:0fd4e93196d94ad9b452f8d3ec4defa52021-11-28T04:37:24ZFunctional neurological disorder: Engaging patients in treatment2589-986410.1016/j.ebr.2021.100499https://doaj.org/article/0fd4e93196d94ad9b452f8d3ec4defa52021-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2589986421000733https://doaj.org/toc/2589-9864Patients with a functional neurological disorder can be difficult to engage in treatment. The reasons for this are complex and may be related to physician, patient and health care system issues. Providers contribute to difficulties in treatment engagement by giving confusing explanations for the patient symptoms, stigmatizing patients, and not allowing patients time to voice their questions and concerns. Patient factors include a lack of engagement after an explanation of the diagnosis, resistance to treatment, family/work dynamics and prior negative experiences with the health care system. The scarcity of providers skilled in the treatment of functional neurological disorder is yet another hurdle. This article will define these barriers and discuss good clinical practices to help improve outcomes by tackling those challenges and discuss why for many patients an integrated care team approach is needed.Mary A. O'NealBarbara A. DworetzkyGaston BasletElsevierarticleFunctional neurologic disorderTreatmentCommunicationNeurology. Diseases of the nervous systemRC346-429Neurophysiology and neuropsychologyQP351-495ENEpilepsy & Behavior Reports, Vol 16, Iss , Pp 100499- (2021) |
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Functional neurologic disorder Treatment Communication Neurology. Diseases of the nervous system RC346-429 Neurophysiology and neuropsychology QP351-495 |
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Functional neurologic disorder Treatment Communication Neurology. Diseases of the nervous system RC346-429 Neurophysiology and neuropsychology QP351-495 Mary A. O'Neal Barbara A. Dworetzky Gaston Baslet Functional neurological disorder: Engaging patients in treatment |
description |
Patients with a functional neurological disorder can be difficult to engage in treatment. The reasons for this are complex and may be related to physician, patient and health care system issues. Providers contribute to difficulties in treatment engagement by giving confusing explanations for the patient symptoms, stigmatizing patients, and not allowing patients time to voice their questions and concerns. Patient factors include a lack of engagement after an explanation of the diagnosis, resistance to treatment, family/work dynamics and prior negative experiences with the health care system. The scarcity of providers skilled in the treatment of functional neurological disorder is yet another hurdle. This article will define these barriers and discuss good clinical practices to help improve outcomes by tackling those challenges and discuss why for many patients an integrated care team approach is needed. |
format |
article |
author |
Mary A. O'Neal Barbara A. Dworetzky Gaston Baslet |
author_facet |
Mary A. O'Neal Barbara A. Dworetzky Gaston Baslet |
author_sort |
Mary A. O'Neal |
title |
Functional neurological disorder: Engaging patients in treatment |
title_short |
Functional neurological disorder: Engaging patients in treatment |
title_full |
Functional neurological disorder: Engaging patients in treatment |
title_fullStr |
Functional neurological disorder: Engaging patients in treatment |
title_full_unstemmed |
Functional neurological disorder: Engaging patients in treatment |
title_sort |
functional neurological disorder: engaging patients in treatment |
publisher |
Elsevier |
publishDate |
2021 |
url |
https://doaj.org/article/0fd4e93196d94ad9b452f8d3ec4defa5 |
work_keys_str_mv |
AT maryaoneal functionalneurologicaldisorderengagingpatientsintreatment AT barbaraadworetzky functionalneurologicaldisorderengagingpatientsintreatment AT gastonbaslet functionalneurologicaldisorderengagingpatientsintreatment |
_version_ |
1718408240361897984 |