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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Autores principales: Mary A. O'Neal, Barbara A. Dworetzky, Gaston Baslet
Formato: article
Lenguaje:EN
Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/0fd4e93196d94ad9b452f8d3ec4defa5
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Functional neurologic disorder
Treatment
Communication
Neurology. Diseases of the nervous system
RC346-429
Neurophysiology and neuropsychology
QP351-495
spellingShingle 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
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