Neuropsychiatric Treatment in Functional Neurological Disorder: Foundations and Future.

IF 2.2 4区 医学 Q3 CLINICAL NEUROLOGY
Seminars in Neurology Pub Date : 2026-04-01 Epub Date: 2026-01-15 DOI:10.1055/a-2786-3694
Irene Gonsalvez, Chadrick E Lane, Gaston Baslet
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引用次数: 0

Abstract

Abstract: Over the past two decades, advances in assessment, treatment, and neuroscience of functional neurological disorder (FND) have reshaped care, yet many patients still face limited access and persistent disability. This review offers a practical, evidence-informed guide to initiating multidisciplinary treatment, emphasizing clear diagnostic communication, an individualized biopsychosocial formulation, and strategies to support engagement. Psychological and rehabilitative interventions are summarized within stepped models of care. Mechanistic perspectives are considered in linking clinical interventions with plausible neurobiological processes. Additionally, we examine emerging adjunctive modalities-such as noninvasive neuromodulation and psychedelic-assisted therapies-which may hold promise as future therapeutic interventions.

功能性神经障碍的神经精神治疗:基础与未来。
在过去的二十年中,功能性神经障碍(FND)的评估、治疗和神经科学方面的进步已经重塑了护理,但许多患者仍然面临有限的机会和持续的残疾。本综述为启动多学科治疗提供了一个实用的、循证的指南,强调明确的诊断沟通、个性化的生物心理社会制定和支持参与的策略。心理和康复干预措施在护理的阶梯式模型中进行了总结。在将临床干预与似是而非的神经生物学过程联系起来时,考虑了机制的观点。此外,我们还研究了新兴的辅助疗法,如无创神经调节和迷幻辅助疗法,这些疗法有望成为未来的治疗干预手段。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Seminars in Neurology
Seminars in Neurology 医学-临床神经学
CiteScore
4.60
自引率
3.70%
发文量
65
审稿时长
6-12 weeks
期刊介绍: Seminars in Neurology is a review journal on current trends in the evaluation, diagnosis, and treatment of neurological diseases. Areas of coverage include multiple sclerosis, central nervous system infections, muscular dystrophy, neuro-immunology, spinal disorders, strokes, epilepsy, motor neuron diseases, movement disorders, higher cortical function, neuro-genetics and neuro-ophthamology. Each issue is presented under the direction of an expert guest editor, and invited contributors focus on a single, high-interest clinical topic. Up-to-the-minute coverage of the latest information in the field makes this journal an invaluable resource for neurologists and residents.
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