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David L Perez MD, MMSc @davidlewisperez.bsky.social · 4d

Sharing new #JNCN paper led by #CristinaBleier, #EllenGodena, #DanMillstein detailing retrospective skills-based psychotherapy outcomes in functional neurological disorder. We also studied predictors of response to extended treatment. @apapsychiatric.bsky.social
psychiatryonline.org/doi/10.1176/...

Predictors of Skills-Based Psychotherapy Outcomes for Functional Neurological Disorder: A Retrospective Cohort Study | The Journal of Neuropsychiatry and Clinical Neurosciences

Objective: Skills-based psychotherapy is an evidence-based treatment for functional neurological disorder (FND). However, evidence supporting its real-world efficacy is limited, and no consensus exist...

psychiatryonline.org

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Reposted by David L Perez MD, MMSc

Kevin J. Black @kjbinstl.bsky.social · 5d

Two papers on treatment of functional neurological symptom disorder / #FND in the #JNCN.

1)
Predictors of Skills-Based Psychotherapy Outcomes for Functional Neurological Disorder: A Retrospective Cohort Study
Cristina Bleier, M.D., et al.

psychiatryonline.org/doi/10.1176/...

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Reposted by David L Perez MD, MMSc

Jon Stone @jonstoneneuro.bsky.social · 17d

New NHS England Neurology Service specification.

✅FND is one of seven core subspecialties
✅FND services MUST be provided in each specialised neurology centre.

This is huge recognition of how common FND is in neurology - and unthinkable 20 yrs ago. 1/
t.co/XvGo0NIryA

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Reposted by David L Perez MD, MMSc

Alan Carson @alancarson15.bsky.social · 18d

onlinelibrary.wiley.com/doi/10.1111/...

Functional/dissociative seizures: Proposal for a new diagnostic label and definition by the ILAE task force

The acceptability and validity of the term

onlinelibrary.wiley.com

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Reposted by David L Perez MD, MMSc

David L Perez MD, MMSc @davidlewisperez.bsky.social · 22d

Registration open for Harvard Medical School course Brain Medicine: Integrating the Clinical Neurosciences. Social networks, digital phenotyping, neuropsychology advances, psychopharm, personalizing neuromodulation, primary & secondary psychosis & other topics.
learn.hms.harvard.edu/programs/bra...

Brain Medicine: Integrating the Clinical Neurosciences | Harvard Medical School Professional, Corporate, and Continuing Education

Explore cutting-edge advances in brain medicine with this interdisciplinary course designed to equip clinicians with integrated tools for assessing and managing complex brain disorders, featuring expe...

learn.hms.harvard.edu

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Reposted by David L Perez MD, MMSc

Sahib Khalsa @skhalsa.bsky.social · 22d

Finally, Jungilligens and Perez show how functional neurological disorder may stem from erroneous brain-body integration, highlighting predictive processing as a framework for understanding motor and sensory symptoms, expectation, self-agency, & illness beliefs. pubmed.ncbi.nlm.nih.gov/38755514/

Predictive Processing and the Pathophysiology of Functional Neurological Disorder - PubMed

The contemporary neuroscience understanding of the brain as an active inference organ supports that our conscious experiences, including sensorimotor perceptions, depend on the integration of probabil...

pubmed.ncbi.nlm.nih.gov

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Reposted by David L Perez MD, MMSc

Sahib Khalsa @skhalsa.bsky.social · 22d

What if many psychiatric disorders share the same hidden glitch in how the brain infers reality? In a new volume, Al Powers and I gather experts to examine how disrupted sensory inference across #vision, #touch, #proprioception and #interoception might unify our understanding.

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David L Perez MD, MMSc @davidlewisperez.bsky.social · 22d

Registration open for Harvard Medical School course Brain Medicine: Integrating the Clinical Neurosciences. Social networks, digital phenotyping, neuropsychology advances, psychopharm, personalizing neuromodulation, primary & secondary psychosis & other topics.
learn.hms.harvard.edu/programs/bra...

Brain Medicine: Integrating the Clinical Neurosciences | Harvard Medical School Professional, Corporate, and Continuing Education

Explore cutting-edge advances in brain medicine with this interdisciplinary course designed to equip clinicians with integrated tools for assessing and managing complex brain disorders, featuring expe...

learn.hms.harvard.edu

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David L Perez MD, MMSc @davidlewisperez.bsky.social · 24d

Adverse Childhood Experiences, Neurocognitive Functions, and Long-Term Mortality Risk. jamanetwork.com/journals/jam...

Adverse Childhood Experiences, Neurocognitive Functions, and Long-Term Mortality Risk

This cohort study evaluates the associations of child neurocognition and adverse childhood experiences with mortality into middle adulthood.

jamanetwork.com

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Reposted by David L Perez MD, MMSc

American Psychiatric Association @apapsychiatric.bsky.social · Jul 9

Findings from multimodal clinical assessments of persons who had a traumatic brain injury (TBI) about 5 months prior suggest that post-TBI depression may not be a unitary construct but rather a condition encompassing clusters of symptoms. bit.ly/4nn6gAJ

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Reposted by David L Perez MD, MMSc

American Psychiatric Association @apapsychiatric.bsky.social · Jul 16

Longitudinal examination of neuropsychiatric symptoms (NPS) and functional decline in Alzheimer’s disease (AD) suggests that monitoring individual NPS, particularly apathy, may identify a target for AD treatment in clinical trials. bit.ly/3GnCV8I

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Reposted by David L Perez MD, MMSc

American Psychiatric Association @apapsychiatric.bsky.social · Jul 23

The presence of positive signs of functional neurological disorder (FND) among individuals with headache should prompt a detailed assessment for a possible comorbid FND and may indicate the need for more intensive therapy. bit.ly/3TiIicc

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Reposted by David L Perez MD, MMSc

American Psychiatric Association @apapsychiatric.bsky.social · Jul 30

Providers managing Alzheimer’s disease and the health care systems in which they work are shifting the emphasis of care from support to disease modification. Pt 2 of this series discusses care coordination challenges to safe and equitable delivery of antiamyloid monoclonal antibodies. bit.ly/3U0BUGQ

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Reposted by David L Perez MD, MMSc

American Psychiatric Association @apapsychiatric.bsky.social · Aug 6

Our latest issue features the neural circuits of habits; predictors of antidepressant us among people with MS; anger and interpersonal conflicts among FND patients; and L266V MAPT gene mutation associated with frontotemporal dementia, and corticobasal syndrome. bit.ly/4fkce1N

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Reposted by David L Perez MD, MMSc

American Psychiatric Association @apapsychiatric.bsky.social · Aug 13

Our latest #JNCN Windows to the Brain discusses neuroanatomic structures and neural circuits of habits. bit.ly/4lo73PC

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Reposted by David L Perez MD, MMSc

FND Ireland @fndireland.bsky.social · Jun 20

Very interesting fMRI study on network integration and segregation in the pathophysiology of Functional Neurological Disorder (FND). 💚🧡

#FND @neuroscienceirl.bsky.social @rcsi.bsky.social @fens.org @efna.net

David L Perez MD, MMSc @davidlewisperez.bsky.social · May 28

[email protected] C. Westlin et al., fMRI study in #FND vs psychiatric controls showing increased crosstalk btw the somatomotor network & multiple other networks (e.g., salience, default mode, frontoparietal). @fndportal.bsky.social @mghmartinos.bsky.social
academic.oup.com/braincomms/a...

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Reposted by David L Perez MD, MMSc

FND Ireland @fndireland.bsky.social · Aug 6

Good to see an article on multidisciplinary treatment for Functional Movement Disorder by @jonstoneneuro.bsky.social and @alancarson15.bsky.social feature in this months issue of
@continuumaan.bsky.social.💚🧡
continuum.aan.com/doi/abs/10.1...
#FND #FNDIreland
@fndportal.bsky.social

Multidisciplinary Treatment for Functional Movement Disorder | Continuum

ABSTRACT Functional movement disorders such as tremor, dystonia, jerky movement, limb weakness, and gait abnormalities are a common clinical concern for neurologists. This article is a practical guide...

continuum.aan.com

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David L Perez MD, MMSc @davidlewisperez.bsky.social · 25d

Sharing new paper led by #RichardMiller & #DaraAlbert
Education Research: Targeting Self-Described Knowledge Gaps to Improve Functional Neurologic Disorder Education Among Clinicians. @aanmember.bsky.social @greenjournal.bsky.social @fndsociety.bsky.social www.neurology.org/doi/10.1212/...

Education Research: Targeting Self-Described Knowledge Gaps to Improve Functional Neurologic Disorder Education Among Clinicians | Neurology Education

Background and ObjectivesThe objective of this study was to improve functional neurologic disorder (FND) education by identifying knowledge gaps among providers who registered for an online course on ...

www.neurology.org

Reposted by David L Perez MD, MMSc

PessoaBrain @pessoabrain.bsky.social · Sep 7

𝗕𝗿𝗮𝗶𝗻-𝗯𝗼𝗱𝘆 𝗽𝗵𝘆𝘀𝗶𝗼𝗹𝗼𝗴𝘆:
𝗟𝗼𝗰𝗮𝗹, 𝗿𝗲𝗳𝗹𝗲𝘅, 𝗮𝗻𝗱 𝗰𝗲𝗻𝘁𝗿𝗮𝗹 𝗰𝗼𝗺𝗺𝘂𝗻𝗶𝗰𝗮𝘁𝗶𝗼𝗻
Excellent review paper about reactive and anticipatory processes.
#neuroskyence
doi.org/10.1016/j.ce...

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Reposted by David L Perez MD, MMSc

Myles Gutkin @mgutkin.bsky.social · Aug 1

A systematic review of psychotherapy for FND showed probable benefit across a range of symptoms from CBT and PDT in 19 studies. I proposed that the lack of conclusive evidence may relate to the heterogeneity of FND requiring tailored treatment. 2/5 doi.org/10.1136/jnnp...

Systematic review of psychotherapy for adults with functional neurological disorder

Functional neurological disorder (FND) is a common and disabling disorder that is often considered difficult to treat, particularly in adults. Psychological therapies are often recommended for FND. Ou...

doi.org

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Reposted by David L Perez MD, MMSc

Micah G. Allen @micahgallen.com · Aug 7

This is such a nice study. A group in Bern independently recreated our 3D printed apparatus and respiratory interoception task to show that functional neurological disorder is associated with reduced sensitivity to inspiratory resistance. academic.oup.com/braincomms/a... Open science FTW!

Respiratory sensitivity is reduced in functional neurological disorder and associated with higher somatoform dissociation

Stoffel and Sojka demonstrated that respiratory sensitivity was lower for patients with functional neurological disorders, along with reduced interoceptive

academic.oup.com

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Reposted by David L Perez MD, MMSc

FND Ireland @fndireland.bsky.social · Aug 18

Delighted to share the trailer of this new exciting work in progress entitled ‘Rest’ about #FND by our #FNDIreland awareness ambassador Jane Hackett, violinist and artists;
@irishmezzo.bsky.social Sharon Carty & composer Tom Lane. 💚🧡 www.youtube.com/watch?v=80Mo... @fndportal.bsky.social @efna.net

REST work in progress trailer

YouTube video by TomLaneComposer

www.youtube.com

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Reposted by David L Perez MD, MMSc

Tim Nicholson @timnicholson.bsky.social · Aug 20

Great thread from @jonstoneneuro.bsky.social on a paper that took a lot of effort from a superb team to wrestle the evidence and many complexities of the relation between FND and migraine into shape!

👏👏💪🏻💪🏻

Jon Stone @jonstoneneuro.bsky.social · Aug 20

Our new open access paper looking at Migraine and FND, two of the commonest conditions in neurological practice.

Migraine and functional neurological disorder (FND)—a review of comorbidity and potential overlap. academic.oup.com/braincomms/a... 🧵1/

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Reposted by David L Perez MD, MMSc

ANST: APA Division 40 @div40anst.bsky.social · Jul 25

Attending the upcoming APA Convention? Join us Thursday 8/7 @ 9:30am for ANST’s symposium on FUNCTIONAL NEUROLOGICAL DISORDERS. See flyer for more details!

APA 2025 Denver & Virtual. 8/7-8/9. ANST Sponsored Symposium on Thursday 8/7/25 @9:30am in Session Room #708. Title: Beyond Feedback: Neuropsychology & Intervention for Functional Neurological Disorders. Presenters pictured. Lauren Keats, PsyD Clinical Neuropsychologist, Clinical Director at re+active therapy and wellness presents, “Re-examining the role of neuropsychologists in integrated treatment for individuals with Functional Neurological Disorder”. Devin Ulrich, PhD Clinical Neuropsychologist Department of Neurology Division of Movement Disorders RUSH University Medical Center presents, “Improved Treatment Adherence in Functional Neurological Disorders with Motivational Interviewing”. Daniel Millstein, PhD Clinical Psychologist Departments of Psychiatry & Neurology @ MGH presents, “Therapy for Functional Cognitive Symptoms”.

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David L Perez MD, MMSc @davidlewisperez.bsky.social · Jul 23

Telehealth and Online Cognitive Behavioral Therapy for Chronic Pain url:https://jamanetwork.com/journals/jama/fullarticle/2836795?utm_source=bluesky&utm_campaign=content-shareicons&utm_content=article_engagement&utm_medium=social&utm_term=072325

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