Grateful to share this work with my amazing coauthors:
@timnicholson.bsky.social, @liviaasan.bsky.social, @bibastanton.bsky.social, Tom Pollak and Mark Edwards (@kingsioppn.bsky.social, University Hospital Essen and University of Ljubljana).

#fnd, #neurology, #psychiatry, #neuropsychiatry

Crucially, adverse life events are not universally present in FND and should not form the basis for diagnosis. However, when they are present, the nature of stressors shapes the clinical phenotype and should inform an individualised management approach.

Using TriNetX, an international electronic health records network, we observed that stressors were more common in FND than in matched migraine or generalised anxiety disorder cohorts, with psychosocial stressors particularly common. Stressor type and timing were associated with clinical features.

Interventions that disrupt pathological equilibria may unlock a window for recalibration and promote recovery.

Delighted to share this exciting work led by Tom Pollak (substack.com/@drtompollak), together with @drmichaellevin.bsky.social, Anjali Bhat, Matt Butler, and Mark Edwards