This book is a practical manual for clinical practitioners seeking to take an interdisciplinary and multidisciplinary approach to the diagnosis and management of functional movement disorder (FMD). It discusses case vignettes, reviews the diagnostic approach, provides an update on available treatments, highlights clinical pearls and details references for further reading.

Organized into three parts, the book begins with a framework for conceptualizing FMD - including its historical context, the biopsychosocial model and an integrated neurologic-psychiatric perspective towards overcoming mind-body dualism. Part II then provides a comprehensive overview of different FMD presentations including tremor, dystonia, gait disorders, and limb weakness, as well as common non-motor issues such as pain and cognitive symptoms. The book concludes with chapters on updated practices in delivering the diagnosis, working with patients and care partners to achieve shared understanding of a complex condition, as well as an overview of evidence-based and evolving treatments. 

Supplemented with high-quality patient videos, Functional Movement Disorder is written for practicing neurologists, psychiatrists, psychologists, allied mental health professionals, and rehabilitation experts with an interest in learning more about diagnosis and management of FMD.

Kathrin LaFaver, MD

Northwestern University Feinberg School of Medicine

Associate Professor of Neurology

259 E Erie Street, Chicago, IL, USA

(As of August 1, 2021: Saratoga Hospital Medical Group, Saratoga Springs, NY, USA)

 

Carine W. Maurer, MD, PhD

Renaissance School of Medicine at Stony Brook University

Assistant Professor, Department of Neurology

HSC T12-020

Stony Brook, NY, USA

Timothy Nicholson, MBBS, BSc, MSc, PhD, MRCP, MRCPsych,

Maudsley& Kings College Hospitals

Clinical Lecturer at the Institute of Psychiatry Psychology& Neuroscience

London, UK

David L. Perez, MD, MMSc

Massachusetts General Hospital

Departments of Neurology and Psychiatry

Associate Professor of Neurology, Harvard Medical School

55 Fruit St.

Boston, MA, USA

Part I: Framework.-1. A historical perspective on functional neurological disorder.-2. Free will, emotions and agency: Pathophysiology of functional movement disorder.-3. The biopsychosocial formulation for functional movement disorder.-4. Integrating neurologic and psychiatric perspectives in functional movement disorder.- Part II: Presentations.-5. Functional limb weakness and paralysis.-6. Functional tremor.-7. Functional dystonia.-  8. Functional parkinsonism.-9. Functional jerky movements.- 10. Functional facial disorders.-  11. Functional gait disorders.-  12. Functional tics.-  13. Functional speech and voice disorders.-14. Beyond functional movements: The spectrum of functional neurological and somatic symptoms.-15. Functional movement disorder in children.-16. Functional movement disorder in older adults.-Part III: Management.-17. Breaking the news of a functional movement disorder.-18. Motivational interviewing for functional movement disorder.-19. Communication challenges in functional movement disorder.-  20. Developing a treatment plan for functional movement disorder.-21. Psychological treatment of functional movement disorder.-22. Psychiatric comorbidities and the role of psychiatry in functional movement disorder.-23. Physical therapy: retraining movement.-  24. Occupational therapy: focus on function.-  25. Speech therapy: being understood clearly.- 26. Interdisciplinary rehabilitation approaches in functional movement disorder.-27. Placebo effects and functional neurological disorder: helpful or harmful?.-28. Transcranial magnetic stimulation (TMS) as treatment for functional movement disorder.-29. Measuring symptoms and monitoring progress in functional movement disorder.-30. Overcoming treatment obstacles in functional movement disorder.-31. Management considerations for pediatric functional movement disorder.