Understanding FND and the Role of Psychotherapy
Functional Neurological Disorder (previously called conversion disorder) is a condition in which the nervous system produces real neurological symptoms — such as seizures, tremors, limb weakness, speech difficulties, or sensory changes — without a detectable structural disease. These symptoms are not imagined or fabricated. They are genuine neurological events caused by a disruption in how the brain sends and receives signals. Current neuroscience research demonstrates that psychological factors, including trauma history, chronic stress, and emotional processing patterns, play a central role in the development and maintenance of FND symptoms.
Psychotherapy is now considered a frontline treatment for FND by leading neurological institutions worldwide. Specifically, cognitive behavioral therapy (CBT) adapted for FND has strong empirical support and is the approach I use as the foundation of treatment. I also integrate Acceptance and Commitment Therapy (ACT), trauma-informed interventions, and EMDR when a patient's clinical presentation warrants it.
What FND Treatment Looks Like
Treatment begins with a thorough psychological assessment to understand your symptom history, identify contributing psychological factors, and develop a clear, individualized treatment plan. From there, therapy typically focuses on three key areas: understanding the mind-body connection underlying your symptoms, developing practical strategies for symptom management and functional recovery, and processing any underlying psychological contributors such as trauma, chronic stress, or unresolved emotional conflicts.
I work collaboratively with your neurologist, primary care physician, and any other members of your treatment team to ensure our approach is coordinated and comprehensive. I strongly believe that the best outcomes for FND come from a unified medical and psychological team working together.
A Specialized Approach in a Limited Landscape
Finding a psychologist with direct experience treating FND can be extremely difficult. Most therapists — even experienced ones — have limited training in this condition. My background in treating complex and severe psychiatric presentations, combined with my advanced training in CBT, ACT, and EMDR, positions me to provide the nuanced, specialized care that FND requires. If you or a loved one has been diagnosed with FND and are seeking a psychologist who understands this condition, I invite you to contact my Newport Beach office for a complimentary phone consultation.