Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This episode covers Functional Neurological Disorder with Dr. Patricia Rosebush. Dr. Rosebush is a Professor in the Department of Psychiatry & Behavioural Neurosciences at McMaster University. She is the distinguished author of numerous articles on clinical neuroscience, including considerable work on mitochondrial disorders in mental illness and over 30 papers on catatonia, and practices consultation-liaison psychiatry at St. Joseph’s Healthcare Hamilton. The learning objectives for this episode are as follows: Provide a definition and conceptual approach to FND Identify clinical signs and patient histories relevant to a diagnosis of FND Describe an approach to the treatment of FND Understand the special challenges of communication and collaboration in this illness Guest: Dr. Patricia Rosebush Hosts: Dr. Alastair Morrison, Dr. Kate Braithwaite Audio editing: Dr. Alastair Morrison Show notes: Dr. Kate Braithwaite Interview content: (02:39) Learning objectives (03:09) Conceptualization of FND (08:30) Underlying psychological processes (09:35) Difference between FND and factitious disorder/malingering (14:54) Alexithymia (16:51) Common symptomatic presentations (18:00) Types of underlying stressors (19:17) Other risk factors for FND (22:12) Communicating with patients to address stigma (24:32) Psychotherapy in FND (29:36) Referral pathways for patients with FND (31:15) Prognosis of FND (33:09) Social media and FND Resources: Functional Neurological Disorder Society. Includes a podcast and courses for physicians Functional Neurological Disorder (FND) – A Patient's Guide to FND References: Hull, M., & Parnes, M. (2021). Tics and TikTok: Functional Tics Spread Through Social Media. Movement disorders clinical practice, 8 (8), 1248–1252. https://doi.org/10.1002/mdc3.13267 National Institute for Neurological Disorders and Stroke. (2024, July.) Functional Neurological Disorder. U.S. Department of Health and Human Services, National Institutes of Health. Functional Neurologic Disorder | National Institute of Neurological Disorders and Stroke PsychDB. (2024, April). Conversion Disorder (Functional Neurological Disorder. Conversion Disorder (Functional Neurological Disorder) - PsychDB Rosebush, P. I., & Mazurek, M. F. (2011). Treatment of conversion disorder in the 21st century: have we moved beyond the couch?. Current treatment options in neurology, 13 (3), 255–266. https://doi.org/10.1007/s11940-011-0124-y Scamvougeras, A., & Castle, D. (2024). Functional Neurological Disorders: Challenging the Mainstream Agnostic Causative Position. Canadian journal of psychiatry. Revue canadienne de psychiatrie, 69 (7), 487–492. https://doi.org/10.1177/07067437241245957 For more PsychEd, follow us on Instagram ( @psyched.podcast ), Facebook ( PsychEd Podcast ), X ( @psychedpodcast ), and Bluesky ( @psychedpodcast.bsky.social ). You can email us at psychedpodcast@gmail.com and visit our website at psychedpodcast.org.