Lily Smythe

@lilysmythe.bsky.social

PhD student interested in the co-occurrence of Functional Neurological Disorder and Autism. Part of NREG and Re:Spect Lab and based at the IoPPN, King's College London

🧠 We are looking for parents of children and adolescents with both #FND and #Autism to take part in an interview! - 20 minute survey followed by a ~1 hour interview with the parent and ~30 minute interview with the child Interested? ✉️ Please message me: lily.smythe@kcl.ac.uk Thanks for sharing!

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The FND masterclass ran by the King’s Health Partners Neurosciences is such a gem! My third year going and always exciting to talk to health care providers seeking to set up or improve FND services around the UK.

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🧠 We are looking for parents of children and adolescents with both #FND and #Autism to take part in an interview! - 20 minute survey followed by a ~1 hour interview with the parent and ~30 minute interview with the child Interested? ✉️ Please message me: lily.smythe@kcl.ac.uk Thanks for sharing!

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Great time presenting my work at INSAR! Currently in the process of writing up the findings from my qualitative study I ran with autistic individuals with FND, and had some lovely chats with people at INSAR about FND

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Very interesting evening at the 62nd Maudsley debate, discussing whether the global rise in neurodivergence is due to awareness. I think everyone came out of that debate understanding it is a much more complex matter than simply increasing awareness

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Superb work from @lilysmythe.bsky.social - 1st of what I’m sure will be lots of great papers from her @ukri.org MRC funded PhD investigating emerging complex and potentially important overlap & relationship between FND & ASD👏👏👊🏻👊🏻 Big e-records (TrinetX) study showing ⬆️ rates of comorbidity

Lily Smythe@lilysmythe.bsky.social · last yr.

Autism and FND are both complex and often misunderstood. This study is a step toward understanding that overlap - and hopefully toward better diagnosis and support. Thanks to my co-authors @liviaasan.bsky.social, @timnicholson.bsky.social, Francesca Happé, and Mark Edwards

Excited to share my first first-author paper in Journal of Neurology! 🧠 Using the TriNetX dataset (176M patients), we explored co-occurring FND and Autism - work first presented at the RCPsych Neuropsychiatry Conf Read it here: link.springer.com/article/10.1... #Autism #FND #Neuropsychiatry

Co-occurring functional neurological disorder and autism: an exploratory study of comorbidities in a retrospective cohort study using TriNetX - Journal of Neurology

Background Functional Neurological Disorder (FND) encompasses motor, cognitive, and sensory symptoms resulting from disruptions in brain-body communication. Emerging research suggests a higher-than-expected occurrence of autism in FND, potentially due to shared cognitive mechanisms and overlapping comorbidities. However, large-scale characterisation of this dual-diagnosis is lacking. Methods Using de-identified health records from the TriNetX research network, we identified children and adults with both FND and autism (‘FND + Autism’), comparing them to individuals with FND only (‘FND-only’) and autism only (‘Autism-only’). We examined psychiatric comorbidities (e.g. mood, anxiety, post-traumatic stress disorder, personality disorders, obsessive–compulsive disorder), intellectual disability and ADHD. Results Of 220,312 individuals with an FND diagnosis, and 674,971 individuals with an autism diagnosis, 5,152 (2.3% of FND, 0.76% of autism) had both FND and autism. The rates of autism were therefore 6 times higher in FND compared to the base rates of the TriNetX population. Most were diagnosed with autism before FND, with over one-third diagnosed in childhood. Functional seizures were the most common FND subtype, and were more frequent in FND + Autism than FND-only (adults: 52% vs. 44%; children: 47% vs. 42%). Comorbidity across all psychiatric conditions was significantly higher in FND + Autism compared to both comparison groups. ADHD was particularly elevated in FND + Autism (adults: 50% vs. 13% FND-only, 36% Autism-only; children: 64% vs. 21% FND-only, 41% Autism-only). Conclusions This study presents the largest dataset to date characterising individuals with co-occurring FND and autism. Findings are consistent with previous findings of higher rates of autism in people with FND and reveal a potentially distinct clinical profile, marked by elevated rates of ADHD and psychiatric comorbidities, and increased occurrence of functional seizures compared to FND- or Autism-only groups. Recognising this overlap may improve diagnosis, clinical care, and understanding of mechanisms underlying the co-occurrence of FND and autism.

link.springer.com

Great day at the Faculty of Neuropsychiatry conference at the Royal College of Psychiatrists. I got to present data from my new paper in press in the Journal of Neurology, and listened to a fantastic discussion around assisted dying!

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🧠 New study at KCL looking for volunteers with both #FND and #Autism to take part in an interview sharing your experiences! - 15 minute survey followed by a 1 hour interview Interested? ✉️ Please message me: lily.smythe@kcl.ac.uk Thanks for sharing!

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1/2 Most of the time, the use of over the top words like "terrifying" just makes the author look like a crank, but in this case, it could very well be justified. Memory of what was written was virtually nonexistent and brain connectivity collapsed by 47%. Read the thread. x.com/itsalexvacca...

This image is a screenshot of a social media post by Alex Vacca on X announcing a new MIT study on the cognitive effects of using ChatGPT. 
The study, titled "Your Brain on ChatGPT: Accumulation of Cognitive Debt when Using an AI Assistant for Essay Writing Task," suggests that using AI tools like ChatGPT for tasks such as essay writing may lead to reduced brain activity and cognitive engagement. 
The research, conducted by the MIT Media Lab, indicates that while AI might seem to increase productivity, it could be making users "cognitively bankrupt" by reducing brain connectivity in areas related to memory, executive control, and creativity. 
The study used dynamic Direct Transfer Function (dDTF) EEG analysis of the Alpha Band to compare brain activity in groups using LLMs (like ChatGPT), search engines, and brain-only approaches for essay writing. 
Results showed that participants relying on LLMs exhibited the weakest brain connectivity compared to those using search engines or no external tools, suggesting a potential "cognitive debt" associated with AI assistance.

Another great discussion meeting ‘From being to identity: analysis and synthesis of the self’ at the Royal Society yesterday! Brilliant to hear about work being done around conceptualisation of the self, including a fantastic panel discussion on lived experience of diversity in experience of self.

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Still processing what a fantastic experience this was, and how lucky I feel to have attended it! One week of learning, inspiration, and fantastic conversations with wonderful people. Thank you @sarahgarf.bsky.social and @skhalsa.bsky.social for creating such a wonderful and productive space!

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Sarah Garfinkel@sarahgarf.bsky.social · 2y ago

I'm excited to be co-leading a course on Interoception and Brain disorders with Sahib Khalsa @skhalsa.bsky.social on the beautiful academic island of San Servolo, Venice, in May 2025 www.neurosas.org/advanced-cou...

What an amazing week on San Servolo on interoception and brain disorders; I learned so much, thanks all for the great discussions and thanks for the great organization and all the the fun! @skhalsa.bsky.social @sarahgarf.bsky.social

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Sarah Garfinkel@sarahgarf.bsky.social · 2y ago

I'm excited to be co-leading a course on Interoception and Brain disorders with Sahib Khalsa @skhalsa.bsky.social on the beautiful academic island of San Servolo, Venice, in May 2025 www.neurosas.org/advanced-cou...

Solidarity with trans women after today’s Supreme Court ruling. The rollback of LGBT rights — especially trans rights — is global, bankrolled by billionaires and the far-right. Trans rights are human rights. We must defend the Equality Act and its protections for trans people.

completely unrelated to my phd but a few weeks ago i went to sarajevo and i’ve not stopped thinking about how great a trip it was! sarajevo is an brilliant city with an extensive and harrowing history that it still carries with it but the people, the food, and the spirit of the city was incredible

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“This is austerity dressed up as reform, where the government cuts the money disabled people need to live on in order to balance the books, while claiming it’s all being done to help them.” My col. on Labour’s sweeping disability cuts and mark of shame. www.theguardian.com/commentisfre...

These cruel benefit cuts will rob security from so many – but Labour will lose something crucial too | Frances Ryan

The worst reforms since George Osborne will teach voters that politicians really are all the same. Is it worth it? asks Guardian columnist Frances Ryan

theguardian.com