Niels Detert
@nielsdetert.bsky.social
Neuropsychologist, John Radcliffe Hospital Oxford, FND, Mindfulness, Nature of mind, ISTDP, Chair UK FND Network www.ukfndnetwork.org
🧠 Study exploring new FND treatment! We’re exploring patient views on Brain-Computer Interfaces (BCIs) for #FND rehab. ✅ 18+ ✅ Diagnosed w/ motor FND (e.g. weakness, tremor) 📝 10-min survey and educational video: qualtrics.kcl.ac.uk/jfe/form/SV_... 📎 Poster below #FNDresearch #BCI
Functional neurological disorder (FND) is the second most common neurological condition. This #FND Awareness Day, @nielsdetert.bsky.social explains what FND is and how treatment can vary. 👉 www.bps.org.uk/news/psychology-has-vital-role-play-treating-functional-neurological-disorder-says-bps
💥Tim Nicholson’s @timnicholson.bsky.social modestly ‘speculative’ theory of functional processes as possibly universal components of illness, and indeed of treatments when the placebo phenomenon is understood in this way, is a revolutionary perspective in the history of Medicine @bnpa.bsky.social
Shakespeare understood the predictive mind model, that the mind creates experience, before it was cool. He understood that the nature of mind is both vivid and empty like an eastern yogi - where did he learn this? Not from someone else
Happy New Year everyone!! There are some doubts about this, so my resolution, apart from more meditating, is to see through the negative appearances, and remember that each moment of life is infinitely more valuable than the difficult stuff that seems sometimes to happen in it
A nice example of a predictive processing error ‘The woman was frantic – it hadn’t eaten or pooed’: what happened when a hat bobble was brought to a hedgehog rescue centre?
I've put together a starter pack for the FND science community. Please repost to share the link and do let me know of folks I've missed so I can add them to the group. Thanks everyone 🙏 🧵 1/
Officially off Twitter today. I know “Twitter is not real life” blah blah but the truth is it completely changed mine. I went from isolation to the center of a brilliant community of disabled activists + scientists working on incredible things. Hope we can recreate the virtuous cycle here!
Important study! FND is common: “using our best method as a conservative estimate, there are likely a minimum of 50–100,000 people with FND in the UK.” “FND appears to be more prevalent than many other well-known and well-funded neurological disorders” Clinical + research funding needed!
Jon Stone@jonstoneneuro.bsky.social · 2y agoHow common is FND? ‘Incidence and Prevalence of Functional Neurological Disorder: A systematic review’ – a new open access article in JNNP led by Sara Finkelstein with Clare Diamond, and @alancarson15.bsky.social jnnp.bmj.com/content/earl... 1/🧵
👆 please let me know of people I've missed who need to be added. Thanks @nielsdetert.bsky.social @fndportal.bsky.social @timnicholson.bsky.social @jonstoneneuro.bsky.social @fndsociety.bsky.social @tomplender.bsky.social
New FND guidance from the British Psychological Society on the role of neuropsychology/psychology in FND management in children and adults - a one stop shop for scientific, clinical, and policy references in FND, with a focus on the UK but global relevance explore.bps.org.uk/content/repo...
Functional Neurological Disorder: Neuropsychological and psychological management in children and adults | BPS - British Psychological Society
BPS Explore is our easy-to-access central location for you to read and download a wide range of psychological content from practitioners, researchers and working groups.
explore.bps.org.uk
New paper out in J Psychiatric Research today! We systematically reviewed/evaluated currently available #dissociation measures 🧐 Congrats to Sorawit Wainipitapong for leading & many thanks to the team - M Millman, X Huang, L Wieder, @devinterhune.bsky.social www.sciencedirect.com/science/arti...
Assessing dissociation: a systematic review and evaluation of existing measures
sciencedirect.com
I’m honoured to be launching this comprehensive briefing paper on FND neuropsychological and psychological management, across the lifespan, with a UK focus but global relevance - thanks to my fantastic colleagues on the Division of Neuropsychology Policy Unit working group 👏👏👏
Dr Leo Russell@leoistdp.bsky.social · 2y ago🚨 THE PSYCHOLOGICAL MANAGEMENT OF FND IN CHILDREN AND ADULTS 🚨 A new briefing paper from the Division of Neuropsychology @donbps.bsky.social Proud to be part of the team working on this chaired by @nielsdetert.bsky.social & dedicated to the late Jason Price who originally conceived of the idea 🙏❤️
Atypical Interoception in FND seems a critical area to understand better, not least because it’s a rich potential target for intervention with existing therapies (esp mindfulness-based) - excellent new paper building our understanding of the neural basis
Sahib Khalsa@skhalsa.bsky.social · 2y agoHonored to coauthor this fMRI study on cardiac #interoception in FND. Disrupted insula, ACC activity during interoceptive attention underscores the neural basis of altered body-brain signaling in FND, bringing the field one step toward targeted interventions. pubmed.ncbi.nlm.nih.gov/39558709/
Honored to coauthor this fMRI study on cardiac #interoception in FND. Disrupted insula, ACC activity during interoceptive attention underscores the neural basis of altered body-brain signaling in FND, bringing the field one step toward targeted interventions. pubmed.ncbi.nlm.nih.gov/39558709/
Altered Neural Processing of Interoception in Patients With Functional Neurological Disorder: A Task-Based fMRI Study - PubMed
This study identified state and trait interoceptive disruptions in FND patients. Convergent between- and within-group findings contextualize the pathophysiological role of cingulo-insular (salience ne...
pubmed.ncbi.nlm.nih.gov
Great thread on FND resources aimed at OTs/AHPs from @willchegwidden.bsky.social
Will Chegwidden@willchegwidden.bsky.social · 2y ago1/ So, I'm now going to share some of my favourite #FND resources (aimed at OTs/AHPs) and a few recent papers I found really interesting. I'm no FND expert but I have been involved in some programmes and it's a really exciting area of practice & when we get things right we can make such a difference
All you need for FND on one handy thread! 👏👏👏
Will Chegwidden@willchegwidden.bsky.social · 2y ago1/ So, I'm now going to share some of my favourite #FND resources (aimed at OTs/AHPs) and a few recent papers I found really interesting. I'm no FND expert but I have been involved in some programmes and it's a really exciting area of practice & when we get things right we can make such a difference
For clinicians interested in learning more about ISTDP for functional symptoms check these out from Dr Allan Abbass: 🎧 Podcast tinyurl.com/2bc7pu7b 📰 CBC News tinyurl.com/2p82kcwf 💻 Presentation tinyurl.com/4tjcx3dd 🗃 ISTDP & FND Review Paper sciencedirect.com/science/articl…
ISTDP also in my experience a very powerful intervention with selected patients with FND - strengths are experiential here-and-now mind-body-relationship technique, and building capacity for awareness of emotions and regulation of emotion-related anxiety while reducing self-defeating coping strats
Dr Leo Russell@leoistdp.bsky.social · 2y agoWhy do we use Intensive Short-term Dynamic Psychotherapy (ISTDP) as a treatment option in our multi-disciplinary pathway for Functional Neurological Disorder (FND)? 🧵 1/9
Some thoughts on how all healthcare professionals can improve care for Functional Neurological Disorder: 📖 Find out out more about FND 🏨 Make the case for FND provision as part of core services 🤝 Work jointly with multi-disicplinary colleagues 🧵 1/10
Found the FND crowd ... I'll leave it to someone who is an FND specilast to do the "starter pack" but this is a good start... @jonstoneneuro.bsky.social @alancarson15.bsky.social @lauramcw.bsky.social @fndportal.bsky.social @timnicholson.bsky.social @nielsdetert.bsky.social @leoistdp.bsky.social
Nadine used careful and sophisticated psychophysics, computational modeling and neuroimaging to track down a neural basis for reality monitoring in the human brain. Very exciting to be along for the ride! #neuroskyence
Nadine Dijkstra@nadinedijkstra.bsky.social · 2y agoI am beyond excited to share our new preprint ‘A neural basis for distinguishing between imagination and reality’ with Thomas von Rein, @peterkok.bsky.social and @smfleming.bsky.social! osf.io/preprints/ps... a thread 🧵
Great to see this excellent content on FND migrating over
Jon Stone@jonstoneneuro.bsky.social · 2y agoI'm 'reissuing' some of my Twitter threads on Bluesky. This one is from June 2020. "Ten Myths about FND" in Eur J Neurology with Sarah Lidstone, Rui Araujo and Bas Bloem. People with FND come up against a lot of these during diagnosis and treatment. 1/ onlinelibrary.wiley.com/doi/epdf/10....
