Misdiagnosis of an underlying medical condition as Conversion Disorder/Functional Neurological Disorder (CD/FND), 2020, van der Feltz-Cornelis et al

Paywall and first page preview, https://www.sciencedirect.com/science/article/abs/pii/S0163834320300645
Not available via Sci hub at time of posting

 

Sounds interesting. There's not abstract but you can view the first page which reads:

 

Is it just me, or do people who experienced sexual abuse as children not have enough to cope with without being fobbed off with an FND diagnosis instead of having a proper suite of investigations when they get ill?

 

I think there needs to be a complete separation of true Conversion Disorder, psychogenic along the lines of a psychological trauma like sexual abuse as a child or being in a crappy war resulting in PTSD, from a functional neurological symptom disorder that may have no identifiable psychological or psychogenic causal factor, in other words a neurological disorder like MS, Parkinson's etc. which neurologists take responsibility for, and can bill for under insurance, rather than as they did with me and look at my movements as atypical and then refer me immediately to psychiatry to take their hands off my case or receive kickbacks from psychiatry because psychiatrists need all the more or less "normal" people to fill their caseloads and research agendas. As well, people with a traumatic brain injury who are long-haulers get dumped into this CD/FND category with a normal MRI and continuing symptoms but as a result of the TBI are now a psychiatric case within the DSM so that when they go to the ER for some other ailment, psychiatric disorder is there on the chart right there in print. Ridiculous.

 

Old thread on here but a recent example from Reddit (r/fnd) —

@rvallee will probably appreciate the ChatGPT aspect!

 

Indeed. Sadly for all the faux words there are plenty here who have an attitude of ‘damaged’ and ‘fix yourself’ to even the most heinous, everyone else was responsible for it other than the victim - including society - crimes

it’s gross but people like that think they aren’t the ones with the mental problem ti be fixed - survival if the luckiest and nastiest hey. Same people tend to struggle to draw or acknowledge lines between actions snc consequences and I’m always curious how much of that is madness/stupidity and how much is selfish convenience because we let them get away with it.

so yep people who been through hell ie the most vulnerable do indeed tend to get targeted and used by lots of systems . The most disgusting side of society my we are looking at here - and it’s all because noone is actually battling for those targeted making these people scared they will be shown up or shouted at by a parent who turns out to be well-connected, and truth - if their treatment harms they just lie and immorally use what they’ve been through against them to weaken their testimony. Truth of the world even if people would actually listen to them they can be made to feel they would be doubted because they don’t feel they’ve any power of testimony vs a doctor.

so yep some aren’t necessarily in it too truly help. And have very strange attitudes to those harmed. Just like someone overworked with flu you get some bosses in denial that’s why someone ends up really ill for a long time, but wayyy more extreme. At best it feels there are lots ‘dealing with’ them and no bystanders as we should being incredibly protective of those who’ve been through that - but often the opposite

‘society’ stinks when you look too close

 

Funny isn’t it when you develop another term that happens to be best treated with offering nothing of any use how popular it can suddenly become.

it’s almost like the term is a massive cover-up for all the real reasons they don’t want to provide healthcare to someone.

 

Seems to at least saying the right things about how serious this is and how you can’t trust this diagnosis to the point re evaluation is warranted

I think there is a case to be out as well that it’s a discrimination issue because all the suggestions of narratives and demographics by people in charge of FND are selling bigotry under the guise of it being medical history. Ie this targets the most vulnerable

I’m glad they used the term untreated for long periods of time and someone at least starts to mention the consequences directly caused

I also think somehow people think that impact is dismissible so no harm no foul tgat people lost years of their life unnecessarily and financial consequences associated with that or have worse disability than they would have.

ti the point I get the sense this sort of stuff is seen as a legal loophole where no one in that situation can/could claim gif those consequences- and the FND ideas allows for further muddying if the water.

surely the law needs to change because I guess this is one of the tails wagging the dog here

 

Another reddit thread in r/FND: Misdiagnosed

A comment —

Another —

Another —

 

Creepy

they are right wth

another one for the journos looking for scandals - although I think it would be better with this to connect it with the ‘functional’ initiatives/sell ‘in general’ too because the more you think of realise it’s not ‘just’ x symptoms the less justifiable and more policy-related it starts to look, even if the source turns out to be a number of enthusiastic HCPs like the ‘stoners’ and maybe some gastro-mind people and the pain psychs or whatnot fir the ‘functional’ other stuff.

turned out to be Parkinson’s , 5yrs on, jeez poor person. it just feels like one of those things air traffic control would be logging as a miss and near miss etc

 

This seems to be the paper? Still have to read it, but it looks interesting.