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Functional Neurologic Disorders, the latest volume in the Handbook of Clinical Neurology series, summarizes state-of-the-art research findings and clinical practice on this class of disorders at the interface between neurology and psychiatry. This 51-chapter volume offers an historical introduction, chapters on epidemiology and pathophysiolology, a large section on the clinical features of different type of functional neurologic symptoms and disorders (including functional movement disorders, non-epileptic seizures, dizziness, vision, hearing, speech and cognitive symptoms), and then concluding with approaches to therapy. This group of internationally acclaimed experts in neurology, psychiatry, and neuroscience represent a broad spectrum of areas of expertise, chosen for their ability to write clearly and concisely with an eye toward a clinical audience. This HCN volume sets a new landmark standard for a comprehensive, multi-authored work dealing with functional neurologic disorders (also described as psychogenic, dissociative or conversion disorders). - Offers a comprehensive interdisciplinary approach for the care of patients with functional disorders seen in neurologic practice, leading to more efficient prevention, management, and treatment - Provides a synthesis of research efforts incorporating clinical, brain imaging and neurophysiological studies - Fills an existing gap between traditional neurology and traditional psychiatry - Contents include coverage of history, epidemiology, clinical presentations, and therapy - Edited work with chapters authored by leaders in the field, the broadest, most expert coverage available
This manual for clinicians presents a ground-breaking, accessible and unifying new model for understanding functional neurological disorder (FND) that bridges the gap between theoretical FND-specific models and the more practical, but non-FND-specific Cognitive Behavioural Therapy (CBT) models. Grounded in psychology, the Pressure Cooker Model provides a clear metaphor for FND, focusing on intra-individual and inter-individual cognitive, emotional and behavioural processes. Developed based on years of clinical experience in the field, it is applicable to the assessment and treatment of every type of FND. Viewed as a systemic condition with unique psychosocial features, the book will describe the rationale for radically transforming FND recovery by providing a treatment model that aims to resolve emotion dysregulation processes and repair relationships between the person and the system. It uses a unifying framework to guide the steps of intervention and can be adapted for work in a multidisciplinary team context to facilitate communication between disciplines. Enriched with case studies and research data, the book also highlights a plethora of clinical tools and strategies based on the Pressure Cooker Model, as well as contextualising its position alongside CBT models. This manual is instrumental in educating and treating people with FND. It offers essential guidance for neuropsychologists, neuropsychiatrists and other health professionals, as well as students in these fields.
This book is a practical manual for clinical practitioners seeking to take an interdisciplinary and multidisciplinary approach to the diagnosis and management of functional movement disorder (FMD). It discusses case vignettes, reviews the diagnostic approach, provides an update on available treatments, highlights clinical pearls and details references for further reading. Organized into three parts, the book begins with a framework for conceptualizing FMD - including its historical context, the biopsychosocial model and an integrated neurologic-psychiatric perspective towards overcoming mind-body dualism. Part II then provides a comprehensive overview of different FMD presentations including tremor, dystonia, gait disorders, and limb weakness, as well as common non-motor issues such as pain and cognitive symptoms. The book concludes with chapters on updated practices in delivering the diagnosis, working with patients and care partners to achieve shared understanding of a complex condition, as well as an overview of evidence-based and evolving treatments. Supplemented with high-quality patient videos, Functional Movement Disorder is written for practicing neurologists, psychiatrists, psychologists, allied mental health professionals, and rehabilitation experts with an interest in learning more about diagnosis and management of FMD.
Overcoming Functional Neurological Symptoms uses the proven and trusted five areas model of Cognitive Behaviour Therapy (CBT) to help people experiencing a range of medically unexplained symptoms, including chronic headaches, fatigue, dizziness, loss of sensation, weakness and numbness. Easy to use and practical, this CBT workbook: Presents the insights of award-winning authors who are experts in the field Contains therapeutic advice proven to work through years of research and practice Ensures patients success through specific plans leading to positive results Provides advice for friends and family of patients This book is designed for CBT practitioners, psychiatrists, psychologists, neurologists, physiotherapists, occupational therapists and healthcare workers to share with their patients. A linked and completely free online support course is located at www.livinglifetothefull.com with additional resources at www.fiveareas.com
This groundbreaking volume is the first text devoted to psychogenic movement disorders. Co-published by Lippincott Williams & Wilkins and the American Academy of Neurology, the book contains the highlights of an international, multidisciplinary conference on these disorders and features contributions from leading neurologists, psychiatrists, psychologists, physiatrists, and basic scientists. Major sections discuss the phenomenology of psychogenic movement disorders from both the neurologist's and the psychiatrist's viewpoint. Subsequent sections examine recent findings on pathophysiology and describe current diagnostic techniques and therapies. Also included are abstracts of 16 seminal free communications presented at the conference.
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The primary aim of Treating Nonepileptic Seizures: Therapist Guide is to equip physicians, psychologists, therapists, nurses, and other practitioners with a validated, step-by-step treatment for psychogenic nonepileptic seizures (NES) that can improve the lives of patients with this disabling disorder. Patients with NES frequently present in neurology, psychiatry, psychology, and emergency departments. The disorder has been documented in the medical literature for centuries, and much is known about the phenomenology, seizure characteristics, psychiatric comorbidities, neuropsychological testing, and psychosocial aspects in NES. However, until recently, much less was known about the effective treatments of patients with psychogenic NES. This intervention provides guidance for clinicians in treating patients with NES and is designed to be used in conjunction with the patient workbook, Taking Control of Your Seizures. Session by session, the Workbook facilitates communication between treatment providers and individual patients with seizures. The authors' clinical experience with epilepsy and NES and research in developing the treatment approach for seizures directly informed the treatment model described. Many patients treated with the intervention have demonstrated improvements in seizures, symptoms, and quality of life.
Organized to approach patient problems the way you do, this best-selling text guides you through the evaluation of neurologic symptoms, helps you select the most appropriate tests and interpret the findings, and assists you in effectively managing the underlying causes. Its practical approach makes it an ideal reference for clinical practice. Includes practical, evidence-based approaches from an internationally renowned team of authors. Zeroes in on what you really need to know with helpful tables that highlight links between neurological anatomy, diagnostic studies, and therapeutic procedures. Offers a logical, clinically relevant format so you can find the answers you need quickly. Features a new, updated design for easier reference. Includes new full-color images and updated illustrations to facilitate comprehension of important concepts. Features updated chapters on the latest genetic- and immunologic-based therapies, advances in pharmacology, and new imaging techniques. Includes an expanded and updated CD-ROM that allows you to view video clips of patient examinations, download all of the book's illustrations, and enhance exam preparation with review questions.
"Although it has been mooted whether the dramatic technological advances in neurological practice, (i.e., neuroimaging) might render the physical exam redundant, others maintain the central importance of neurological examination in patient management. A Dictionary of Neurological Signs seeks to elucidate the interpretation of neurological signs ("neurosemiology"): their anatomical, physiological, and pathological significance." (from the Preface) The structured entries in this practical, clinical resource provide a snapshot of a wide range of neurological signs. Each entry includes: definition of the sign; brief account of the clinical technique required to elicit the sign; description of the other signs which may accompany the index sign. Where known, the entries also include neuroanatomical basis of the sign; explanation of pathyophysiological and/or pharmacological background; neuropathological basis; differential diagnosis; and brief treatment details. The Dictionary provides practical, concise answers to complex clinical questions.
This open access book sets out the stress-system model for functional somatic symptoms in children and adolescents. The book begins by exploring the initial encounter between the paediatrician, child, and family, moves through the assessment process, including the formulation and the treatment contract, and then describes the various forms of treatment that are designed to settle the child’s dysregulated stress system. This approach both provides a new understanding of how such symptoms emerge – typically, through a history of recurrent or chronic stress, either physical or psychological – and points the way to effective assessment, management, and treatment that put the child (and family) back on the road to health and well-being.