FND NICE Guidelines

Question 1

What is the main therapy approach?

Answer 1

Movement retraining with diverted attention and goal-directed rehab.

Question 2

What beliefs must be addressed?

Answer 2

Normalize illness beliefs; explain symptoms are real and reversible.

Question 3

What should physiotherapy avoid?

Answer 3

Over-reliance on adaptive equipment, mobility aids, splints, or immobilization.

Question 4

What should therapy focus on?

Answer 4

Functional movement, automatic tasks, self-management, distraction strategies.

Question 5

Examples of effective techniques?

Answer 5

Visualisation, mirrors/videos, graded exercise, rehab diaries.

Question 6

What should be developed long-term?

Answer 6

Self-management and relapse prevention plans.

Question 7

What other treatments may be helpful in FND?

Answer 7

OT (Occupational Therapy), SALT (Speech & Language Therapy), Hypnosis, Medication for anxiety/depression, CBT (Cognitive Behavioral Therapy), Relaxation / Breathing techniques, Vocational rehabilitation, Psychological therapy.

Question 8

What does CBT target?

Answer 8

Maladaptive thoughts and behaviours.