FND

Trial By Error: My Exchange with an FND Physical Therapy Specialist

By David Tuller, DrPH When I write about functional neurological disorder (FND) or functional neurological symptoms, I sometimes get feedback from Zachary Grin, a physical therapist in New York. As an FND specialist, he disagrees with pretty much everything I write about the topic.  At first, I tried to engage with Zachary in a good-natured …

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Trial By Error: My Request for Correction of Causal Claim for Functional Neurological Symptoms

By David Tuller, DrPH This morning I sent the following letter to CNS Spectrums, a neuroscience journal published by Cambridge University Press. Subject line: “Correction needed for etiological statement in ‘Functional neurological symptoms occur commonly in healthy adults: implications for the pathophysiology of FND.’” Depending on the response, or lack of one, I might also …

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Trial By Error: So FND Is Not Only a Brain “Software” Issue After All…

*Kim H, a FND patient with whom I have frequently exchanged views, has left a comment below. I urge others to read it. I disagree with her interpretation, but I certainly think she has a right to express her perspective. However, I stand by my post. ********** By David Tuller, DrPH For years*, experts in …

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Trial By Error: Study Finds Signs of “Functional Limb Weakness” in Patients Not Reporting Actual Limb Weakness

By David Tuller, DrPH *NOTE: Kim, an FND patient and advocate, has left an extensive set of criticisms in the comments. I urge those interested in this debate to read them. A recently published study about functional neurological disorder (FND) has reported some perplexing data. Of almost 300 patients diagnosed with Long Covid, 100 were …

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Trial By Error: When Primary Outcomes Yield Null Results in Clinical Trials, FND Experts Prefer Their Secondary Outcomes

By David Tuller, DrPH In 2020, the CODES study of cognitive behavior therapy (CBT) for psychogenic non-epileptic seizures, also known as dissociative seizures, reported null findings for its primary outcome—the number of seizures per month one year after the start of therapy. This was a disappointing result for an ambitious effort to seek an effective …

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Trial By Error: Null Results in Physiotherapy Trial for Functional Motor Disorder

By David Tuller, DrPH *May 28, 2026: After I posted this blog last year, two FND patients and a physical therapist specializing in FND posted critical comments. Unknown to me, those comments were blocked for some reason by the algorithm. I have no idea why, but I apologize to those whose comments have been blocked. …

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