FND

Trial By Error: Update on Our Letter Concerning the Prevalence of Functional Neurological Disorder

By David Tuller, DrPH In August, I submitted a letter to NeuroImage: Clinical concerning inflated rates of prevalence of functional neurological disorder, on behalf of myself and nine colleagues. After the letter went through peer review and a round of revisions, I was informed in early November that it had been accepted, as I noted …

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Trial By Error: Letter on Inflated FND Prevalence Rates Accepted for Publication

By David Tuller, DrPH As I have regularly noted, patients with diagnoses of functional neurological disorder (FND) experience tremendous suffering. A patient who goes by the moniker @FnDPortal has written a compelling and sometimes harrowing essay, Cadenza for Fractured Consciousness: A Personal History of the World’s Most Misunderstood Illness, that is well worth a read in …

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Trial By Error: A Follow-Up on a Post About Whether Anxiety and Depression Perpetuate Functional Limb Weakness

By David Tuller, DrPH UPDATE: Physical therapist Zachary Grin, whose criticism prompted this follow-up post, has posted a response, so I have highlighted it right below this introduction. He continues to believe I misrepresented the study. I continue to disagree. Prognostic factors, as he notes, are baseline characteristics. (In this case, “baseline” means mid-illness, so …

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Trial By Error: Depression/Anxiety Not Linked to Negative Outcomes in Patients with Functional Limb Weakness, FND Experts Report

By David Tuller, DrPH The Journal of Psychosomatic Research has just published a paper called “The Impact of Depression, Anxiety and Personality Disorders on the Outcome of Patients with Functional Limb Weakness – Individual Patient Data Meta-Analysis.” As I have previously noted, the journal is something of a house organ for seriously flawed research from …

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Trial By Error: Letter to Journal about Inflated Claims of FND Prevalence

By David Tuller, DrPH I have spent some time trying to correct the record on the reported prevalence of functional neurological disorder (FND). As I have documented, leaders of the FND field have spent the last decade misrepresenting the findings of a seminal 2010 study, Stone et al, to claim that this diagnosis is the …

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Trial By Error: That Whine De Coeur about NICE’s Rejection of GET/CBT Regimen, and ME Action UK’s Disappearing Rebuttal

By David Tuller, DrPH On July 10th, the Journal of Neurology, Neurosurgery, and Psychiatry (JNNP) published what can only be called a whine de coeur from a bunch of academics and investigators on the wrong side of a dispute with Britain’s National Institute for Health and Care Excellence (NICE). Their article was called “Anomalies in …

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