Functional Neurological Symptom Disorder: Practice Updates for Psychiatrists

Credit Available

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In this presentation, Dr. Julia Ridgeway-Diaz discusses functional neurological symptom disorder diagnosis and current recommendations for management. She explains relevant physiology, diagnostic work-up, symptoms, and treatments through the example of a patient case report.

This Menninger Department of Psychiatry and Behavioral Sciences Grand Rounds session took place on Wednesday, January 11, 2023 at 11:30 a.m.

Activity Information

How to Claim Credit

You may claim credit after watching this activity.

You will be redirected to the BCM DCPD credit management site when claiming credit and may be asked to register or log in.

Needs Statement

Psychiatrists, psychologists, psychiatric nurses, social workers, and healthcare professionals in related disciplines need to receive regular updates on advances in neuroscience, psychiatric research, psychotherapy, and the evolving best practices for evaluating, diagnosing, and treating psychiatric disorders. The series aims to improve clinical practice through critical appraisal of psychiatric research, the use of evidence-based treatment approaches, and the integration of multiple treatment modalities to enhance the quality of psychiatric care and improve patient outcomes.

Educational Objectives

At the conclusion of the session, the participants should be able to:

  • Define functional neurological symptom disorder.
  • Describe common functional neurological disorders such as functional weakness, nonepileptic seizures, and functional cognitive impairment.
  • Compare the features of these disorders to those of relevant non-functional correlates, including the findings of functional imaging and neuropsychological testing.
  • Outline elements of the history to capture and demonstrate accessible and efficient physical exam techniques to rule in functional disorders.
  • Illustrate the biopsychosocial formulation and treatment of a real-world patient with functional photophobia.

Target Audience

Professional Categories

  • Physicians
  • Medical Students
  • Fellows
  • Nurses
  • Other Health Professionals

Specialties

  • Neurology
  • Psychiatry

Interest Groups

Activity Evaluation

Evaluation by questionnaire will address program content, presentation, and possible bias.

Educational Methods

  • Lectures

Accreditation/Credit Designation

Baylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Baylor College of Medicine designates this enduring material activity for a maximum of 0.75 AMA PRA Category 1 Credit(s)™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Social Work: Baylor College of Medicine, Division of Continuing Professional Development (License Number 7270) is an approved continuing education provider for Social Workers through the Texas State Board of Social Worker Examiners. This activity has been approved for 0.75 continuing education unit.

Activity Director

  1. Kim-Lan Tran Czelusta, M.D.

    Kim-Lan Tran Czelusta, M.D.

    Vice Chair for Education, Brown Foundation Chair in Psychiatric Education in the Department of Psychiatry and Behavioral Sciences
    Baylor College of Medicine

Term of Approval

January 1, 2023 through January 31, 2025. Original release date: January 1, 2023.

Disclosure Policy

Baylor College of Medicine (BCM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians. BCM is committed to sponsoring CE activities that are scientifically based, accurate, current, and objectively presented.

In accordance with the ACCME Standards for Commercial Support, BCM has implemented a mechanism requiring everyone in a position to control the content of an educational activity (i.e., directors, planning committee members, faculty) to disclose any relevant financial relationships with commercial interests (drug/device companies) and manage/resolve any conflicts of interest prior to the activity. Individuals must disclose to participants the existence or non-existence of financial relationships at the time of the activity or within 24 months prior.

In addition, BCM has requested activity faculty/presenters to disclose to participants any unlabeled use or investigational use of pharmaceutical/device products; to use scientific or generic names (not trade names) in referring to products; and, if necessary to use a trade name, to use the names of similar products or those within a class. Faculty/presenters have also been requested to adhere to the ACCME's validation of clinical content statements.

BCM does not view the existence of financial relationships with commercial interests as implying bias or decreasing the value of a presentation. It is up to participants to determine whether the relationships influence the activity faculty with regard to exposition or conclusions. If at any time during this activity you feel that there has been commercial/promotional bias, notify the Activity Director or Activity Coordinator. Please answer the questions about balance and objectivity in the activity evaluation candidly.

All of the relevant financial relationships listed for these individuals have been mitigated.

Disclosures

The following individual(s) has/have reported financial or other relationship(s) with commercial entities whose products/services may relate to the educational content of this activity:

Presenter

  1. Julia Ridgeway-Diaz, M.D., M.S. Placeholder Image

    Julia Ridgeway-Diaz, M.D., M.S.

    Assistant Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

Activity Director

  1. Kim-Lan Tran Czelusta, M.D.

    Kim-Lan Tran Czelusta, M.D.

    Vice Chair for Education, Brown Foundation Chair in Psychiatric Education in the Department of Psychiatry and Behavioral Sciences
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

Planning Committee Members

  1. Kim-Lan Tran Czelusta, M.D.

    Kim-Lan Tran Czelusta, M.D.

    Vice Chair for Education, Brown Foundation Chair in Psychiatric Education in the Department of Psychiatry and Behavioral Sciences
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  2. Mauro A. Garcia-Altieri, M.D. Placeholder Image

    Mauro A. Garcia-Altieri, M.D.

    Assistant Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  3. Wayne Goodman, M.D.

    Wayne Goodman, M.D.

    D.C. and Irene Ellwood Chair in Psychiatry
    Baylor College of Medicine

    Disclosure:
    • Research Support: Biohaven Pharmaceuticals
    • Intellectual Property (patent rights, royalty payments): Nview
    • Consultancy: Biohaven Pharmaceuticals
  4. Michael McClam, M.D.

    Michael McClam, M.D.

    Assistant Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  5. Jose Ribas Roca, M.D.

    Jose Ribas Roca, M.D.

    Assistant Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  6. Daryl Shorter, M.D.

    Daryl Shorter, M.D.

    Associate Professor, Medical Director of Addiction Services
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

Presenter:

Julia Ridgeway-Diaz, M.D., M.S.

Assistant Professor Baylor College of Medicine

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