Our Psychologists have availability for face-to-face and online appointments for adults, adolescents and children.

Functional Neurological Disorder

Functional Neurological Disorder (FND) is a condition where the brain struggles to send and receive signals properly—like a software glitch rather than a hardware problem. The brain itself isn’t damaged, but it’s not working as it should, leading to very real symptoms like non-epileptic seizures, muscle weakness, tremors, difficulty walking, or changes in speech or sensation. It’s often linked to things like stress, illness, or injury, though sometimes there’s no clear cause. Treatment for Functional Neurological Disorder—which might include physio, psychology, and speech therapy—can be highly effective, especially with early support and the right team involved.

Common Symptoms of Functional Neurological Disorder

Symptoms are genuine and can be quite disabling. They often fluctuate and may get worse with stress or fatigue. A key feature of FND is that the symptoms don’t match patterns typically seen in structural brain conditions, but they do respond to treatment—especially when picked up early and managed with a supportive, informed team.

What you may not be aware of about
functional neurological disorder...

1

FND affects an estimated 4–12 Australians per 100,000 each year, but it’s likely underdiagnosed

2

It’s one of the most common reasons Australians are referred to neurology clinics

3

Nearly 75% of Aussie GPs see patients with unexplained neurological symptoms at least once a month

4

Early treatment for FND can lower long-term disability and reduce healthcare costs

Individual walking in nature, symbolising recovery and resilience

What the research says about functional neurological disorder

Functional Neurological Disorder (FND) has often been misunderstood—but recent research, including studies from Australia, is helping to shift that. We now have a much better understanding of what’s going on in the brain, how to diagnose FND more accurately, and which treatments are most effective.

FND is Real—and It’s Common

For a long time, FND sat in a bit of a grey zone in medicine, but that’s changing fast. Research shows that FND is one of the most common reasons people are referred to neurology clinics, including here in Australia. the symptoms are real and can be disabling, even though they aren’t caused by structural damage in the brain. Instead, the issue lies in how the brain is functioning—how it’s sending and processing signals.

Australian researchers are now urging clinicians to make a positive diagnosis using clear physical signs (rather than just ruling other things out), which helps people feel more confident in the diagnosis and more engaged with their recovery.

Clear Communication is a Key Part of Treatment

One of the most powerful findings in the research is that how the diagnosis is delivered really matters. People do better when they’re given a clear explanation of what FND is, why the diagnosis fits their symptoms, and what the next steps look like. This helps reduce fear and confusion, and it builds trust between the client and their treatment team.

Good communication from the start also lays the foundation for effective therapy—people are more likely to engage in treatment if they understand what’s happening in their body and why.

The Most Effective Treatment for Functional Neurological Disorder

The research strongly supports a multidisciplinary approach to treatment. That means bringing together a team of professionals—such as neurologists, psychologists, physiotherapists, occupational therapists, GPs, and sometimes speech pathologists—to provide care tailored to the individual.

The most effective help for FND often includes:

  • Specialised physiotherapy, which helps people relearn movement and improve mobility
  • CBTinformed psychological therapy, focusing on managing symptoms, reducing distress, and improving coping
  • Occupational therapy and speech therapy, depending on the symptoms
  • Ongoing support from a trusted GP or care team, to manage the journey over time

Importantly, this isn’t just about treating one part of the problem—it’s about supporting the whole person. This biopsychosocial approach is proving to be much more effective than older models that focuses solely on psychiatric explanations.

Early Diagnosis and Treatment Make a Difference

Research highlights that early access to treatment for Functional Neurological Disorder can improve recovery rates and reduce the risk of long-term disability. When people receive the right help early on—and feel believed and supported—their outcomes are much better.

Unfortunately, the availability of specialised FND services in Australia can vary depending on where you live. That’s why it’s important to advocate for a diagnosis, seek out clinicians with experience in FND, and build a treatment team that works for you.

Tips for managing functional neurological disorder

Picture of Written by Dr Elizabeth Woodcock

Written by Dr Elizabeth Woodcock

Clinical Psychologist, Director of MindBox Psychology

Our Psychologists are highly qualified, holding Masters or Doctorate degrees in Clinical Psychology. We provide treatment for Functional Neurological Disorder using Cognitive Behaviour Therapy (CBT) and other evidence-based tereatments Mindfulness, and Dialectical Behaviour Therapy (DBT).