Functional NEUROLOGICAL disorder includes the following symptoms which may be suitable either for a general neurology appointment or in some cases a specialist FND clinic.<\/p>\n\n\n\n
FND should not be used to describe ALL functional symptoms and disorders<\/strong>. It doesn\u2019t for example include Chronic pain\/Fibromyalgia, persistent fatigue or Functional Gastrointestinal problems such as Irritable Bowel Syndrome.<\/strong> Those disorders may commonly arise through similar central mechanisms and are often present in people with FND.<\/p>\n\n\n\n DCN Clinical Services for FND available to Primary Care<\/strong><\/p>\n\n\n\n FND Specialist Practitioner<\/strong> \u2013 This pilot role is primarily to help people with FND who are already in hospital or at imminent risk of admission. They are also available to provide education to staff about FND. Primary care can contact them if they have a patient who they think is at imminent risk of admission. People with FND should contact their own consultant rather than the FND specialist practitioners at present. They can be contacted on \u2013 loth.fndpractitioner@nhs.scot<\/a><\/p>\n\n\n\n Services for FND available to DCN Clinicians<\/strong><\/p>\n\n\n\n There is heavy demand for FND specific therapies, and we have found referrals from outside neurology have often not been appropriate, so DCN clinicians currently act as gatekeepers. <\/p>\n\n\n\n Other Services<\/strong><\/p>\n\n\n\n People with FND commonly have comorbidities including chronic pain, persistent fatigue or mental health problems. If FND symptoms are not the dominant issue it may be more appropriate for them to be managed in pain, fatigue or mental health services.<\/p>\n\n\n\n M.A & J.S. 10-10-25<\/strong><\/p>\n\n\n\n Referrals from outside of NHS Lothian<\/strong><\/p>\n\n\n\n Patients with FND from outside NHS Lothian are generally only seen when referred from secondary care (usually neurology) from NHS Borders, Fife, Forth Valley and Dumfries and Galloway, with whom NHS Lothian has service level agreements. NHS Fife and NHS Forth Valley have their own FND pathways.<\/p>\n\n\n\n <\/p>\n<\/div><\/div>\n\n\n\n Related resources for patients<\/strong><\/p>\n\n\n\n Persistent fatigue – https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/Pages\/ChronicFatigueSyndromeME.aspx<\/a><\/p>\n\n\n\n Jon Stone, Richard Davenport (Neurology), <\/p>\n\n\n\n Alan Carson (Neuropsychiatry),<\/p>\n\n\n\n Katie Wilkie (Neurophysio \u2013 Astley Ainslie),<\/p>\n\n\n\n Lynne Main (OT \u2013 Astley Ainslie),<\/p>\n\n\n\n David Gillespie (Neuropsychology DCN),<\/p>\n\n\n\n (SLT \u2013 DCN),<\/p>\n\n\n\n (CRABIS, West Lothian)<\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":" Functional NEUROLOGICAL disorder includes the following symptoms which may be suitable either for a general neurology appointment or in some cases a specialist FND clinic. FND should not be used to describe ALL functional symptoms and disorders. It doesn’t for example include Chronic pain\/Fibromyalgia, persistent fatigue or Functional Gastrointestinal problems such as Irritable Bowel Syndrome.<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":4173,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[984,428],"class_list":["post-16333","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-functional-neurological-disorder-fnd","category-neurology"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" Functional Neurological Disorder (FND)<\/a>Neurology<\/a>","rttpg_excerpt":"Functional NEUROLOGICAL disorder includes the following symptoms which may be suitable either for a general neurology appointment or in some cases a specialist FND clinic. FND should not be used to describe ALL functional symptoms and disorders. It doesn’t for example include Chronic pain\/Fibromyalgia, persistent fatigue or Functional Gastrointestinal problems such as Irritable Bowel Syndrome.","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/16333","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=16333"}],"version-history":[{"count":7,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/16333\/revisions"}],"predecessor-version":[{"id":26076,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/16333\/revisions\/26076"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4173"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=16333"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=16333"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}\n
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Who to refer:<\/strong><\/h4>\n\n\n\n
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Who not to refer:<\/strong><\/h4>\n\n\n\n
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How to refer:<\/strong><\/h4>\n\n\n\n
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