title: Inpatient treatment for functional neurologic disorders.
abstract: Patients with functional neurologic disorders present to clinicians with a variety of symptomatic manifestations, with various levels of severity, chronicity, and comorbidity, as well as with various degrees of past adversity, intrinsic resilience, and available external support. Clearly, treatment must be individualized. For those patients who have been severely or chronically impaired, especially if adequate prior outpatient treatments have failed, inpatient treatment that integrates the various modalities outlined here provides a rational route of rescue from a course otherwise potentially characterized by protracted dependence and disability. Based on the data currently available, we believe this treatment approach is worthy of further study to refine the component treatment strategies and enhance the potentially most effective ingredients. For patients with severe levels of disability, who could be managed in a multimodal day-treatment program, that approach also warrants further consideration.
authors.affiliation: Movement Disorders Division, Columbia University Medical Center and Department of Psychiatry, Columbia College of Physicians and Surgeons, New York, NY, USA. Electronic address: dtw1@columbia.edu.
authors.forename: D T
authors.initials: DT
authors.lastname: Williams
authors.affiliation: Movement Disorders Clinic, University of Louisville, Louisville, KY, USA.
authors.forename: K
authors.initials: K
authors.lastname: Lafaver
authors.affiliation: Departments of Clinical Neurosciences and of Rehabilitation Medicine, NHS Lothian and Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
authors.forename: A
authors.initials: A
authors.lastname: Carson
authors.affiliation: Department of Neurology, Columbia University Medical Center, New York, NY, USA.
authors.forename: S
authors.initials: S
authors.lastname: Fahn
mesh_terms: D003291:Conversion Disorder / Q000628:therapy*; D006801:Humans; D007297:Inpatients; D009422:Nervous System Diseases / Q000523:psychology* / Q000628:therapy*; D011580:Psychological Techniques; D011602:Psychophysiologic Disorders / Q000628:therapy*
keywords: Conversion disorder; Day treatment programs; Functional neurological disorder; Inpatient treatment; Psychogenic movement disorder; Psychogenic nonepileptic seizures; psychogenic