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Beyond misunderstanding: the road to meaningful FND services

jnnp · 2025-09-15 · canonical JSON source

4 visible annotations · policy: published · automated confidence ≥ 75.00%

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Dr Stephanie-Roxanne Blanco is a neuropsychologist, senior lecturer, researcher, and consultant specialising in Functional Neurological Disorder (FND). She is the ViceChair of FND Dimensions, a UK charity dedicated to supporting those with FND, and combines academic expertise with lived experience to drive meaningful change. Her work focuses on a range of statistical and experimental methods, improving clinical pathways, challenging misconceptions, and bridging the gap between neurology, psychology, and rehabilitation.Despite decades of research, Functional Neurological Disorder (FND) remains one of the most misunderstood and under-resourced conditions in neurology and psychiatry. This misunderstanding affects public perception and has tangible consequences for patients, clinicians, researchers and healthcare systems. Misunderstanding alone is not the problem; the real challenge is the absence of a cohesive, accessible and evidence-based service model that adequately supports those with FND.Drawing from both professional expertise as a neuropsychologist and lived experience as a patient, this talk will examine where this misunderstanding stems from, why our current approach to FND is failing and, crucially, what needs to change. From the fragmentation of services to the persistent gaps in training, I will explore the systemic barriers that have left patients navigating a cycle of misdiagnosis, neglect and inadequate treatment and support.This is not just a critique but a call to action for meaningful reform. What does meaningful FND care require? How do we bridge the divide between neurology, psychiatry and rehabilitation? How can we collectively shape a future where FND patients can access care?As the closing talk of this session, this presentation will challenge outdated narratives, advocate for a paradigm shift in service provision, and set out clear evidence-based solutions for the future of FND care and research. It is time to demand a model that sees, hears, and supports those with FND throughout their journey. The solutions exist – it is time to implement them.