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Patients after years of analysis 😅 #Psychoanalysis

Myth busting - When the fundamental understanding of the condition is incorrect, everything that flows from it is incorrect 🚨🚨👇1/2 Myth 1 👉”FND is a diagnosis of exclusion” ( Horowitz) ❌ Myth busting 👉 “The diagnosis of FND should be 'ruled in' based on the presence of positive signs.” ( Bennett et al,2021) ✅ “Functional neurological disorder (FND), previously regarded as a diagnosis of exclusion, is now a rule-in diagnosis with available treatments.” (Aybek & Perez ,2023) Myth 2 👉FND has no evidence of physical pathology ( Horowitz) ❌ Myth Busting 👉 “Psychological factors are one of many possible risk factors for FND and should not be considered the sole aetiological cause.” ( Bennett et al,2021) ✅ From 👉 Myths about functional neurological disorder, old and new; adapted from Lidstone et al Reference : Bennett et al, A practical review of functional neurological disorder (FND) for the general physician. Clin Med (Lond). 2021 Jan;21(1):28-36.

God bless @m_scheeringa for the heavy lifting Can he do Gabor Mate next?

Sure, but let me offer something I see alarmingly often in my clinical practice… Doctors, both PCP’s and psychiatrists, that NEVER ran any blood tests for relatively minor medical issues. Medical issues that will present as a mental health problem. I call them minor because they’re usually fairly cheap and easy to treat. Things like: -Thyroid issues -Low Vitamin D -Low Magnesium -Electrolyte issues in general -a genuine food sensitivity or allergy, many of which come with an atypical presentation The doubly irritating issue in all this is that when I send patients back to their doctors, the doctor tends to be butt hurt that I’m telling them to rule these things out. A not insignificant percentage of these doctors have even gone so far as to leave me rather unhinged voicemails and emails, mad at me and still refusing to do the test. Thankfully most of the labs for a while now will let you get your own blood work done.