Elsevier

The Lancet Psychiatry

Volume 5, Issue 4, April 2018, Pages 288-289
The Lancet Psychiatry

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Trauma, traumatisation, and functional neurological symptom disorder—what are the links?

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  • Symptoms of posttraumatic stress disorder in patients with functional neurological symptom disorder

    2020, Journal of Psychosomatic Research
    Citation Excerpt :

    Reflecting the development of recent thought about FNSD, and in order to allow clinicians to formulate a diagnosis in such circumstances, the DSM-5 has therefore dropped the mandatory diagnostic criterion of a psychological precipitant. The diagnosis of FNSD is now based on neurologically defined criteria such as the observation of incompatibility between illness manifestation and recognised neurological or medical condition [6], e.g. the presence of Hoover's sign in patients with unilateral leg weakness or resistance to eye opening during a seizure [3]. Nevertheless, previous trauma continues to be an important aetiological factor in modern accounts of FNSD [5,7,8], and it is a matter of continuing debate whether the inability of some patients' to recall potentially relevant distressing experiences means that they never occurred, that they are unwilling or unable to recall them, or that the methods used to capture this information are inadequate [3].

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