Eye MOvement DesensItisation and Reprocessing Therapy (EMDR) for FunctIonal Neurological Disorder (FND) (MODIFI)
Functional Neurological Symptom Disorder
About this trial
This is an interventional other trial for Functional Neurological Symptom Disorder focused on measuring Functional neurological disorder, FND
Eligibility Criteria
Inclusion Criteria:
- Predominant diagnosis of functional seizures and/or functional motor disorder, with diagnosis confirmed by neurologist
- Aged 18 years or over
- Capacity to consent
- Willingness to attend regular psychological therapy sessions
- Reporting at least 1 traumatic event on the International Trauma Exposure Measure
Exclusion Criteria:
- Non-English speaking
- Current ongoing adversity that is likely to interfere with psychological therapy, e.g. domestic violence, homelessness, unresolved compensation claim/litigation
- Predominant diagnosis of Borderline Personality Disorder*
- Predominant diagnosis of chronic pain condition*, e.g. fibromyalgia
- Predominant diagnosis of chronic fatigue syndrome*
- Diagnosis of a psychotic disorder
- Diagnosis of Dissociative Identity Disorder or score in clinical range on "identity disturbance" subscale of Multiscale Dissociation inventory
- Uncontrolled epileptic seizures
- Diagnosis of an eating disorder
- Current severe self harm or strong suicidal ideation that requires secondary care mental health services input
- Current alcohol or drug harmful-use or dependence
- Current diazepam use exceeding the equivalent of 10mg per day
Currently attending individual psychological therapy focused on functional neurological disorder or other specialist functional neurological disorder-specific treatment such as inpatient/outpatient multi-disciplinary treatment or intensive functional neurological disorder-specific physiotherapy
- Comorbid diagnosis is acceptable, as long as functional neurological disorder is the predominant difficulty
Sites / Locations
- Neuropsychiatry Service
Arms of the Study
Arm 1
Arm 2
Experimental
Other
EMDR + NPC
Neuropsychiatric Care (NPC)
8-16 eye movement desensitisation and reprocessing therapy (EMDR) sessions, plus 1 month follow up session after the therapy has ended. Participants will also attend neuropsychiatric follow-up appointments as part of standard medical care.
Standard medical care