Our team specializes in treating patients who’ve been diagnosed with one of the most common subtypes of FND, Functional Movement Disorder (FMD). We use an experienced, multidisciplinary team of physical therapists, occupational therapists and speech-language pathologists to develop an individualized treatment plan based on a comprehensive assessment of each individual. Because the cause of FMD is often multifactorial, so is the treatment, which is tailored to the patient’s particular needs or circumstances.

To qualify for the program, an individual must be diagnosed and referred by a University of Michigan Health neurologist, have relatively persistent functional movement symptoms, have a basic understanding and acceptance of the condition and be committed to treatment.

To schedule an appointment with a neurologist, call the Neurology Clinic at 734-936-9020.

A diagnosis of FMD often comes during an evaluation by a neurologist where clues from a patient’s history and very specific, positive findings on an examination are taken into account. While some patients may have testing such as an MRI or CT scan, these are not always necessary and usually normal in those with FMD.

Once a correct diagnosis is made, symptoms can be reduced, and in some cases reversed, with an experienced team providing targeted physical and psychological therapy approaches.

The initial visit focuses on a comprehensive patient evaluation. Specific goals for movement recovery are created with the patient, followed by design of a treatment protocol using a variety of exercises and therapies to improve motor reprogramming. Patients and their families are educated on the “tools” to support maximum recovery.

The program incorporates a multidisciplinary treatment approach with therapies scheduled five days a week for a two-week period or two half-days per week over a four-week period. During these visits, patients are assisted in relearning normal movement patterns and are taught effective strategies to retrain the mind and body. For the majority of our patients, symptoms of FMD can be overcome. Trust, collaboration, and communication with our experienced team are critical to improving a patient’s function and quality of life.

Types of Treatments

• Physical therapy or occupational therapy: A physical or occupational therapist may work with the patient to improve movement symptoms and prevent complications.
• Speech-language pathology: If a patient experiences problems with speech, swallowing or cognitive communication skills, a speech-language pathologist is available to help work toward improvements in these areas.
• Stress reduction/distraction techniques: Stress reduction techniques include muscle relaxation, mindful breathing, guided visualization, meditation, and physical activity. Distraction techniques — such as music, conversations or a change in a patient’s movement — can help relieve symptoms.

While functional movement symptoms are not "all in your head," an individual’s emotions and way of thinking can impact symptoms and recovery. For some patients, locally coordinated therapies might include:

• Cognitive behavioral therapy: This treatment is provided by a therapist or counselor. The goal is to retrain the brain so abnormal influences can be ignored or redirected.
• Therapy for other mental health conditions: Anxiety, depression or other mental health disorders can worsen symptoms of FMD and negatively impact a patient’s ability to recover.