FND is not classed as degenerative, however symptoms for people can become chronic or worsen. Recovery and/or symptom management is possible, however it may be dependent on triggers of symptoms, comorbidities, and being able to access appropriate treatment. 

Evidence is growing that Neuro-physiotherapy can be the most effective treatment for those who have movement or motor symptoms such as weakness and walking difficulties. This type of therapy focuses on regaining normal function, aka retraining the brain, rather than being focused on exercise. 

If a Physiotherapist has limited/no knowledge of FND, this publication may be helpful Physiotherapy for functional motor disorders: a consensus recommendation.  It has been written by some of the leading specialists in this field.

Other therapies, such as speech and language, may be needed within the collaborative care depending on symptoms.

Emotional health is just as important as physical health, and as with many, if not most, commonly-known neurological conditions, can play a significant roll in recovery and/or management of symptoms. Neuro-psychotherapy can help with dealing with past emotional trauma such as PTSD, existing emotional health difficulties such as anxiety and stress, memory and cognition problems, and provide support and guidance with how to cope with life changes due to poor health. This can be delivered in several forms such as Cognitive Behavioural Therapy (CBT), Mindfulness, Eye Movement Desensitisation and Reprocessing (EMDR) and talking therapy. This is particularly relevant to people who suffer from dissociative seizures.

People report often that Grounding techniques help them to manage symptoms. Whilst this link relates to seizures, it can also be effective for those with movement/motor symptoms and conditions such as chronic pain.

An Occupational Therapist’s role is to assess and support a person’s practical needs (short or long term) with everyday living whilst symptomatic. This could be aids needed for physical difficulties, help with maintaining the home and undertaking tasks, help with physical activity, and support getting back to work. Occupational therapy can play a significant role in treatment to assist with regaining normal bodily function.

There is no recognised or approved medication to treat FND, however antidepressants and pain medication may be prescribed to help relieve possible triggers or co-existing conditions. Whilst they may be offered to help relieve symptoms, it is imperative that the administration is managed whilst taking them by a medical professional. Antidepressants, or anti-anxiety medications, should only be considered for short-term use. If a person still remains symptomatic whilst taking medication it may not be suitable or necessary, or the correct dosage. A person taking any form of medication should always be made fully aware of potential side effects, both whilst the person is taking them and if/when they stop taking them.