TY - JOUR T1 - Occupational therapy consensus recommendations for functional neurological disorder JF - Journal of Neurology, Neurosurgery & Psychiatry JO - J Neurol Neurosurg Psychiatry SP - 1037 LP - 1045 DO - 10.1136/jnnp-2019-322281 VL - 91 IS - 10 AU - Clare Nicholson AU - Mark J Edwards AU - Alan J Carson AU - Paula Gardiner AU - Dawn Golder AU - Kate Hayward AU - Susan Humblestone AU - Helen Jinadu AU - Carrie Lumsden AU - Julie MacLean AU - Lynne Main AU - Lindsey Macgregor AU - Glenn Nielsen AU - Louise Oakley AU - Jason Price AU - Jessica Ranford AU - Jasbir Ranu AU - Ed Sum AU - Jon Stone Y1 - 2020/10/01 UR - http://jnnp.bmj.com/content/91/10/1037.abstract N2 - Background People with functional neurological disorder (FND) are commonly seen by occupational therapists; however, there are limited descriptions in the literature about the type of interventions that are likely to be helpful. This document aims to address this issue by providing consensus recommendations for occupational therapy assessment and intervention.Methods The recommendations were developed in four stages. Stage 1: an invitation was sent to occupational therapists with expertise in FND in different countries to complete two surveys exploring their opinions regarding best practice for assessment and interventions for FND. Stage 2: a face-to-face meeting of multidisciplinary clinical experts in FND discussed and debated the data from stage 1, aiming to achieve consensus on each issue. Stage 3: recommendations based on the meeting were drafted. Stage 4: successive drafts of recommendations were circulated among the multidisciplinary group until consensus was achieved.Results We recommend that occupational therapy treatment for FND is based on a biopsychosocial aetiological framework. Education, rehabilitation within functional activity and the use of taught self-management strategies are central to occupational therapy intervention for FND. Several aspects of occupational therapy for FND are distinct from therapy for other neurological conditions. Examples to illustrate the recommendations are included within this document.Conclusions Occupational therapists have an integral role in the multidisciplinary management of people with FND. This document forms a starting point for research aiming to develop evidence-based occupational therapy interventions for people with FND. ER -