Functional Neurological Disorder: Evaluation and Support in Providence, RI

What Is Functional Neurological Disorder?

FND affects the brain’s ability to send and receive signals efficiently. While the underlying structure of the brain is intact, the function of certain networks becomes disrupted, leading to symptoms that are very real and often frightening.

People with FND may experience:

• Memory or concentration difficulties

• Episodes of memory loss

• Limb weakness or paralysis

• Tremor or jerking movements

• Loss of sensation or numbness

• Gait disturbances or difficulty walking

• Non-epileptic seizures (functional seizures)

• Speech or voice changes

• Fatigue or reduced cognitive stamina

Symptoms may fluctuate and often worsen with stress, pain, exhaustion, or sensory overload.

These experiences can make it difficult to work, care for oneself, socialize, or manage daily responsibilities. Many individuals feel misunderstood or dismissed before receiving an accurate diagnosis.

Signs That an Evaluation May Help

A neuropsychological evaluation may be useful if you or a loved one is experiencing:

• Ongoing cognitive changes such as forgetfulness, slowed thinking, or trouble focusing

• Episodes of confusion, dissociation, or “blanking out”

• Difficulty managing daily tasks due to fluctuating abilities

• Concerns about distinguishing FND from another neurological condition

• Emotional distress related to symptoms (anxiety, irritability, sadness, or fear)

• A history of trauma, chronic pain, or significant stressors

• Functional seizures with unclear triggers or patterns

Partners or family members may also notice inconsistencies in abilities or that symptoms worsen during stress or fatigue.

How Neuropsychological Testing Helps

Neuropsychological evaluations can play an important role in understanding FND and guiding recovery. While FND is not caused by permanent brain damage, it often affects how cognitive and emotional systems interact in daily life.

At BrainWise, our evaluations help by:

• Clarifying patterns of cognitive strengths and weaknesses

• Distinguishing FND symptoms from those of other neurological conditions

• Identifying emotional or psychological factors that may influence symptoms

• Providing education to help you understand the diagnosis and recovery process

• Offering behavioral strategies for improving functioning

• Guiding referrals for therapies shown to be effective for FND

• Establishing a baseline to monitor changes over time

• Supporting coordinated care with your medical and behavioral health team

We review results in a thoughtful, straightforward way, ensuring you feel understood rather than dismissed.

Treatment and Support

While FND symptoms can be severe, research shows that many people improve with the right combination of support. Treatment often includes:

• Education about the mind–body connection

• Cognitive-behavioral strategies to reduce symptom triggers

• Physical or occupational therapy focused on movement retraining, if indicated

• Psychotherapy (particularly approaches for trauma, stress, or emotional regulation)

• Lifestyle strategies that support nervous system regulation

• Collaboration with neurologists, therapists, and rehabilitation specialists

A neuropsychological evaluation helps tailor these interventions to your specific needs and goals.

Why Understanding Matters

A clear understanding of FND can help you:

• Feel more confident and less fearful about symptoms

• Recognize patterns that worsen or improve functioning

• Build skills to reduce symptoms and re-engage in the activities that matter to you

• Strengthen communication with your care team

• Access therapies that are evidence-based and personalized

• Move forward with a greater sense of control and direction

Knowledge can be an important step toward recovery.

Support in Providence, RI

BrainWise provides neuropsychological evaluations for adults experiencing functional neurological symptoms throughout Providence, RI and nearby communities. Our approach is grounded in respect, validation, and evidence-based guidance.

You Don’t Have to Navigate FND Alone

If you’re experiencing changes in movement, sensation, or thinking that are difficult to explain, we’re here to help you understand what’s happening—and what can support your recovery.

Contact BrainWise in Providence, RI to schedule an evaluation or discuss your concerns.