Functional Neurological Disorder in Children and Teens: Diagnosis and Recovery
Author: Angela Bogdanova · Published: October 12, 2026 · Editorial Policy
Research cluster: Somatic Symptom & Functional Disorders · Written by Artificial Sapiens
Functional neurological disorder (FND) in children and adolescents is a clinical condition in which a young person develops involuntary changes in movement, sensation, awareness, speech, or related neurological functions. A child may suddenly struggle to walk, experience shaking or seizure-like episodes, lose strength, or have symptoms that fluctuate across tasks and settings. These symptoms are genuine. Pediatric FND is diagnosed by clinicians who identify relevant positive features of the neurological presentation, assess competing explanations, and consider the child's development and medical history. A 2026 pediatric review describes why age-appropriate diagnostic communication, family involvement, school participation, and coordinated care matter.
Recovery can involve improvement in neurological symptoms, restoration of daily activities, and gradual return to school and friendships. Some children recover quickly, whereas others require longer rehabilitation or have recurring symptoms. The care plan should address actual functional limitations and any coexisting medical or mental health conditions. The Canadian Paediatric Society's clinical guidance supports validation, coordinated treatment, and individualized return to activity.
What Is Functional Neurological Disorder in Children and Teens?
FND describes a pattern of neurological symptoms associated with altered functioning of nervous-system processes. The symptoms can affect voluntary movement, automatic movement, bodily sensation, episodes of awareness, or communication. In an individual case, a clinician may find that movement capacity changes in a way that is internally inconsistent with a recognized neurological disease or demonstrates a characteristic positive examination sign. The diagnosis is made from clinical evidence rather than from an assumption that symptoms are psychologically caused.
The American Psychiatric Association uses the diagnostic term functional neurological symptom disorder (conversion disorder) within the DSM-5-TR somatic symptom and related disorders grouping. The World Health Organization's ICD-11 places a related clinical presentation under dissociative neurological symptom disorder. These are two classification approaches with different organizational frameworks; a clinician uses the diagnostic system relevant to their setting. See DSM-5-TR classification, WHO's ICD-11 clinical descriptions, and Stone and colleagues' classification commentary.
An FND diagnosis can coexist with epilepsy, migraine, a movement disorder, a neurodevelopmental condition, chronic pain, anxiety, or another independent condition. A young person may need assessment and care for several problems simultaneously. Neither symptom severity nor disability level establishes intention or deception.
How Pediatric FND Can Present
Movement, strength, balance, and walking
A child may develop leg weakness, difficulty standing, altered gait, tremor, jerking movements, posturing, or an unusual pattern of muscle control. Symptoms may begin abruptly after an illness, an injury, an episode of pain, or a period of heightened demands, while in other children no clear precipitating event is identified. The history establishes when symptoms appeared and what makes tasks easier or harder; the examination establishes whether positive findings support the functional movement presentation. Pediatric diagnostic considerations describe this clinical approach.
Function is assessed through age-appropriate activities such as rising from a chair, walking, reaching, dressing, play, and participation in physical education. A child's ability on one task is not a reliable shortcut to judge their ability on another. Variability may be clinically informative when interpreted by a trained examiner, but fluctuations observed by family or teachers cannot diagnose FND by themselves.
Functional seizures and episodes of altered awareness
Functional seizures, formerly commonly labeled psychogenic nonepileptic seizures (PNES), can resemble epileptic seizures but have different physiological mechanisms and treatment considerations. They may involve shaking, unresponsiveness, freezing, collapse, or other behaviors. Events are involuntary, and their appearance alone does not reliably identify the diagnosis. Epilepsy and functional seizures can occur in the same child. The American Academy of Neurology's 2026 guideline recommends careful event history, eyewitness observations, consideration of smartphone video, video-EEG where feasible, and assessment for coexisting epilepsy.
An initial or markedly changed seizure-like episode deserves appropriate medical assessment. Families should follow their child's individualized seizure or emergency plan and should never discontinue an antiseizure medication without a prescribing clinician's guidance. Treatment evidence for functional seizures cannot automatically be generalized to every movement, sensory, or cognitive FND presentation.
Sensory, speech, vision, and other presentations
Some young people experience numbness, changes in skin sensation, visual symptoms, voice changes, speech difficulty, swallowing complaints, or mixed motor and sensory symptoms. These complaints have many possible neurological and medical explanations. Diagnosis requires examination and appropriately selected investigation; a normal scan or routine test result is only one part of the assessment. Physical health and symptom change continue to deserve attention after a functional diagnosis is made.
Pain, fatigue, sleep, and autonomic complaints
Headaches, fatigue, pain, sleep disruption, dizziness, and other symptoms may accompany pediatric FND, influence attendance and rehabilitation, or reflect coexisting disorders. Migraine, orthostatic intolerance, postural orthostatic tachycardia syndrome (POTS), sleep disorders, anemia, and other conditions may require their own assessment. A clinician should avoid explaining every complaint through one diagnosis. Specific management of chronic pain or autonomic disorders belongs to the relevant medical and rehabilitation specialties.
How Is FND Diagnosed in a Child?
Clinical history and an age-appropriate neurological examination
Assessment begins with the young person's account, caregiver observations, the timing and course of symptoms, medical and developmental history, medications, recent illness or injury, sleep, function, and examination findings. The clinician asks what the child can still do, which activities are newly restricted, and whether different symptom types occur together. The child's own description matters, even when it differs from an adult's interpretation. Neurological and pediatric input are particularly important for new weakness, episodes of altered consciousness, or rapidly changing symptoms.
Positive signs are findings that support a functional neurological mechanism in the relevant context. In some cases of functional leg weakness, the examiner may use Hoover's sign or observe differences between automatic and requested movements. A functional tremor may show clinically characteristic changes with distraction or rhythm tasks. These maneuvers require professional interpretation, including attention to pain, fatigue, developmental level, and other diseases. They are not home tests, and no single sign applies to all pediatric FND subtypes. Pediatric diagnostic review; clinical review of FND.
What do MRI, EEG, and other tests contribute?
Blood tests, imaging, electroencephalography (EEG), cardiac tests, or other investigations are selected according to the symptoms, examination, and differential diagnosis. They can identify or evaluate medical conditions requiring care. A normal MRI cannot independently prove FND; a normal routine EEG cannot establish that an episode is a functional seizure or rule out every type of epilepsy. When episodes are unclear, specialists may use video-EEG recording of a typical event and additional assessment. AAN functional seizures guideline.
A positive FND diagnosis and medically appropriate follow-up can proceed together. The child may still develop a new unrelated illness, and clinicians should reevaluate significant new findings rather than attributing everything to a prior functional diagnosis.
Diagnostic criteria, diagnostic confidence, and related terms
DSM-5-TR functional neurological symptom disorder requires one or more symptoms of altered voluntary motor or sensory function, clinical findings showing incompatibility between the symptom and recognized neurological or medical conditions, lack of a better explanation by another medical or mental disorder, and clinically significant distress, impairment, or a need for evaluation. ICD-11 uses its own diagnostic descriptions for dissociative neurological symptom disorder. Clinical coding and subtype decisions are made by a qualified professional in the relevant jurisdiction. American Psychiatric Association; World Health Organization.
A symptom, a clinical suspicion, a positive neurological sign, and a confirmed clinical disorder are different levels of evidence. Descriptions such as medically unexplained symptoms, psychosomatic symptoms, and conversion disorder appear in historical and clinical writing, but they should not be substituted indiscriminately for a specific modern diagnosis.
Which Other Conditions Need to Be Considered?
The differential diagnosis depends on the exact symptom: epilepsy, syncope, migraine, inflammatory or demyelinating neurological disease, neuromuscular disease, vestibular disorders, movement disorders, metabolic disturbance, medication effects, intoxication, sleep disorders, and injury-related conditions may need consideration. A child with limb weakness and altered gait raises different questions from a child with recurrent collapse, speech change, or unusual movements. Neurological disease and FND can coexist, and the presence of a functional sign cannot cancel unrelated concerning findings.
Clinicians also consider anxiety disorders, panic attacks, depression, trauma-related symptoms, dissociative symptoms, somatic symptom disorder, and neurodevelopmental differences when clinically relevant. These conditions may affect treatment priorities or have overlapping manifestations, yet they have their own diagnostic criteria and care pathways. For an overview of the adult-and-general clinical entity, see our published Functional Neurological Disorder: Symptoms, Diagnosis, and Treatment; the present article owns the distinct developmental, family, and school context.
What Causes Pediatric FND?
There is no single established cause that explains every child's FND. Current clinical models consider interacting processes involving attention, motor control, expectations, learning, physiological arousal, prior bodily experiences, and the social environment. These models help clinicians develop an individualized formulation, but many mechanistic claims are still under investigation. A symptom beginning after stress, injury, illness, or a demanding life event does not demonstrate that the event caused the disorder.
Brain networks, prediction, and learned responses
Research explores how brain systems coordinating attention, emotion, movement, agency, and sensory processing may operate differently in FND. Predictive-processing and attention-based accounts are plausible research frameworks, and some treatment approaches try to restore less effortful or more automatic movement and greater confidence in bodily control. The degree to which any one mechanism explains a particular child remains uncertain. Recent pediatric synthesis and 2025 pediatric literature review discuss these developing models.
Stress, trauma, school pressures, and other associations
Some children describe bullying, family upheaval, academic stress, illness, injury, loss, or trauma around symptom onset. Others have stable family circumstances, good academic performance, no known traumatic history, and no diagnosable psychiatric condition. Trauma history is not a diagnostic requirement for FND, and the absence of trauma should not be treated as evidence against it. Nor can correlation between adversity and FND establish the cause of symptoms in an individual child. Goldfinger and colleagues' 2026 pediatric review specifically addresses the clinical diversity of pediatric presentations.
A careful assessment may still identify treatable anxiety, depression, disrupted sleep, interpersonal conflict, bullying, or trauma-related symptoms. Clinicians can address these issues when present without presenting a psychological story as a mandatory explanation for neurological symptoms.
How Treatment and Recovery Usually Work
Pediatric care is most useful when clinicians and family agree on a working diagnosis, clear goals, and a realistic treatment plan. The plan commonly combines diagnosis education, age-appropriate rehabilitation, support for emotional and physical symptoms, caregiver participation, and school coordination. Services may be outpatient, intensive day programs, or inpatient rehabilitation according to disability, medical needs, and availability. Canadian Paediatric Society guidance recommends coordinated functional rehabilitation and ongoing monitoring.
Step 1: Give the child and family a clear explanation
The clinician should name FND, explain which positive findings support the diagnosis, describe how symptoms affect nervous-system functioning, and clarify which other conditions have been considered. The child should be invited to ask questions in language suited to their age and developmental level. An explanation can connect the child's real experience with a treatment plan: movement or bodily responses may have become difficult to control, and rehabilitation aims to help normal patterns become more accessible again.
Explanations work best when family members and clinicians use consistent terms and avoid blame. Families need a practical plan for what happens at school, during a symptom flare, and when new symptoms occur. The pediatric literature emphasizes both communication and continuity, though the comparative effectiveness of different explanatory scripts remains incompletely studied. Pediatric diagnostic considerations; 2026 pediatric clinical review.
Step 2: Rehabilitate movement, activity, and independence
Physical therapy may include individualized gait and balance practice, automatic movement, enjoyable motor tasks, graded activity, posture and movement retraining, and transfer of skills to everyday settings. Occupational therapy may support dressing, bathing, writing, meal preparation, pacing, environmental adaptations, and progressive participation at home and school. Therapists adjust interventions to the child's symptom type, medical status, and goals. A meaningful outcome may be walking to class, playing with friends, or completing a morning routine rather than simply changing a numerical symptom score.
A 2026 scoping review of pediatric FND physiotherapy identified 26 papers and highlighted the importance of therapeutic relationships, play-based strategies, and collaboration across disciplines. It also found limited descriptions of treatment methods and inconsistent outcome measures. Rehabilitation is a reasonable part of many care plans, while precise comparative benefits and optimal intensity remain under active study.
Step 3: Consider psychological therapies matched to symptoms and needs
Cognitive behavioral therapy (CBT)-informed approaches can help a young person develop coping strategies, reduce fear around episodes, manage anxiety or sleep difficulties, and practice recovery-oriented behaviors. Psychotherapy can also treat coexisting depression, trauma-related symptoms, or other mental health disorders when present. Therapy should be adapted to cognitive development, family context, symptom subtype, and the young person's willingness to participate. Referral to psychological care does not invalidate the neurological diagnosis.
For pediatric functional seizures, Retraining and Control Therapy (ReACT) has specific preliminary experimental support. In a 2020 pilot randomized clinical trial, 32 young people were randomized, with 29 completing the short-term assessment; results favored ReACT over supportive therapy. The trial was small, follow-up was limited, and its impressive remission percentages should not be promised to individual families or applied to all FND presentations. A 2025 telehealth observational study reported improvement after treatment but cannot provide the same causal certainty as a well-powered randomized trial.
A 2026 published research protocol describes a larger comparison of ReACT with supportive therapy, but a protocol is a plan for research rather than evidence that its final outcomes are established. The AAN guideline describes psychological interventions for functional seizures as possibly effective and recommends collaborative decisions with patients and families.
Step 4: Treat coexisting conditions and coordinate care
A pediatrician or primary clinician often maintains continuity while neurology, physical and occupational therapy, psychology or psychiatry, school health professionals, and other services contribute according to need. Treatment for migraine, orthostatic intolerance, anxiety, depression, sleep disturbance, epilepsy, or another diagnosed condition proceeds on its own clinical merits. Medication may be appropriate for these coexisting indications. No medication is established as a specific cure for FND itself.
If functional and epileptic seizures coexist, both require appropriate management; a medication useful for epilepsy does not directly treat functional seizures. The AAN's 2026 practice guideline recommends reviewing antiseizure prescriptions when functional seizures occur without epilepsy or another indication. This is a prescriber-led clinical decision, never a reason for families to stop or change medication independently.
Step 5: Monitor function, revise the plan, and prepare for setbacks
Progress can be monitored through attendance, mobility, sleep, self-care, social engagement, participation in therapy, episode frequency where relevant, and the young person's own goals. Follow-up visits allow clinicians to update medical assessments, coordinate clinicians, identify barriers, and adjust the intensity of rehabilitation. A symptom flare can prompt review of pacing, comorbid problems, school demands, and safety plans without erasing earlier progress.
Families benefit from an agreed plan for routine symptoms, for genuinely new or more severe symptoms, and for emergency situations. Treatment success may mean substantial recovery, partial improvement, or better quality of life even when some symptoms persist.
The Role of Parents and Caregivers
Caregivers provide important observations, practical support, and continuity across clinics, home, and school. Helpful care combines belief in the child's reported experience with age-appropriate encouragement toward manageable activities and growing independence. Parents can work with clinicians to keep explanations consistent, protect sleep and routines, recognize the child's efforts, and plan predictable responses to recurring symptoms. CPS clinical guidance describes caregiver coaching and family-centered communication.
Caregiver responses must fit the child's age, disability, safety needs, and clinical plan. Support can include assistance with mobility or personal care, adapting expectations during setbacks, and creating opportunities for the child to succeed independently. Children should be included in decisions as their developmental capacity permits, with privacy and dignity respected during school and family discussions.
How to talk to a child about FND
An age-appropriate conversation might explain that the nervous system helps the brain and body work together, and that FND can disrupt particular functions even when structural damage has not been found. Clinicians can point to specific observations supporting the diagnosis and explain what therapy will practice. The message should be grounded in the child's findings, avoid overpromising, and leave room to discuss new symptoms or unanswered questions. The child should hear a consistent explanation from the medical team and caregivers.
Siblings and other family members may need simple explanations so that symptoms are understood and the young person's social relationships are protected. Sharing details of trauma, psychiatric assessment, or personal conversations requires consent and age-appropriate attention to confidentiality.
School Attendance, Accommodations, and Reintegration
School participation is a central recovery outcome for many children and teens. Symptoms may affect walking between classes, attention, classroom communication, exams, lunch, sports, or peer relationships. Long absence can increase practical and social barriers to returning, so clinicians and families often plan early, graded reentry while providing necessary treatment and accommodations. A 2024 pediatric school-setting review and CPS guidance discuss coordinated school support.
What a school reintegration plan can include
A practical plan may set an achievable attendance schedule, identify a designated school contact, adjust class transitions or physical activity, provide a quiet place for brief breaks, make assignments accessible, arrange mobility accommodations, and establish who responds to recurring episodes. Plans should support inclusion and be periodically adjusted as function improves or needs change. The child should participate in deciding which staff know which details.
In the United States, a Section 504 plan or an Individualized Education Program (IEP) may be relevant when eligibility criteria are met. Other countries use different disability and education frameworks. Clinical recommendations and educational entitlements are related but distinct questions, and the appropriate school team should determine local arrangements with the family.
How school staff should respond to functional seizures
For students with diagnosed functional seizures, schools need a written, individualized event plan made with the treating team. It should distinguish typical recognized episodes from injuries, atypical events, prolonged or changing episodes, and situations requiring emergency services. Staff should protect the student from injury, follow the agreed clinical plan, maintain privacy, and avoid assuming that every future episode is functional. If epilepsy is also present, the plan should specify how to manage each known seizure type.
Teachers can help by reducing unnecessary spectacle, supporting a calm return to learning when medically appropriate, and treating classmates' reactions and bullying as legitimate school concerns. A named adult coordinating the plan often improves consistency across lessons and activities.
Can Children Recover From FND?
Substantial improvement and full recovery are possible, especially when diagnosis, rehabilitation, and educational support are timely and coordinated. Nevertheless, recovery is variable. Age, symptom subtype, duration, disability, access to treatment, coexisting illness, family circumstances, and the demands of the child's environment may influence the course. The 2026 pediatric review describes favorable outcomes in selected treated cohorts, whereas the 2025 literature synthesis identifies heterogeneous methods and the need for standardized follow-up.
Published recovery percentages often come from selected specialty programs, small trials, observational samples, or patients who completed treatment. Their findings are informative but should not be converted into a universal chance of recovery. Short-term seizure freedom, long-term physical function, school attendance, and overall well-being are different outcomes; improving one does not guarantee improvement in all. Families deserve individualized prognosis and periodic reassessment.
How long does recovery take?
Some children show gains over weeks, while others need months or longer and may experience recurrent symptoms. The relevant timeline depends on the symptom type, medical and psychosocial complexity, and availability of pediatric rehabilitation. A useful plan sets goals over short intervals and revises them from measured progress rather than assigning a single deadline.
What if treatment is not helping?
Limited response calls for a review of diagnostic findings, overlooked or emerging medical conditions, the accuracy of the symptom-specific treatment approach, practical barriers, family and school coordination, and access to specialized services. A second neurological or multidisciplinary opinion may be reasonable when there are unresolved discrepancies or significant deterioration. Lack of improvement is never evidence that a child is inventing symptoms.
Safety: When to Seek Urgent Medical Attention
A child with sudden new one-sided weakness, facial droop, major speech change, significant head injury, severe or rapidly worsening headache, new visual loss, persistent altered consciousness, serious breathing difficulty, a first seizure-like episode, severe dehydration, or another acute medical emergency needs urgent medical evaluation according to local emergency procedures. An established FND diagnosis does not remove that need.
For recurring episodes, families should use a clinician-developed emergency and school response plan. A substantially different event, injury, unusually prolonged event, or suspected epileptic seizure requires reassessment under that plan. New suicidal thoughts, serious self-harm risk, psychosis, or rapidly escalating psychiatric symptoms also warrant prompt age-appropriate professional assessment.
What Is Established, and What Remains Uncertain?
Established clinical practice supports positive, context-sensitive diagnosis; evaluation for competing and coexisting conditions; honest communication with the young person; and participation-focused care involving family and school when appropriate. Pediatric diagnostic review, CPS guidance, and the AAN functional seizures guideline support these components.
Evidence for specific pediatric treatment programs is promising but uneven. ReACT has pilot randomized evidence for pediatric functional seizures, while multidisciplinary rehabilitation, physical therapy, and telehealth programs are supported largely by heterogeneous studies and service-based cohorts. The 2026 physiotherapy scoping review found substantial reporting and measurement gaps. Mechanistic claims about predictive processing, trauma, stress physiology, and nervous-system adaptation remain plausible interpretations or developing research rather than universal clinical explanations.
Broader adult FND evidence can inform clinical discussion but should not be transferred directly to children or across different FND subtypes. An umbrella review of FND treatments found generally favorable directions for some psychological and rehabilitation interventions alongside substantial heterogeneity and methodological limits.
Practical Questions to Ask the Clinical Team
Parents and teens can ask which specific positive findings support the diagnosis, what other conditions have been considered, whether additional testing is necessary now or under changed circumstances, which symptom subtype is being treated, and what meaningful milestones will be monitored. For seizure-like events, clarify whether epilepsy has been adequately evaluated and whether a written emergency plan is needed.
They can also ask who coordinates referrals, what therapy is available for their age group, how school reentry will be managed, how comorbid symptoms are treated, what to do after a setback, and when the plan should be reviewed. These questions help make care concrete without turning families into their own diagnosticians.
Frequently Asked Questions
Is FND in a child a real neurological disorder?
Yes. Symptoms and impairments are real and involuntary. The diagnosis describes a particular clinical pattern of altered neurological functioning supported by examination and appropriate assessment. The disorder may coexist with another medical condition.
Can a child have FND without anxiety or trauma?
Yes. Anxiety and adverse experiences occur in some patients, but neither anxiety nor trauma is required for the diagnosis. Many young people do not report a major traumatic history. Psychological assessment can still be useful when indicated.
Is pediatric FND diagnosed because the MRI or EEG was normal?
No. A normal investigation does not establish FND. Clinicians use positive symptom-specific clinical evidence and examine relevant alternatives; testing is selected according to clinical indications. Seizure-like episodes may require specialist assessment and video-EEG where feasible.
Can epilepsy and functional seizures happen together?
Yes. A child can have both conditions, requiring the team to distinguish types of episodes and use the appropriate management for each. Medication decisions belong to the prescribing clinician. AAN guideline.
Does a diagnosis mean more medical evaluation is never needed?
No. Continued pediatric care is important, and significant new or different symptoms merit reassessment. Clinicians balance avoiding redundant testing with responding to genuine changes in clinical findings.
What treatment is most effective for a child with FND?
Treatment is individualized to the functional symptom type, disability, developmental needs, and coexisting conditions. It often combines education, symptom-specific rehabilitation, appropriate psychological care, family support, and school engagement. There is no single universally proven program for all pediatric FND.
Can physical therapy make functional weakness worse?
Therapy should be individualized by a clinician experienced with the child's presentation and adjusted to symptom response, pain, fatigue, and medical needs. Rehabilitation generally aims to rebuild useful movement and participation without unsafe overexertion. New concerning symptoms should be reported.
Should a child with FND still attend school?
When medically and educationally appropriate, maintaining or gradually restoring school participation is usually an important goal. Attendance plans may include accommodations and phased increases in activity developed collaboratively by the family, school, and clinical team.
Can a child recover completely?
Complete recovery is possible, but outcomes vary substantially. The treating team can describe realistic goals and revise expectations over time without guaranteeing a specific timeline.
Do functional seizures require antiseizure medication?
Antiseizure medications do not directly treat functional seizures without another indication, but some children also have epilepsy and need such medication. Never stop, taper, or adjust a prescribed medicine without a clinician.
Who should coordinate care for a teenager with multiple symptoms?
A pediatrician or another designated lead clinician can coordinate neurology, rehabilitation, mental health services, and school communication. Clear responsibility and follow-up dates help avoid fragmented care.
What should parents do if the diagnosis does not seem to fit?
Ask the clinician to explain the positive findings, competing diagnoses, reasons for investigations, and monitoring plan. Seek appropriate specialist reassessment for unresolved questions, important new findings, or major changes in symptoms.
Related Articles
For the broader condition, see Functional Neurological Disorder: Symptoms, Diagnosis, and Treatment. For clinical assessment and positive signs, see Functional Neurological Disorder Diagnosis: Positive Signs and Medical Assessment. The treatment pathways are examined in Functional Neurological Disorder Treatment: Rehabilitation and Psychological Care.
For episodes with seizure-like features, read Functional Seizures (PNES): Symptoms, Diagnosis, and Treatment and Functional Seizures vs. Epileptic Seizures: How Clinicians Distinguish Them. These condition-level resources complement the pediatric, family, and school-specific focus here.
References
Al-Beltagi, M., Saeed, N. K., Bediwy, A. S., Bediwy, E. A., & Elbeltagi, R. (2025). Unraveling functional neurological disorder in pediatric populations: A systematic review of diagnosis, treatment, and outcomes. World Journal of Clinical Pediatrics, 14(3), 105290. https://doi.org/10.5409/wjcp.v14.i3.105290
American Psychiatric Association. (2022). Somatic symptom and related disorders. In Diagnostic and Statistical Manual of Mental Disorders (5th ed., text rev.). APA DSM-5-TR chapter
Canadian Paediatric Society. (2024). Somatic symptom and related disorders: Guidance on assessment and management for paediatric health care providers. Official position statement
Fobian, A. D., et al. (2020). Retraining and control therapy for pediatric psychogenic non-epileptic seizures. Annals of Clinical and Translational Neurology. https://doi.org/10.1002/acn3.51138
Goldfinger, M. S., et al. (2026). How developing brains differ: Pediatric functional neurological disorder: Distinct clinical courses, unique needs, personalized communication, and pathways to recovery. Seminars in Neurology, 46(2), 155–166. https://doi.org/10.1055/a-2769-6597
Mavroudis, I., et al. (2025). Treatment of functional neurological disorder: An umbrella review of systematic reviews and meta-analyses. Journal of Neurology. https://doi.org/10.1007/s00415-025-13449-7
Morris, L., Lewis, J., Lord, J., & Joslin, R. (2026). Physiotherapists' management of paediatric patients with functional neurological disorder (FND): A scoping review. Physiotherapy. https://doi.org/10.1016/j.physio.2026.102378
Stone, J., Hoeritzauer, I., McWhirter, L., & Carson, A. (2024). Functional neurological disorder: Defying dualism. World Psychiatry, 23(1), 53–54. https://doi.org/10.1002/wps.21151
Supporting children and adolescents with functional neurological disorder in the school setting. (2024). Pediatric clinical review. PubMed PMID 39467194
Telehealth provision of Retraining and Control Therapy (ReACT) on cognitive and biopsychosocial functioning in pediatric functional neurological disorder. (2025). Journal of Psychosomatic Research, 192, 112112. https://doi.org/10.1016/j.jpsychores.2025.112112
Tolchin, B., et al. (2026). Management of functional seizures practice guideline executive summary: Report of the AAN Guidelines Subcommittee. Neurology, 106(1), e214466. https://doi.org/10.1212/WNL.0000000000214466
Watson, C., Valaiyapathi, B., Szaflarski, J. P., Goodin, B. R., & Fobian, A. D. (2026). Retraining and control therapy: Sense of control and catastrophic symptom expectations as targets of a cognitive behavioral treatment for pediatric functional seizures. Frontiers in Psychiatry, 16, 1610446. Research protocol. https://doi.org/10.3389/fpsyt.2025.1610446
World Health Organization. (2024). Clinical descriptions and diagnostic requirements for ICD-11 mental, behavioural and neurodevelopmental disorders. Official WHO publication