Sense of control, selective attention, cognitive inhibition, and psychosocial outcomes after Retraining and Control Therapy (ReACT) in pediatric functional seizures

Evidence-Based Mind-Body Interventions for Children and Adolescents with Functional Neurological Disorder

“…All these clinicians and their teams have contributed to recent advances in theory, best-practice guidelines, and evaluation of treatment outcomes, thereby providing direction for clinicians around the world (see Supplemental Text Box 2, http://links.lww.com/HRP/A210). 10,11,15,20,25,37,40,43,58,59,74,80,81,92,108–128 Through collaborative efforts, these teams have also worked hard to highlight that the pressing need to develop an FND-informed culture of care that takes into account recent advances in our understanding and clinical care of children and adolescents with FND 26 …”

“…The last decade has seen significant advances in many areas related to pediatric FND: its neurobiology; the medical/neurological assessment of the disorder, which yields a positive diagnosis; the biopsychosocial assessment, which yields a formulation that is co-constructed with the child and the family; the use of the formulation as a guide to treatment planning; and the development of evidence-based interventions that make up the treatment components within the treatment intervention. These advances have been brought about through the dedicated work of clinicians and clinical teams from around the world, including Elena Garralda and her colleagues in the United Kingdom; 74,[108][109][110] Jan Baker and her speech therapy colleagues in Australia; 43,111,112 Per Fink, 113,114 Charlotte Rask, 74,115,116 Karen Hansen Kallesøe [117][118][119] and their colleagues in Denmark; Trond Diseth, 120 Helene Helgeland, 37,58 Stein Førde, 59 and their colleagues in Norway; Tyson Sawchuk and his colleagues in Canada; 11,20,81 Aaron Fobian (Alabama), 15,80,92,121 Jeffrey Waugh (Texas), [122][123][124] and Areti Vassilopoulos (Connecticut), 25 and their colleagues, all in the United States; and, finally, the work of our own mind-body team in Australia (cited throughout this article). All these clinicians and their teams have contributed to recent advances in theory, best-practice guidelines, and evaluation of treatment outcomes, thereby providing direction for clinicians around the world (see Supplemental Text Box 2, http://links.…”

“…lww.com/HRP/A210). 10,11,15,20,25,37,40,43,58,59,74,80,81,92, Through collaborative efforts, these teams have also worked hard to highlight that the pressing need to develop an FNDinformed culture of care that takes into account recent advances in our understanding and clinical care of children and adolescents with FND. 26 Declaration of interest: The authors report no conflicts of interest.…”

“…A key goal of all of the above interventions-and any interventions that continue into the future-is to increase the child's (and family's) sense of control, sense of mastery, positive coping, and resilience. 37,92 The long-term aim is to enable the child and family to better manage future stress and the challenges of daily living. ‡ ‡ Postural orthostatic tachycardia syndrome (POTS) is an overarching term that includes stress-related dysregulation of the autonomic nervous system, dysregulation secondary to being bedbound in the context of illness (and lack of exercise that would function to regulate the autonomic nervous system on a daily basis), and dysregulation secondary to "organic" factors such as an autonomic neuropathy.…”

“…A key goal of all of the above interventions—and any interventions that continue into the future—is to increase the child’s (and family’s) sense of control, sense of mastery, positive coping, and resilience 37,92 . The long-term aim is to enable the child and family to better manage future stress and the challenges of daily living.…”