Is FND “all in the head” or psychological?
No. While psychological factors may contribute to FND, the symptoms are neurological and genuinely disabling. FND is recognised as a neurological condition by major health organisations. However, psychological support and anxiety management are often valuable components of comprehensive management.
Can speech and language therapy help with FND?
Yes. Evidence supports the effectiveness of speech and language therapy for FND-related communication and swallowing difficulties. SLT can be transformative when combined with appropriate medical care and multidisciplinary support.
How long does therapy take?
This varies depending on the individual, severity of difficulties, and response to intervention. Some individuals show rapid improvement, while others may require longer-term support. Your therapist will discuss realistic timescales during the initial assessment.
Will my speech/swallowing ever return to normal?
Many individuals with FND achieve significant functional improvement or complete resolution of communication and swallowing difficulties with appropriate treatment. However, individual outcomes vary, and realistic discussion with your therapist about goals and prognosis is important.
Why is my condition so variable?
Variability is a recognised feature of FND. Symptoms often improve in certain contexts (such as when distracted, relaxed, or engaged in automatic activities) and worsen in others. This is not a sign of deception or lack of commitment to therapy—it’s how FND typically presents and is an important feature in recognising the condition.
Do I need a medical diagnosis before seeing an SLT?
While a neurological diagnosis is helpful, many people benefit from SLT assessment and support even during the diagnostic process. If you’re experiencing communication or swallowing difficulties, contact us to discuss whether we can help.