Psychedelic‐assisted therapy for functional neurological disorders: A theoretical framework and review of prior reports

Functional neurological disorders (FNDs) are common, disabling neuropsychiatric conditions with limited treatment options. They present with sensory or motor symptoms that mimic other neurological conditions but arise from mechanisms other than identifiable structural neuropathology, often triggered by psychological factors. Preliminary evidence supports psychedelic-assisted therapy for several psychiatric illnesses, including FNDs. This review examines theoretical arguments for and against exploring psychedelic-assisted therapy for FNDs, discusses prior cases of psychedelic use for psychosomatic conditions, and analyzes therapeutic outcomes through recent neuroimaging studies on psychedelics and FNDs.

Study at a glance

Abstract

Abstract Functional neurological disorders (FNDs), which are sometimes also referred to as psychogenic neurological disorders or conversion disorder, are common disabling neuropsychiatric disorders with limited treatment options. FNDs can present with sensory and/or motor symptoms, and, though they may mimic other neurological conditions, they are thought to occur via mechanisms other than those related to identifiable structural neuropathology and, in many cases, appear to be triggered and sustained by recognizable psychological factors. There is intriguing preliminary evidence to support the use of psychedelic‐assisted therapy in a growing number of psychiatric illnesses, including FNDs. We review the theoretical arguments for and against exploring psychedelic‐assisted therapy as a treatment for FNDs. We also provide an in‐depth discussion of prior published cases detailing the use of psychedelics for psychosomatic conditions, analyzing therapeutic outcomes from a contemporary neuroscientific vantage as informed by several recent neuroimaging studies on psychedelics and FNDs.