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The term Functional Neurological Disorders (DNF) is used to define certain clinical conditions characterized by dysfunction of one or more neurological systems (e.g., motility, sensibility, vision, balance) in the absence of organic damage to the central or peripheral nervous system and often also in the absence of obvious psychological distress. Because of the role of neuroinflammation in both mental changes and motor and sensory disorders, it is Multiple Sclerosis the disease in which mental and neurological symptoms realize their closest encounter. It is precisely in Multiple Sclerosis that DNF and lesion disorders frequently coexist and result in variable clinical presentations. The Center for the Study and Treatment of Functional Neurological Disorders and Multiple Sclerosis at IRCCS San Raffaele deals in a comprehensive, multidisciplinary and integrated manner with the diagnosis and treatment of such frequent and largely underestimated clinical conditions. The Center fits into the groove traced by the latest international scientific literature, which reiterates the urgency of reconnecting neurology, neurorehabilitation, psychiatry and psychotherapy into a single discipline. It consists of an interdisciplinary team that is highly specialized in the diagnosis, care and treatment of such neuropsychiatric disorders, which are usually treated loosely in neurology or general psychiatry outpatient clinics, often solely with medication. All this is happening surprisingly in years when evidence is increasing to support the idea that the clinical benefits produced by neurorehabilitation and psychotherapy share the same neuronal and synaptic basis as those produced by drugs.
The Center has enriched its health care offerings with a dedicated outpatient clinic of “Psychotherapy on Functional Neurological Disorders and Multiple Sclerosis,” which serves as a therapeutic ally for such neurological diseases, which still receive only pharmacological treatments, which are often insufficient.
The term Functional Neurological Disorders (DNF) is used to define certain clinical conditions characterized by dysfunction of one or more neurological systems (e.g., motility, sensibility, vision, balance) in the absence of organic damage to the central or peripheral nervous system and often also in the absence of obvious psychological distress. Because of the role of neuroinflammation in both mental changes and motor and sensory disorders, it is Multiple Sclerosis the disease in which mental and neurological symptoms realize their closest encounter. It is precisely in Multiple Sclerosis that DNF and lesion disorders frequently coexist and result in variable clinical presentations. The Center for the Study and Treatment of Functional Neurological Disorders and Multiple Sclerosis at IRCCS San Raffaele deals in a comprehensive, multidisciplinary and integrated manner with the diagnosis and treatment of such frequent and largely underestimated clinical conditions. The Center fits into the groove traced by the latest international scientific literature, which reiterates the urgency of reconnecting neurology, neurorehabilitation, psychiatry and psychotherapy into a single discipline. It consists of an interdisciplinary team that is highly specialized in the diagnosis, care and treatment of such neuropsychiatric disorders, which are usually treated loosely in neurology or general psychiatry outpatient clinics, often solely with medication. All this is happening surprisingly in years when evidence is increasing to support the idea that the clinical benefits produced by neurorehabilitation and psychotherapy share the same neuronal and synaptic basis as those produced by drugs.
The Center has enriched its health care offerings with a dedicated outpatient clinic of “Psychotherapy on Functional Neurological Disorders and Multiple Sclerosis,” which serves as a therapeutic ally for such neurological diseases, which still receive only pharmacological treatments, which are often insufficient.
Formerly referred to as “psychogenic” or “conversion,” the typical symptoms of Functional Neurological Disorders are now interpreted as the result of a genuine dysfunction of the nervous system and, in particular, of the so-called “sense of agency,” that is, the ability to exercise and perceive control over one’s actions. On this alteration would depend the sufferers’ sense of the involuntary nature of the clinical manifestations, as well as the incongruity noted by the clinician between the severity of the symptoms and the paucity of findings at diagnostic investigations.
Formerly referred to as “psychogenic” or “conversion,” the typical symptoms of Functional Neurological Disorders are now interpreted as the result of a genuine dysfunction of the nervous system and, in particular, of the so-called “sense of agency,” that is, the ability to exercise and perceive control over one’s actions. On this alteration would depend the sufferers’ sense of the involuntary nature of the clinical manifestations, as well as the incongruity noted by the clinician between the severity of the symptoms and the paucity of findings at diagnostic investigations.
It is the leading chronic autoimmune disease of the central nervous system, characterized by inflammation, demyelination, and neuronal loss in the encephalon and spinal cord. Clinically, it manifests with a multitude of neurological, cognitive, and mood symptoms, often coexisting and varying in severity. The most recent scientific research has unequivocally shown that alongside early pharmacological treatment, an equally early motor and cognitive neurorehabilitation intervention and psychotherapy are indispensable principals for the adequate control of the disease and treatment of its outcomes.
It is the leading chronic autoimmune disease of the central nervous system, characterized by inflammation, demyelination, and neuronal loss in the encephalon and spinal cord. Clinically, it manifests with a multitude of neurological, cognitive, and mood symptoms, often coexisting and varying in severity. The most recent scientific research has unequivocally shown that alongside early pharmacological treatment, an equally early motor and cognitive neurorehabilitation intervention and psychotherapy are indispensable principals for the adequate control of the disease and treatment of its outcomes.
The diagnosis of a Functional Neurological Disorder and Multiple Sclerosis can be very complex and is made on the basis of several clinical considerations and only after extensive instrumental and laboratory investigations.
The diagnosis of a Functional Neurological Disorder and Multiple Sclerosis can be very complex and is made on the basis of several clinical considerations and only after extensive instrumental and laboratory investigations.
The patient will first be clinically and diagnostically framed by the neurological team, and intake will also be carried out on the basis of the clinical and functional needs revealed in the combined assessment phase. Rehabilitation activities will be carried out at the Neuromotor Day Hospital operating unit and at the Ambulatory Rehabilitation Center of IRCCS San Raffaele Rome. These operating units, which are highly specialized in the intake and management of the Personalized Rehabilitation Project centered on the needs of patients with post-acute and chronicodegenerative neurological diseases, will ensure the best course of care. In detail, treatment and intake at our rehabilitation units is strictly multidisciplinary and is based on the following professional figures and therapeutic strategies:
The patient will first be clinically and diagnostically framed by the neurological team, and intake will also be carried out on the basis of the clinical and functional needs revealed in the combined assessment phase. Rehabilitation activities will be carried out at the Neuromotor Day Hospital operating unit and at the Ambulatory Rehabilitation Center of IRCCS San Raffaele Rome. These operating units, which are highly specialized in the intake and management of the Personalized Rehabilitation Project centered on the needs of patients with post-acute and chronicodegenerative neurological diseases, will ensure the best course of care. In detail, treatment and intake at our rehabilitation units is strictly multidisciplinary and is based on the following professional figures and therapeutic strategies:
The team at the Center for Multiple Sclerosis and Functional Neurological Disorders is heavily involved in scientific research aimed at clarifying the understanding of the causes and optimizing the treatment of these clinical conditions. The research activity is carried out in close collaboration with the Laboratory of Synaptic Immunopathology at IRCCS San Raffaele and Tor Vergata University.
The team at the Center for Multiple Sclerosis and Functional Neurological Disorders is heavily involved in scientific research aimed at clarifying the understanding of the causes and optimizing the treatment of these clinical conditions. The research activity is carried out in close collaboration with the Laboratory of Synaptic Immunopathology at IRCCS San Raffaele and Tor Vergata University.
The Center for Multiple Sclerosis and Functional Neurological Disorders operates in connection with the Clinical Center for Functional Neurological Disorders at IRCCS Neuromed and collaborates with the School of Specialization in Neuropsychology at La Sapienza University and the School of Specialization in Psychoanalytic Psychotherapy PSICOMED, a training institute recognized by the Ministry of University and Research and qualifying for the profession of psychotherapist.
The Center for Multiple Sclerosis and Functional Neurological Disorders operates in connection with the Clinical Center for Functional Neurological Disorders at IRCCS Neuromed and collaborates with the School of Specialization in Neuropsychology at La Sapienza University and the School of Specialization in Psychoanalytic Psychotherapy PSICOMED, a training institute recognized by the Ministry of University and Research and qualifying for the profession of psychotherapist.
CUP: 06 5225 3535
Email: cup@sanraffaele.it
CUP: 06 5225 3535
Email: cup@sanraffaele.it
