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Diagnostic Dogma

A tag exploring how medical diagnoses can become entrenched frameworks, sometimes treated as settled conclusions rather than continually testable hypotheses. Posts examine the role of clinical authority, diagnostic criteria, evidentiary standards, and alt

62 posts
The Diagnosis of the Gaps: FND and the Problem of Phenotype Overlap
1 month ago Author profile image Quackademic
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Davenport et al.’s comparison of Long COVID, ME/CFS and FND has drawn criticism, but some apparent errors expose a deeper problem: when FND can resemble almost every common neurological phenotype, definitions can determine the answer before the differential even begins.

FND: New Name, Same Old Problems?
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FND is celebrated as an area of medical progress, but how much has actually changed? Historical research reveals continuity with hysteria and conversion disorder, while modern diagnostic uncertainty and limited treatment breakthroughs raise questions about whether institutional recognition has outpaced meaningful progress for patients.

From PNES and Suspected FND to C1 Paralysis: Amy Wang-Hiller's Story

Violinist Amy Wang-Hiller describes how suspected FND, a PNES diagnosis and repeated psychological attribution allegedly delayed recognition of tethered spinal cord, cervical instability and progressive paralysis.

FND Diagnostic Pitfalls: When Positive Signs Point Elsewhere
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A 2023 review by FND researchers acknowledges that Hoover's sign, distractibility, sensory abnormalities and other supposedly characteristic findings can occur in recognised neurological diseases. What does that mean for diagnostic certainty?

Two Years Diagnosed With FND Before Autoimmune and Genetic Findings Emerged

A Reddit user reports spending two years diagnosed with FND and anxiety before investigations reportedly identified autoimmune and genetic neurological conditions. Their experience raises questions about overlapping symptoms, diagnostic closure, and why complex presentations may be interpreted as functional.

AI Helped Diagnose a Rare Disease. Why the Warnings?
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After parents used ChatGPT to identify their daughter's rare genetic condition, a BBC report emphasised the dangers of AI-assisted diagnosis. But what happens when conventional medical care overlooks the possibilities that AI can help uncover?

Jo Puckett's FND Story in the Daily Mail: Questions Worth Asking
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A Daily Mail article about Jo Puckett's experience with FND raises questions about diagnostic certainty, psychological distress, medical dismissal and the difference between wanting answers and wanting to remain ill.

FND and Autism: Does Diagnostic Overlap Establish Comorbidity?
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A 2025 study found an association between FND and autism diagnoses. But historical diagnostic codes, unresolved differentials and the possibility of shared phenotypes raise questions about whether the findings establish genuine comorbidity.

Why We Share These Stories
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Why FND Nope shares patient stories, diagnostic reversals and clinical cases: not to win an argument, but to preserve uncertainty, uncover possible clues and keep doors open when people are still sick.

FND, Then Genetic Dystonia: A Pediatric DYT-TOR1A Case
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A pediatric patient diagnosed with Functional Neurological Disorder was later found to have DYT-TOR1A dystonia and responded well to deep brain stimulation. The authors retained FND as a coexisting diagnosis, raising an important question: once a genetic disorder capable of producing the movements was identified, what evidence determined which symptoms remained functional?