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Personal Space

Christoff’s Space

For my wife. For answers. For as long as it takes.

Christoff profile picture Christoff Spousal caregiver

Welcome

Welcome to my little corner of FND Nope. I'm Christoff, the person behind FND Nope. This is where I share my thoughts, investigations, frustrations, occasional sarcasm, and whatever else catches my interest. I'm sceptical of medical dogma, allergic to unquestioned authority, and firmly believe that no diagnosis or idea should be beyond criticism. You don't have to agree with me. Good arguments and evidence are always welcome.

I Am Angry

I am angry that uncertainty became certainty, that softened language obscures what is actually being claimed, that scepticism is treated as hostility, and that while we argue about FND, my wife keeps getting sicker.

When the Tests Find Something, but We Still Have to Find the Answers

An update on my wife’s worsening gastrointestinal problems, the objectively demonstrated delayed intestinal transit, what has been excluded, what still needs investigation, and why it feels wrong that we are being left to work out the next steps ourselves.

Open Letter to Zachary Grin, DPT

An open letter addressing the removal of a disputed cartoon, clarifying what was—and was not—claimed, and reaffirming FND Nope’s commitment to open and critical discussion of the FND framework.

The Common Phenotypes Hypothesis

An exploration of FND, positive rule-in signs, comorbidity, predictive processing, diagnostic closure, and whether functional symptoms may reflect common phenotypes arising from multiple underlying conditions.

The Belief Prerequisite: How FND Treatment Echoes Faith Healing

One of the most striking things you notice when you first start reading the literature on FND is how crucial it is considered for patients to accept and believe in the diagnosis. Without that belief, treatment is often regarded as futile. They simply will not get better.

What Makes a Doctor a Good Doctor?

A reflection on what makes a good doctor in the context of complex chronic illness, focusing on collaboration, systems thinking, and clinical humility.

Why Calling It FND Can Be Misleading and Potentially Dangerous

As you might have noticed by now, I am not particularly convinced of the legitimacy of FND as a standalone diagnosis. I believe it is more likely a CNS knee-jerk reaction or referral to underlying causes, rather than a primary cause in itself. In other words, it may be something commonly observed as a consequence of an underlying illness (as pain is to fractures), not something that should automatically be treated or diagnosed as the illness itself, as is increasingly common practice these days.