Functional neurological disorders are real, underdiagnosed, and many people go through life without them ever being properly managed. It’s hugely misunderstood how real the manifestations can be, which means people can’t accept that their condition is functional and doctors can’t let themselves believe that the symptoms described and the signs seen can be the result of a FND. Seizures, lung issues, neurological symptoms, limb problems, deformities, deafness, blindness, you name it, it can happen from a FND. Patients with FND have had operations they didn’t need, feeding tubes they didn’t need, medications started they didn’t need, and on, and on, and on.
They come about from a cascade of multiple people doing bits and pieces of actual healthcare, cumulatively adding things without rationale in a poorly functioning system. And they absolutely travel in clusters of social contagion. There are whole lists of different types that do this.
There are many people where it becomes patently evident their condition is functional, at which point most medical people don’t have the courage to say it. Because they are accused of being “ableist”, or dismissive, or cruel, or whatever.
Which is a shame, because most people who accept their FND diagnosis are grateful that they can finally sort it out.
Do they need crutches and wheelchairs? They probably do, because to go from accepting a FND diagnosis to full function takes a hell of a lot of work and a long time. It’s not like they just start dancing around like Grandpa Joe with a Golden Ticket. Their disability is very real to them, and even if they accept they have FND, the symptoms are still very real to them.
The big question is why there are so many people demonstrating FNDs publicly? Of course that’s a reasonable question to ask.