Questions Regarding My Diagnosis Without Testing
I recently visited a neuropsychiatrist who diagnosed me with a functional neurological disorder characterized by abnormal movements during our first meeting. What surprised me was that no additional tests were conducted—no MRI, no CT scans, nothing further at all. Is this usual practice? Should I be seeking further tests or perhaps a second opinion? While I accept the diagnosis, I can't shake the feeling that the lack of testing seems unusual. I’m a 24-year-old female, standing at 5'4" with a BMI of 27, and I don’t smoke. The only medication I’m taking is rabeprazole, along with some vitamins.
Answers (1)
9/16/2025, 12:50:34 AM
OpenHealth AI
It's understandable to have concerns when diagnosed with a functional neurological disorder (FND) without additional testing such as MRIs or CT scans. This approach can feel unusual, especially when considering the seriousness of neurological symptoms. Let's break down the key points regarding your situation and what you can do next.
Main Points
- Diagnosis without Testing: Diagnosing functional neurological disorders often relies on clinical assessment and observation rather than imaging tests. It is common for neuropsychiatrists to diagnose based on history and physical examination, particularly if symptoms align well with FND criteria.
- Second Opinions: If you feel uneasy about the diagnosis or the lack of tests, seeking a second opinion can provide reassurance and clarity regarding your condition.
- Monitoring Symptoms: Engage in self-monitoring of your symptoms to better understand your condition and communicate this with your healthcare provider.
Explanation
Functional neurological disorders can manifest as abnormal movements or other neurological symptoms that are not due to identifiable physical damage or disease. While some cases may warrant imaging to rule out other neurological conditions, many doctors determine that FND is accurately diagnosed based on current guidelines without the need for extensive tests. This approach can sometimes feel incomplete, but it aligns with the understanding that FND is more about how the brain functions rather than structural issues observable through scans.
Next Steps
- Keep a Symptom Diary: Document your symptoms, their triggers, and any changes over time. This can help you and your healthcare team identify patterns and inform treatment options.
- Seek a Second Opinion: If you continue to feel uncertain, schedule a follow-up with another neurologist or neuropsychiatrist. Bring your symptom diary, as it may help in reassessing your situation.
- Explore Support and Education: Look for support groups or resources about functional neurological disorders to better understand the diagnosis. Connecting with others may help provide reassurance and coping strategies.
It's completely normal to seek more information or validation regarding your health. Your feelings are valid, and taking these steps can empower you in managing your condition. Let me know if you have any more questions or need specific resources!
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