Functional Neurological Disorder (FND) Therapy in Melbourne

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Psychodynamic Therapy That Understands Your Symptoms Are Real
If you’re experiencing tremors, weakness, seizures, pain or other physical symptoms that lack a clear medical explanation, you may be experiencing Functional Neurological Disorder (FND).
This condition can be confusing, frustrating, isolating and extremely anxiety provoking. It can have an impact on your wider emotional functioning, on romantic and social relationships, and in the workplace.
At Dynamic Psychotherapy, we offer clear, focused, compassionate treatment grounded in psychodynamic and emotion-focused therapy approaches. Our aim is to enable you to address the root causes—not just the surface symptoms.
Book Now or Learn More
Submit an intake form below or keep reading for a detailed overview of Functional Neurological Disorder.
What Is Functional Neurological Disorder?
FND refers to neurological symptoms that cannot be explained by structural damage or disease to the brain or nervous system—but are very real, distressing, and often disabling. These symptoms may include:
- Disruption of motor function (e.g., paralysis, tremors, or gait issues)
- Sensory disturbances (e.g., numbness, vision changes, or hearing disruptions)
- Non-epileptic seizures or blackout episodes
- Cognitive disturbance (e.g., memory, concentration, or attention problems)
It is important to understand that FND is not imaginary or feigned. In fact, it is now recognised as a disorder of brain function, not brain structure. Studies show that people with FND may have disruptions in how emotional and motor systems in the brain communicate.
What Causes FND?
While there is no single cause, FND is commonly linked to problematic emotional processing. Many people with FND have histories of emotional avoidance, interpersonal stress, or trauma—but not always. The core issue is often not the event itself, but the body’s way of handling overwhelming emotion.
From an ISTDP perspective, when anxiety or emotion becomes too intense to consciously process, the mind redirects this emotional energy into the body, creating real and distressing symptoms. As Frederickson notes in Co-Creating Change, these symptoms are not random—they reflect the cost of avoiding deep emotional pain and conflict.
Why ISTDP Works for FND
Recent research shows that standard therapies like CBT may help some people manage symptoms but often fail to access the underlying emotional causes. This is because these therapies use top-down strategies—changing thoughts to regulate emotion—while FND often stems from bottom-up emotional responses that happen before conscious thought.
Intensive Short-Term Dynamic Psychotherapy (ISTDP) is different. It helps clients:
- Access and feel emotions that have been avoided or buried
- Understand how these feelings become physical symptoms
- Work through unconscious conflict and self-defeating patterns
- Rebuild internal emotional regulation systems
What Therapy Looks Like
At Dynamic Psychotherapy, we tailor therapy to your unique history, symptoms, and emotional landscape. Therapy may involve:
- Clarifying how your symptoms developed and what emotions they may protect against
- Tracking anxiety and physiological responses in real time
- Gradually helping you feel what was previously too overwhelming
- Interrupting unconscious defence patterns that maintain symptoms
We also work closely with neurologists and medical professionals to ensure accurate diagnosis and collaborative care.
Understanding FND Through the Biopsychosocial Model
Functional Neurological Disorder doesn’t arise from just one cause—it emerges from the complex interaction between your emotional life, physical body, and social world. That’s why at Dynamic Psychotherapy, we take a biopsychosocial approach to understanding and treating FND. This model recognises that symptoms are not purely psychological, nor purely physical—but are shaped by multiple, overlapping influences.
Research consistently supports the effectiveness of a biopsychosocial approach in treating Functional Neurological Disorder (FND), showing that outcomes improve when biological, psychological, and social factors are addressed together.
A 2023 study published in Neuropsychiatric Disease and Treatment found that individuals with FND often experience distress across all three domains, and that “targeted multidisciplinary interventions” lead to significantly better long-term symptom reduction and functional outcomes compared to isolated treatment models.
Similarly, a systematic review in Neuroscience Research concluded that collaborative care involving neurologists, psychotherapists, and allied health professionals provides a stronger foundation for recovery, particularly when psychological therapy is integrated to address underlying emotional conflicts.
These findings align closely with our approach at Dynamic Psychotherapy, where we use psychodynamic and ISTDP methods to explore the emotional roots of symptoms—offering a more complete path to healing.
At Dynamic Psychotherapy, this integrated understanding forms the heart of everything we do.
What We Explore Together in Therapy:
- 1. Emotional Life and Personal History
We look at how your emotional experiences—past and present—have shaped your nervous system and patterns of coping. Many clients with FND have lived through experiences where strong feelings had to be suppressed or avoided. Over time, this emotional energy may find expression through the body. Therapy helps uncover these patterns, not to dwell in the past, but to free your body from carrying unspoken pain. - 2. Physical Health Events and Bodily Responses
Injury, illness, pain, or chronic medical conditions can play a role in the onset or worsening of FND symptoms. For some, symptoms begin after a clear medical event (e.g., surgery, infection). For others, the connection is more subtle. We help you understand how your nervous system may be reacting to physical stressors—and how therapy can support regulation and healing. - 3. Social Context and Relationship Patterns
Your relationships, environment, and support systems also shape how symptoms develop and are maintained. We explore how your current or past relational dynamics may influence your body’s responses. For instance, being in a high-pressure role, feeling unable to say no, or having grown up in a household where emotions weren’t safe to express—these patterns can continue affecting your physical wellbeing today.
Why Early Treatment Matters
Getting the right support early can make a profound difference if you’re living with Functional Neurological Disorder (FND). Early intervention doesn’t just help reduce symptoms—it can change the trajectory of your life. When therapy begins early, you have the best chance of:
- Reducing the severity and duration of symptoms
The longer FND symptoms remain untreated, the more they can become reinforced through habitual nervous system responses. Early therapy helps interrupt this process—reducing how intense and frequent symptoms become. This can mean fewer medical interventions, less disruption to your daily life, and a faster path to stability. - Preventing long-term disability and dependency on aids
Without timely treatment, FND can lead to increasing disability. Some people may begin using mobility aids or become reliant on carers—not because of structural damage, but due to unaddressed emotional and physiological dysregulation. Early psychodynamic therapy helps reverse this pattern by addressing the root emotional drivers behind symptoms, before they become chronic. - Rebuilding emotional resilience and body trust
One of the most difficult parts of FND is feeling betrayed by your own body. Therapy that begins early helps restore a sense of agency and self-trust. With support, you can learn to understand what your symptoms may be expressing, process difficult emotions safely, and begin feeling more grounded in your body again. This emotional regulation is a cornerstone of long-term recovery.
Research into ISTDP and psychodynamic approaches shows that addressing symptoms early leads to better outcomes, including reduced hospital visits, improved emotional functioning, and enhanced quality of life. At Dynamic Psychotherapy, we support early engagement with therapy to give you the strongest possible foundation for lasting change.
What You Can Expect at Dynamic Psychotherapy
You’ll be supported by experienced clinicians who:
- Understand how emotion and body interact
- Specialise in treating FND with ISTDP and psychodynamic methods
- Provide personalised, non-judgmental care
- Are committed to helping you get better—not just cope
Common Questions About FND and Therapy
Is Functional Neurological Disorder caused by trauma?
Sometimes—but not always. Trauma is a common factor in many cases, particularly when it involves emotional neglect, abuse, or overwhelming stress. But it’s important to note that not all people with FND have a history of trauma. What we consistently see, however, is that symptoms tend to emerge when someone’s emotional system is under strain—whether due to life stress, long-standing internal conflicts, or difficulties expressing emotions safely.
From a psychodynamic perspective, the issue is less about whether a traumatic event occurred, and more about how the person’s nervous system has learned to manage strong emotion.
Can people with FND really get better?
Yes. There is strong and growing evidence that many people with FND can make significant, lasting improvements—and some fully recover. Recovery doesn’t always mean that symptoms disappear instantly. But with the right therapeutic support, it is very possible to reduce the frequency, intensity, and impact of symptoms.
One of the key factors in recovery is learning to identify and experience previously avoided emotions. When the nervous system no longer needs to express distress through physical symptoms, the symptoms often reduce or disappear. Research into ISTDP for FND shows that even brief courses of therapy can lead to reduced symptoms, better emotional wellbeing, and reduced reliance on medical care.
How do I know I’m not faking my symptoms?
This is one of the most common questions of people suffering with FND ask. The answer is: if your symptoms are happening without your conscious control, then you’re not faking them. Functional Neurological Disorder symptoms—such as tremors, paralysis, or non-epileptic seizures—are real, involuntary, and often the result of the nervous system being overwhelmed.
Many people with FND feel uncertain or even ashamed of their symptoms, especially if they’ve been misunderstood or dismissed by others. Doubting yourself doesn’t mean you’re faking anything—it simply means you’re struggling to make sense of something confusing.
At Dynamic Psychotherapy, we take these concerns seriously. Through therapy, we help you understand why your body might be expressing emotional or internal stress through physical symptoms, and how to work with—not against—what your body is trying to communicate. You don’t have to prove anything. You just need space to explore what’s going on, with compassion and support.
Do I have to believe my symptoms are psychological to benefit from therapy?
Not at all. Many people come to therapy feeling unsure—or even sceptical—about the idea that their symptoms might be linked to emotions. That’s completely understandable, especially if you’ve been told “it’s all in your head” or felt dismissed by medical professionals or others around you.
At Dynamic Psychotherapy, we never force a psychological explanation onto your experience. Instead, we explore your symptoms together—with openness, curiosity, and respect. Therapy is about helping you understand what your body might be trying to communicate. You don’t need to have the answers before you begin—you just need to be open to asking the questions.
Your Symptoms Are Real—And So Is the Support You Deserve
If you’re dealing with unexplained neurological symptoms, you’re probably exhausted by confusion, frustration, and feeling dismissed. At Dynamic Psychotherapy, we take your experience seriously. We understand how overwhelming FND can be—and we’re here to help you make sense of it, emotionally and physically.
Reach out today to take the next step toward clarity, support, and recovery.
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Ready to book an appointment with a FND Therapist? Use our appointment request form by clicking the button below.