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  • Jon Stone

    Honorary Professor of Neurology, University of Edinburgh; Consultant Neurologist

    Professor Jon Stone is an NHS Consultant Neurologist and Honorary Professor in Neurology in Edinburgh. He is an international leader in functional neurological disorder, also called psychogenic/dissociative/conversion disorder, and in the past, hysteria. Since 1999 he has published over 250 articles in the area including systematic reviews, large cohort and treatment studies. He led on new diagnostic criteria for functional neurological disorders in DSM-5 and ICD-11 and the development of professional organisations in the area. In 2016 he co-edited the volume ‘Functional Neurologic Disorder’ (ed Hallett, Stone, Carson) Elsevier 2016 setting a new standard for a teaching and research curriculum. He co-chaired the 3rd International Congress on this area in Edinburgh in 2017 (www.fnd2017.org) and is due to become secretary of the new  international FND society – FNDS.
     
    Jon graduated from the University of Edinburgh in 1992 and worked in various junior posts in Newcastle, Leeds, Oxford and New Zealand before returning to Edinburgh. He met Charles Warlow and Michael Sharpe in 1999 who supervised his PhD, a case control study of functional limb weakness. He became an NHS Consultant Neurologist in 2005. In 2009 he made the first website for patients with FND at www.neurosymptoms.org promoting a new transparent approach to diagnosis and treatment for what has been a highly stigmatised condition. The site has been translated by other neurologists in to 12 other languages and receives 60,000 visits a month. He runs a weekly clinic for patients with functional movement disorders and dissociative (non-epileptic) seizures and as of August 2012 is a National Research Strategy Clinician (NHS Scotland). He has been awarded the Biemond Lectureship (2014), Royal College of Physicians (London) Jean Hunter Prize for Nervous Disorders (2014), Royal College of Physicians (Edinburgh) Clouston Medal (2017) and Royal College of Psychiatrist Presidents Medal (2017). He has given invited plenary sessions at the World Congress of Neurology, American Academy of Neurology and Movement Disorders Society World Congresses as well as lectures to 18 neurology department in the UK and grand rounds at Harvard and Stanford. He was promoted to Professor in 2018 but remains a full time NHS clinician.
     
    https://www.ed.ac.uk/profile/dr-jon-stone
    @jonstoneneuro
    Jon.Stone@ed.ac.uk
     
     

    Program
    • 13:00 - 07-11-2019 Functional Neurological Disorder, also called conversion disorder is one of the commonest reasons for a referral to a neurology and a frequent clinical issue for any psychiatrist carrying out liaison work with a neurology service. Clinicians have often found explaining these disorders to patients difficult. Without agreement on the diagnosis between doctor and patient, its very hard for any health professional  to help. New evidence about the effectiveness of some FND treatments makes it vital that health professionals can learn to explain the diagnosis in a straightforward and productive way. In this workshop Professor Stone will explore how to deliver a diagnosis using a new model of FND in which the diagnosis is made positively and is not one of exclusion. He will emphasise the importance of sharing physical signs with the patient, not leaping to conclusions about psychosocial aetiology and learning how to triage for ongoing care.
      Resources:
      www.neurosymptoms.org, www.fndsociety,org , www.fndhope.org, www.fndaction.org.uk
      Stone J, Carson A, Hallett M. Explanation as treatment for functional neurologic disorders. In: Handbook of Clinical Neurology. 2016.: 139p. 543–553.
      Carson A, Lehn A, Ludwig L, Stone J. Explaining functional disorders in the neurology clinic: a photo story. Pract. Neurol. 2016; 16: 56–61.


      Møteleder: Olav Thorsen


       
    • 09:10 - 08-11-2019 Functional Neurological Disorder, one of the commonest reasons for a referral to a neurologist, previously called conversion disorder and before that hysteria has a difficult and chequered history at the interface between neurology and psychiatry.  In this lecture Professor Stone, who has been researching FND for over 20 years will explain how the field has moved on over that time from a diagnosis of exclusion, dominated by Freudian theory, to one in which the diagnosis is made positively, using clinical features such as Hoovers sign of functional leg paralysis and tremor entrainment test. New understanding of how neurobiology interacts with psychiatric vulnerability and multidisciplinary approaches to treatment are revolutionising care for this group of patients who have also found their own voice for the first time in patient led organisations.
      Resources: www.neurosymptoms.org, www.fndsociety,org , www.fndhope.org, www.fndaction.org.uk
      Hallett M, Stone J, Carson A (eds. . Functional Neurologic Disorders: Handbook of Clinical Neurology (Volume 139). Amsterdam: Elsevier; 2016.


      Møteleder: Monica Bertinussen, psykologspesialist
       
       
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