Functional Neurological Disorder (FND) presents as a highly complex condition involving neurological symptoms—such as motor deficits, sensory disturbances, non-epileptic seizures, or cognitive difficulties—that are genuine but not fully explained by other neurological diseases. This often leads to significant disability and profoundly impacts an individual's quality of life and daily functioning. Traditional approaches, while vital, may sometimes struggle to address the deeply personal and often fluctuating nature of FND symptoms.
This case study investigates the impact of community music therapy on the long-term rehabilitation of a 43-year-old female with FND over three years. Qualitative data were gathered from a client and therapist interview and clinical anecdotes. From the client's perspective, she speaks to the benefits and challenges of music therapy in her symptom management, emotional regulation, opportunities for social connection, and feelings of agency. In the qualitative Q & A, the client highlights the supportive, non-judgmental space offered, transcending traditional clinical settings and offering a safe therapeutic space for exploring fluctuating symptoms.
The clinician notes music therapy's adaptability to fluctuating FND symptoms, tailoring musical elements to address immediate needs like coping with multiple PNES (Psychogenic Nonepileptic Seizure) per day or facilitating movement in collaboration with the Physiotherapist. Music therapy is also highlighted as a pivotal vehicle to build sustained engagement and motivation, contributing to improved self-management and coping strategies over time.
Ultimately, this case study suggests that community music therapy is a valuable, person-centered intervention that offers unique contributions to the holistic and long-term rehabilitation of individuals with FND. By comprehensively addressing the physical, psychological, social, and emotional dimensions of recovery, it advocates for the greater recognition and integration of music therapy as an essential component within comprehensive FND care models in both inpatient and community settings.