Sun Feb 15 01:09:03 UTC 2026: ### Headline: Functional Neurological Disorders Redefined: Neurobehavioural Therapy Shows Promise in Altering Brain Connectivity

The Story:

A commemorative lecture honoring the late neurologist Krishnamoorthy Srinivas at the Buddhi Clinic in Chennai shed light on the evolving understanding of functional neurological disorders (FNDs). Prof. Curt LaFrance, Professor of Psychiatry and Neurology at Alpert Medical School, Brown University, delivered the virtual address, emphasizing that FNDs are now recognized as disorders of neural network dysfunction influenced by cognition, emotion, and behavior, moving away from the outdated view of them being purely psychogenic. He highlighted the potential of neurobehavioural therapy to induce measurable changes in brain connectivity for patients with FNDs.

The event also served as a tribute to Dr. Srinivas’s contributions to community neurology in India. Speakers reminisced about his dedication to building accessible healthcare and his pioneering spirit in the field.

Key Points:

  • Prof. Curt LaFrance presented evidence that neurobehavioural therapy can measurably alter brain connectivity in patients with functional neurological disorders.
  • FNDs are increasingly understood as disorders of neural network dysfunction, shaped by cognition, emotion, and behavior.
  • Prof. LaFrance urged clinicians to move beyond binary classifications of neurological versus psychiatric conditions, particularly concerning functional seizures, movement disorders, and cognitive symptoms.
  • The lecture was held in memory of Krishnamoorthy Srinivas, a neurologist known for his commitment to community health services in Chennai.
  • Prof. LaFrance discussed the concept of “paroxysms,” encompassing events like epilepsy, panic attacks, and depressive episodes.
  • He stated that around 10% of patients may have both epileptic and non-epileptic seizures, stressing the importance of careful patient history-taking.

Key Takeaways:

  • Neurobehavioural therapy offers a promising avenue for treating functional neurological disorders by targeting brain connectivity.
  • The understanding of FNDs is shifting towards a more holistic model that considers the interplay of neurological, cognitive, emotional, and behavioral factors.
  • The lecture emphasizes the importance of integrative, patient-centered approaches to diagnosis and treatment, moving away from strict categorizations.
  • Dr. Srinivas’s legacy continues to inspire advancements in neurology and community healthcare in India.
  • The recognition of overlapping symptoms, such as both epileptic and non-epileptic seizures, highlights the need for thorough patient assessment.

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