Classify FND as a neurological disorder under SSA

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The Issue

My close friend has been living with Functional Neurological Disorder (FND), a condition that severely impacts her quality of life. Despite her struggles, she is currently unable to receive the disability benefits she desperately needs because FND is not classified as a neurological disorder by the Social Security Administration (SSA). This lack of recognition adds to her burden, making an already difficult situation even more challenging. You can read her story below.

FND is a real, disabling neurological condition. The Cleveland Clinic describes it as a disorder that affects the way your brain sends, receives, and processes messages: "the signals can get interrupted, and that leads to real symptoms." People with FND experience tics, dystonia, tremors, functional seizures, fatigue, mobility loss, and cognitive impairment, symptoms serious enough to keep many of them from working, driving, or living independently.

My friend has all of them. She can't work. She can't safely live alone. She depends on her family for basic daily tasks. And when she applied for Social Security disability benefits, she was denied, not because her symptoms weren't severe enough, but because of how the government files the paperwork.

The Social Security Administration doesn't list FND as a neurological disorder at all. It's filed under Listing 12.07, "Somatic Symptom and Related Disorders," inside the SSA's Mental Disorders section, the same category as health anxiety, not alongside epilepsy and other neurological conditions under Listing 11.00. To qualify for the support she needs, my friend has to prove her seizures and paralysis are severe enough to count as a psychiatric illness. Every application becomes another argument that her disorder is "real," using the same language that got her dismissed by doctors for years.

This isn't a technicality, and it isn't rare. It's the difference between a growing number of Americans getting support to live with dignity, or getting turned away because of an outdated label.

We call on the U.S. Government and Social Security Administration to:

  • Reevaluate its classification criteria
  • Address the lack of awareness for Functional Neurological Disorder
  • Recognize Functional Neurological Disorder as a legitimate neurological condition

The science exists. Treatments exist. The need is real. It is time.

Sign this petition. Every signature adds pressure on the SSA to stop treating thousands of Americans like a paperwork problem instead of patients.

 

Living with FND: My Friend's Story 

Before my life with Functional Neurological Disorder, I considered myself to be an energetic, ambitious, resilient individual. It was my senior year of high school, and the majority of my classes were through the local community college. I was on the dean’s list with a 4.0 GPA, on track to be valedictorian, and a student leader implementing a classmate connection program for my early college program across the state with some of my closest friends. I had a rich social circle. I enjoyed hiking daily, and I was a powerlifter about to attend my first competition where I was on track to set state records. 

After developing FND post-COVID infection, I failed my first classes, lost my valedictorian track, and had to step away from being a student leader. I lost my ability to walk any significant distance, let alone hike or lift weights, and watched my friends graduate before attending universities when I was forced to drop out. In the worst cases, friends accused me of intentionally faking disability in order to escape the responsibilities I once thrived on. 

Becoming disabled happened abruptly. I became ill with the COVID-19 infection, and despite never being hospitalized, could not seem to catch my breath after recovering. A few months later, on my father’s birthday, I would be rushed to the ER after passing out and experiencing “strange” symptoms upon awakening.  Over the next two weeks, I would return to the ER five times with increasingly severe symptoms until, eventually, experiencing my first functional/dissociative seizure (also known as a non-epileptic seizure). At the time, we had no clue what was going on and neither did the medical staff that saw me. Those experiences marked the start of a pattern of dismissals, false accusations, and medical gaslighting. 

When I share that nearly every individual with FND has had experiences like mine, I do not say that lightly. Being bedridden, requiring help to eat, use the restroom, get dressed, go anywhere, all while attending countless appointments where we have to prove to providers what is happening is real: doubt about the neurological veracity of our symptoms are things we are forced to face on top of trying to find out what is medically wrong. 

It took rejections/denials of care, and saying ‘nothing is medically wrong’ from every hospital in the pacific northwest, having personal information leaked to the local medical community, eventually leading to moving states in order to receive unbiased care in order to avoid being told my seizures, loss of ability to walk, chronic pain, chronic fatigue, and more was psychosomatic, a hypochondriac reaction. I was accused of drug seeking and told it was “just anxiety”. I would finally see an exceptional integrative neurologist who confirmed what I was feeling was real, not caused by stress and anxiety, and that things could improve.

Things would improve as I went through occupational therapy (paid out of pocket), specialised psychotherapy (paid out of pocket), physical therapy (partially paid out of pocket), acupuncture, OMT, chiropractic care, hypnosis, I even tried yoga. The results of the multidisciplinary treatments meant I mostly regained my ability to walk, though I require mobility aids (paid out of pocket). I have learned many ways to help manage my seizures, and take comfort in knowing they are real, as well as how to (mostly) prevent injury during them. Unfortunately, other FND patients like myself suffer significant roadblocks from insurance which continues to reject/deny coverage in addition to lack of understanding from the medical community. 

Despite my symptoms improving, that doesn’t mean they are gone. They still significantly interfere with my life. I can’t work, can’t safely live alone, can’t drive, and largely depend on my family to help me in day to day life. I’m fortunate to have what I have, but still face limitations others are frequently shocked by. A disabled life is an expensive life, and we need all the help we can get. Unfortunately, many treatments are not covered by health insurance and HMOs. That means paying out of pocket, which most people do not have the means to do. I have had to cease many treatments due to cost in order to provide for my basic needs. Worse still, I frequently encounter people who feel the need to inform me that FND is a psychiatric disorder, “just anxiety”, and if I “try hard enough” things will go back to normal. This is incorrect and insensitive. Fortunately, more and more research is coming out proving just how real FND is. The National Institute of Neurological Disorders has a fantastic overview that reflects this. 

However, the Social Security Administration still operates on outdated, offensive, incorrect information. It calls FND a somatic condition under section 12.07 of Mental Disorders, while using the inaccurate and pejorative term “Somatic symptoms and related disorders”. So, not only do we have to prove that we cannot work and face significant enough daily limitations to receive aid, we also have to spend all that effort using the very rhetoric thrown at us to justify a lack of need for care. This is unjust, traumatic, and far too commonplace to be accepted. FND is a rule-in disorder (meaning there are positive signs for its occurrence, as well as effective treatments) that is neurologically based. We are still learning more about it, but the very least we can do is treat it as it is: a debilitating neurologically based disorder that affects thousands of people in a variety of ways. There is currently no cure, but treatments can help, if only we are able to receive adequate resources for basic needs. For that to happen, we need to address this disorder as it actually is so it can reach the people who need it.

As I continue learning more and more about my condition and how to manage it, I dream of one day being able to live more independently, with more agency over my decisions, if not my body. This is made near impossible if I cannot work a full-time job, let alone drive to one, and paying for aids isn’t an option if money is only able to cover basic needs. I have applied for SSA, and my claim was denied because it was ‘not a neurological disorder’ but a ‘mental one.’ I refuse to receive aid only if I agree to comply with their offensive rhetoric, and know that each person who signs this petition makes a marked difference for positive change. Together, we can create change. Please sign this petition, so that thousands like me have a chance to create a life understanding that what we experience is real, and that there is hope. 

 

Letter to Policymaker Template: https://docs.google.com/document/d/1CDk4hVqFzhFWgXEa8RzvPqicB3ogq_ah-P6i8HWXHlo/edit?usp=sharing  

Sources: 

https://pmc.ncbi.nlm.nih.gov/articles/PMC8844274/https://pmc.ncbi.nlm.nih.gov/articles/PMC7850207/

https://www.sciencedirect.com/science/article/pii/S187874792500090X

https://pubmed.ncbi.nlm.nih.gov/38674056/

https://www.ninds.nih.gov/health-information/disorders/functional-neurologic-disorder

12.00-MentalDisorders-Adult

Resources:

FND Hope

Functional Neurological Disorder Society

Reactive PT

avatar of the starter
Nina GouletPetition StarterAdvocating for people with disabilities and bringing about change For inquiries and more information: hello@ninagoulet.com

The Decision Makers

Jay Ortis
Jay Ortis
Chief of Disability Adjudication
U.S. Senate
4 Members
Mazie Hirono
U.S. Senate - Hawaii
Brian Schatz
U.S. Senate - Hawaii
Jon Husted
U.S. Senate - Ohio
U.S. House of Representatives
4 Members
Edward Case
U.S. House of Representatives - Hawaii 1st Congressional District
Dave Taylor
U.S. House of Representatives - Ohio 2nd Congressional District
Jill Tokuda
U.S. House of Representatives - Hawaii 2nd Congressional District
Social Security Advisory Board (SSAB)
Social Security Advisory Board (SSAB)
Jackie McCleve
Jackie McCleve
NCSSSA Executive Committee President

Supporter Voices

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