The Concussion Coach

117. Functional Neurological Disorder & Its Similarities to PCS: An Interview with Jason Kreuzman, MOT, OTR/L


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Jason Kreuzman is a pediatric occupational therapist based in St. Louis, Missouri, specializing in Functional Neurological Disorder (FND) and chronic pain. He is the Co-Chair of the FND Society Pediatric Committee and the Chair of the Multidisciplinary FND Committee at St. Louis Children's Hospital. As the founder of Rewire OT, Jason is opening a new outpatient clinic and leading the charge to create pediatric OT/PT treatment guidelines for FND. He joins us to demystify this complex condition and share a hopeful, practical path to recovery.

Description:

What is Functional Neurological Disorder (FND), and how is it similar to concussion recovery? In this fascinating episode, pediatric occupational therapist Jason Kreuzman breaks down FND—a disorder where the brain and body's communication goes awry, causing very real, debilitating symptoms like functional seizures, limb weakness, and tremors.

Jason shares his journey into this niche field, the heartbreaking stigma patients face, and the striking similarities between FND and post-concussion syndrome (including the "invisible" nature of symptoms and the "boom-bust" cycle). We dive deep into the role of occupational therapy in FND recovery, focusing on nervous system regulation, sensory integration, and the crucial "twist": focusing on the task, not the symptom.

We discuss:

  • A clear definition of FND and how it's diagnosed.

  • The surprising overlap between FND, chronic pain, and concussion.

  • Why a holistic, team-based approach (OT, PT, Psychology) is essential.

  • Practical strategies for nervous system regulation and interoceptive awareness.

  • Crucial advice for parents and caregivers on co-regulation and advocacy.

  • What to do (and what not to do) during a functional seizure.

  • School accommodations.

  • A powerful message of hope: recovery is possible.

If you or a loved one is navigating confusing neurological symptoms, this episode offers validation, clarity, and a roadmap to finding the right help.


Shownotes & Key Resources Mentioned:

Resources from Jason Kreuzman:

  • RewireOT.com: Jason's central hub for FND resources, information, and updates on his outpatient clinic (opening late 2025).

  • FND Society: Jason is the Co-Chair of their Pediatric Committee. The society offers lectures, research, and (with membership) a provider referral list. FNDSociety.org

Essential FND Information Hubs:

  • Neurosymptoms.org: The "gold standard" patient education website, created and maintained by leading FND neurologists and researchers. An indispensable first stop for understanding the diagnosis.

  • Patient-Led Advocacy & Support Groups: Jason highlights the incredible work of groups like FND Hope, FND What Now, and FND Action. These global communities provide connection, support, and resources.

Tool for Management:

  • Neuro-Log.com: A symptom management and tracking app created by a person with FND. A fantastic tool for identifying patterns and triggers in daily life.

Guest Contact:

  • Follow Jason's work and access resources at RewireOT.com.

The Concussion Coach:

  • Download the free guide, "5 Best Ways to Support Your Loved One Dealing with a Concussion," or book a free consultation with Bethany  at theconcussioncoach.com.



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The Concussion CoachBy Bethany Lewis

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