FND and work — a practical overview

FND can affect work even when someone “looks fine” in a short meeting. Fluctuation, fatigue, cognitive fog, seizures and mobility changes all matter. This is general information — not employment law advice.

What employers often need to understand

Symptoms can vary hour to hour; a good morning is not a full-capacity guarantee
Cognitive load, screens, heat, travel and stress can increase symptoms
Recovery after a flare may need quiet time, not “push through”
Adjustments are about function and safety, not laziness

Adjustments people sometimes request

Hours & place

Flexible start/finish or hybrid work
Phased return after absence
Reduced travel / remote meetings
Predictable rest breaks

Environment & role

Quiet workspace; lower sensory load
Written instructions; extra processing time
Temporary duty changes on flare days
Parking closer to the entrance

Next steps to discuss with your GP / clinician

Fit note wording that reflects fluctuation if appropriate
Whether occupational health referral would help
Access to Work (UK government support) where eligible
Evidence for workplace adjustments (function-focused, not only diagnosis name)

Safety first

If your role involves driving, heights, machinery or lone working, discuss safety with your clinician and employer. Do not ignore new or severe symptoms at work — seek urgent care when needed.