Symptoms · Symptom Library · Often with FND

Worry and panic

When the alarm system will not stand down

Also called: anxiety · panic attacks · health anxiety · generalised worry

Worry and panic are common when living with unpredictable neurological symptoms. They can also amplify symptoms. Treating anxiety seriously is not the same as saying FND is “just anxiety”.

Safety. Urgent help for chest pain you cannot explain, severe breathlessness, or if panic includes plans to harm yourself. In the UK: 999 if in immediate danger; Samaritans 116 123 for crisis support.

How it can feel

  • Heart racing, breath tight, dread without a clear “reason”.
  • Scanning the body for the next episode.
  • Catastrophic “what ifs” at 3am.
  • Avoiding places where symptoms happened before.

Day to day

  • World shrinks to safe zones.
  • Appointments spike anxiety, then symptoms spike too.
  • Carers absorb secondary worry.

Why this can be FND (simply)

An unpredictable body trains the threat system. Anxiety is often a consequence and an amplifier — not proof that symptoms were invented.

What can help

  • Validation first: symptoms are real.
  • Therapy approaches for panic, health anxiety or trauma where relevant.
  • Breathing and grounding skills used as tools, not as dismissal.
  • Practical safety plans that reduce uncertainty.

This is information, not a treatment plan. Personal care decisions belong with you and your clinicians.

FAQs

If therapy helps, does that mean it was anxiety all along?

No. Therapy can reduce secondary load and improve coping while FND remains a neurological condition.

Next steps