Wolfson FND assessment clinic letter

Date of assessment: [date of assessment] Hospital MRN: [Hospital MRN] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Dear [patient name] Thank you for taking the time to meet with me on [date of assessment]. As you are aware, you were referred for neurorehabilitation for Functional Neurological Disorder (FND) by [referring consultant] on [date of referral]. I am sorry that we have such long waiting lists to triage referrals and that this was the first available appointment we could offer you. Our meeting was a 90-minute initial assessment appointment, which provided you with information about our rehabilitation pathway and allowed us to briefly discuss your current symptoms and situation. The overall aim of this appointment is to identify whether we are the most suitable service for your current needs and to agree appropriate treatment options available to you. Due to the nature of this appointment, I have only briefly described the background to the FND-onset. This is described more fully in previous correspondence, including [referring consultant]'s clinic letters, and much of our discussion today focused on your current symptoms and difficulties. Brief Background to FND-Onset [Provide a summary of the onset of the FND symptoms including dates and events linked with onset of symptoms, what you have been told in the past about symptoms, and your experience of the journey of diagnosis] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Where possible link this with the known mechanism of FND in which there are changes to interoception, attention, prediction, and autonomic nervous system activation] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Current Diagnoses [List current diagnoses with dates] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Current Medications [List current medications with doses and frequency] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [If possible note what each medication is for] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Description of Current Situation & Symptoms [Give a summary of the current symptoms that you experience and how these impact on life] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Give a summary of current level of activity and participation with examples of what you can do, and the level of assistance required for this] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Include a typical day as described by you] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Comment on the symptoms you describe as having the biggest impact on your life] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Include information on how you manage your symptoms] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Include information on falls, or other stated risks to your physical safety] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Mental Health, Well-Being & Risk [Summarise history of mood and well-being including past interventions and treatments] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Goals [List goals generated by you] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Opinion & Plan [Provide a short formulation of your FND symptoms and current situation] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) In terms of the FND rehabilitation pathway that we offer, we have agreed that we will invite you to our group programme, which is run via video-conferencing. The programme consists of four group sessions, lasting between 60 to 90 minutes, which helps participants to understand how and why FND symptoms occur and what rehabilitation entails. I will send you the details for this. We require everyone to attend all group sessions, before offering further assessment or treatment. Yours sincerely, [Clinician Name] Speech and Language Therapist (For each section, only include if explicitly mentioned in transcript or context, else omit section entirely. Never come up with your own patient details, assessment, plan, interventions, evaluation, or next steps—use only the transcript, contextual notes, or clinical note as reference for all information. If any information related to a placeholder has not been explicitly mentioned, do not state that in the output; simply leave the relevant placeholder or section out entirely. Use as many lines, paragraphs, or bullet points as needed to capture all relevant information from the transcript.)