Patients with functional neurological symptom disorder (FND) have many diverse symptoms including psychogenic nonepileptic seizures (PNES), positive movements such as tremor, dystonia, or gait abnormalities, loss of motor function such as leg or arm paresis, and loss of sensory functions, such as blindness, deafness, or loss of feeling in the limbs. Eye movement desensitization and reprocessing (EMDR) is a therapy method that includes some techniques arising from psychodynamic, cognitive, and behavioral approaches. EMDR is known as a proven psychotherapeutic approach in post-traumatic stress disorder, but there are also numerous studies reporting its efficacy in other psychiatric disorders and trauma-associated symptoms, in patients with comorbid psychiatric disorders. This article presents the outcome of EMDR treatment of two patients’ cases, a 13-year-old female and a 16-year-old male, who were diagnosed as FND with PNES, according to the DSM-5 diagnostic criteria. In both cases, there was a significant decrease in Adolescent Dissociative Experiences Scale scores and no pseudo seizures were found, even at the sixth-month follow-up visits. These case studies suggest that EMDR can be an effective method in the long-term treatment of FND with PNES and a useful alternative to other treatment methods.

功能性神经症状障碍 (FND) 患者有许多不同的症状，包括心因性非癫痫发作 (PNES)，积极运动如震颤、肌张力障碍或步态异常，运动功能丧失如腿部或手臂麻痹，以及感觉功能丧失，例如失明、耳聋或四肢失去知觉。眼动脱敏和再处理 (EMDR) 是一种治疗方法，包括一些源自心理动力学、认知和行为方法的技术。EMDR 被认为是治疗创伤后应激障碍的一种行之有效的心理治疗方法，但也有许多研究报告了其对其他精神疾病和创伤相关症状、共病精神疾病患者的疗效。本文介绍了 EMDR 治疗两名患者的结果，根据 DSM-5 诊断标准，一名 13 岁女性和一名 16 岁男性被诊断为 FND 并伴有 PNES。在这两种情况下，即使在第 6 个月的随访中，青少年分离体验量表评分也显着下降，并且没有发现假性癫痫发作。这些案例研究表明 EMDR 可以成为长期治疗 FND 和 PNES 的有效方法，也是其他治疗方法的有用替代方法。