FND Service

Functional Neurological Disorder (FND) Service helps people living with FND regain a sense of control in their lives.

Understanding Functional Neurological Disorder

FND is a complex condition that affects how the brain and body communicate, often leading to symptoms such as movement difficulties, seizures, sensory changes, speech problems, and fatigue.

Our approach

Work in this area involves collaboration and development of a shared formulation to better understand a client’s cognitive, emotional and behavioural presentation, alongside addressing psychological functioning and adjustment. Collaboration with the wider support team (e.g. family members, therapists, and support workers) to ensure a holistic view of your needs.

Our team includes professionals in:

Physiotherapy – supporting movement, balance, and strength through graded functional rehabilitation
Neuropsychology – helping clients understand the brain-body connection and working with emotional, cognitive, and behavioural aspects
Speech & Language Therapy – supporting speech, communication, and swallowing where affected
Occupational Therapy – enabling participation in meaningful daily activities and promoting independence

Specialist FND services

Initial assessment with relevant team members

A clear therapy plan, agreed collaboratively

Regular, coordinated input across disciplines

Support for education, pacing, emotional regulation, and physical function

Close communication with referring clinicians and wider support networks

Meet the Functional Neurological Disorder Service team

Led by Alex Reuben, Specialist Neurological Occupational Therapist, and Dr Andrew Kirtley, Clinical Psychologist in Neuropsychology.

The British Psychological Society logo
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Alexandra Reuben

Specialist Neuro Occupational Therapist

Functional Neurological Disorder Service, Occupational Therapy

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Dr Andrew Kirtley

Clinical Psychologist in Neuropsychology

Functional Neurological Disorder Service, Neuropsychology

Meet all Associates

What people say about Arbor

Real experiences from the people who know us best – clients and families we’ve supported.

Alex is a wonderful Occupational Therapist from Bristol. She has helped me so much with my condition and has been such a great sounding board. She is empathetic, understanding, and kind. Anyone who has been fortunate to have her is very lucky. Alex, thank you from the bottom of my heart and keep doing what you are doing.

W

Previous client

How can we
help you?

Whether you’re a case manager, a carer, or a professional looking to join our team, you’ll find clear pathways to the support you need.

Case managers

Are you ready to refer a client? Let’s work together.

Make a referral

Therapists

We’re always interested in hearing from professionals with expertise in brain injury.

Join the team

Self-referrals

Seeking help for yourself or someone you care for? Get in touch to discuss your needs.

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Join our Team
Join our Team
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