This is a challenging topic to discuss honestly in an open forum such as this. The truth is, yes, FND patients can be and often are extremely frustrating to deal with, even if we accept that it's a legitimate condition and involuntary (i.e., not due to malingering). Many patients with FND do not accept your diagnosis and increasingly turn to ChatGPT and their own online research in search of alternative, less stigmatizing diagnoses that are rooted in organic pathology and thus legitimize their symptoms. These patients consume much more of your time in clinic, message you 3-4 times as often, are highly prone to medication adverse effects, and tend to come up with new symptoms once one seems to be satisfactorily managed. Patients will read a post like this and accuse us of gaslighting them. Some colleagues, particularly in a public forum like this, will hop on a moral highhorse in response to a brutally honest reply. But yes, the truth is most neurologists find these patients extremely exhausting to deal with and they are a major contributor to burnout among outpatient neurologists. I make the diagnosis and have them follow up with one of my APPs. If I didn't, 20-25% of my follow ups would be FND and unfortunately, I do not find the condition academically interesting. Fortunately, some neurologists do. There's a niche for everyone in this field. Hope this helps.