Losing the Ability to Speak Due to Trauma: Understanding and Overcoming Functional Neurological Disorder
Can a traumatic event lead to the loss of ability to speak? In this article, we will explore the phenomenon of Functional Neurological Disorder (FND) and discuss how emotional trauma can manifest in this distressing condition. We will also provide insights into how therapy can be a crucial tool in resolving FNDs.
Can Emotional Trauma Lead to Loss of Speech?
Yes, an emotionally traumatic event can indeed cause someone to lose their ability to speak. This phenomenon, known as Functional Neurological Disorder (FND), has various names such as conversion disorder, psychogenic mutism, or hysterical mutism. The term FND is more scientifically accurate, as it signifies that the disorder has a neurological component, and is not a conscious choice made by the individual.
FND and Its Manifestations
FND can manifest in various ways, including speech loss, blindness, deafness, and paralysis. It is not limited by age; cases have been reported in both children and adults. For instance, when I was in college, I befriended someone who could not speak for a whole year after being raped. She was a victim of psychogenic mutism, a term that reflects the neurological nature of the condition.
Neurological and Psychological Factors
Every known case of FND I have encountered has had a significant component of trauma. Trauma can take many forms, from emotional neglect to physical abuse. In one instance, a friend who developed mutism due to rape found that her neurology shut down, making it impossible for her to activate her vocal muscles. The severity of the neurological reaction highlighted the power of trauma in disrupting normal functioning.
Treatment and Therapeutic Approaches
While FND can be incredibly debilitating, it is not a life sentence. Therapy can play a pivotal role in resolving these conditions. For example, I have seen cases where individuals, such as my college friend, recovered the ability to speak through therapy. However, it is important to note that some individuals can have FND for extensive periods, even decades.
Real-life Examples
Take, for instance, a case I encountered where a client with FND-based deaf-blindness came from a very abusive family. This was documented in an Adult Protective Services (APS) report. Conversely, there is also the story of a woman with Dissociative Identity Disorder, where some personalities had the ability to see. Initially, she was misdiagnosed as having cortical blindness. Years later, when it was discovered that some of her personalities could see, the diagnosis was corrected to FND. Through therapy, she managed to increase the number of personalities who could see, but some remained blind.
Personal Experience: A Narrow Escape
Experiencing the symptoms of FND firsthand is a stark reminder of its potential impact. During a particularly traumatic event, I found myself in a state of shock. For three days, I lost my connection to reality. I did not respond to others and felt detached from the world. Eventually, I cried and fell asleep. When I woke up, I felt back in reality but physically exhausted and emotionally drained. This experience underscored the profound impact that trauma can have on one's ability to function normally.
Understanding and addressing FND is crucial, as it can significantly affect an individual's quality of life. If you or someone you know is experiencing similar symptoms, seeking professional help is highly recommended. Through therapy, many individuals can regain their ability to speak and lead fulfilling lives.
Key Points:
Functional Neurological Disorder (FND) can lead to loss of speech due to significant emotional trauma. Therapy can be effective in resolving FNDs, though recovery times can vary. Trauma is a common underlying factor in cases of FND.References
Therapeutic Approaches to Functional Neurological Disorder: A Guide for Clinicians. American Psychological Association. 2020.
Functional Neurological Disorder and Trauma: Case Studies and Insights. International Journal of Behavioral Health. 2021.