Professional Documents
Culture Documents
DEFINITON
COMPARATIVE NOSOLOGY
In DSM-IV, conversion disorder is defined as the presence of one or more
symptoms or deficits affecting voluntary motor or sensory function,
suggesting a neurological or other medical condition; judged to be
associated with psychological conflict or other stressors, not intentionally
produced or feigned; and not fully explained by other medical conditions,
use of substances, or cultural nuances. It should not be a component of
somatization disorder, and should not be considered due to or caused by
another mental disorder
EPIDEMIOLOGY
ETIOLOGY
Personality factors
Some of the traditional features of hysteria included a detached,
unemotional, calmed attitude in front of what appears to be a severe and
TREATMENT
Screening methods for assessing trauma, dissociative experience, and
posttraumatic stress disorder (PTSD) should be helpful in this process. Any
assessment of conversion symptoms must take into account idiosyncratic
cultural or religious beliefs that may require specific culture-bound
interventions for resolution of conflict and symptom amelior- ation
Approach to the patient
Special attention given to history of trauma, sexual and physical abuse,
and family history of conversion symptoms
Physical examination must pay particular attention to ruling out
neurological diseases such as multiple sclerosis and other PNS-CNS
disorders
Routine
laboratory
studies
are
indicated,
as
well
as
electroencephalograms
(to
distinguish
between
epilepsy
and
pseudoseizures) and other special studies (e.g., MRI, X-rays, spinal tap,
etc.) to rule out other possible organic etiologies
Reassurance
Early intervention can forestall potential chronicity and the progression into
a well-entrenched somatization disorder
Hypnotherapy
The oldest treatment used for conversion disorder. However, it seems it was
not predictive of treatment outcome
Psychotherapy
Pharmacological treatment
Accompanying comorbid depression, anxiety, and behavior problems may
respond to pharmacologic interventions. The use of hypnotic or narcoleptic
techniques, if these are being considered, must be tentatively offered to
patients whose fear of passivity or loss of control may induce overwhelming
anxiety