Watch 'Physical Symptoms of Mental Pain - Conversion Disorder'. Hysteria is another term used previously for Conversion Disorder. Here, patients mainly complaints of neurological symptoms though neurological functions of brain is intact. Here, Psychiatrist Dr Mekhala Sarkar described the symptoms of conversion disorder and the treatment options. In DSM V, Conversion disorder is termed as Functional Neurological Symptom Disorder .
Conversion disorder can be defined as functional neurological symptom disorder, occurs when a person experiences neurological symptoms (symptoms of the nervous system) not attributable to any medical condition. The symptoms are real and not imaginary, and they can affect motor functions and your senses.
It is possible that the symptoms are triggered by physically or psychologically traumatic events or by stress, but not necessarily. They are also at increased risk if a family member has a functional neurologic disorder or if they’ve experienced physical or sexual abuse as a child or any other trauma in life. Women are also two to three times more likely to receive a diagnosis of conversion disorder than men.
What Are the Symptoms?
Symptoms can include:
Difficulty walking
Loss of balance
Body tremors
Weakness or paralysis
Hearing difficulty
Vision problems or blindness
Loss of sensation
Trouble swallowing
Seizures or shaking episodes
Unresponsiveness
To receive a diagnosis of conversion disorder, a person must experience altered motor function or a change in their senses. The symptoms cannot be attributed to any medical condition or other mental illness, and the symptoms must cause distress or impairment in a person’s work, relationships, or other areas of life. Thanks to EEG technology and other neuropsychological tools, conversion disorder has become easier to diagnose in the last decade.
How is Conversion Disorder Treated?
Treatment will also be tailored to fit the specific symptoms experienced by the individual. For example, speech therapy may benefit the individual if their symptoms include trouble with speaking or swallowing. Physical or occupational therapy may be required if a person has trouble with mobility, paralysis, or weakness. Behavior therapy that focuses on stress reduction and relaxation techniques can also help reduce symptoms.
Persons with conversion disorder can also benefit from psychotherapy. Cognitive behavioral therapy (CBT) can help people identify negative or irrational thought patterns and respond to challenges more effectively. CBT can also help people build better-coping skills for life stressors. If an individual has a history of trauma, they may benefit from other types of therapy as well. Family therapy may also be useful in addressing family dynamics that generate stress and fuel symptoms of conversion disorder.
Hypnosis and self-hypnosis have also proven beneficial for symptom reduction in conversion disorder. This type of treatment may involve focus on on a pleasant image in order to distract or direct thoughts away from the symptoms, which can slow them down or stop them.
Pharmacotherapy for conversion disorder usually involves medication that treats the symptoms of co-occurring conditions. Research has shown that medications including selective serotonin reuptake inhibitors (SSRIs), beta-blockers, analgesics, and benzodiazepines can prove helpful. Antiepileptic drugs are not typically used unless they also help treat the co-occurring diagnosis as well.
According to the DSM-5, conversion disorder can be diagnosed with symptom specifiers including the following: weakness or paralysis, abnormal movement, swallowing symptoms, speech symptoms, attack or seizures, anesthesia or sensory loss, or special sensory symptoms.
#DrMekhalaSarkar #CareYourMind
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Dr Mekhala Sarkar
MBBS, FCPS(Psychiatry)
Fellow, World Psychiatrists Association (WPA) (Turkey),
International Fellow, American Psychiatric Association (USA),
Associate Professor of Psychiatry, NIMH, Dhaka.
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