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Clinical Manifestations and Management of Conversion Disorders.

James A. Bourgeois1, Celia H. Chang, Donald M. Hilty

  • 1*Department of Psychiatry, University of California at Davis Medical Center, 2230 Stockton Boulevard, Sacramento, CA 95817, USA. james.bourgeois@ucdmc.vcdavis.edu

Current Treatment Options in Neurology
|October 2, 2002
PubMed
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Conversion disorder involves sudden sensory or motor loss without physical cause. It often occurs without histrionic personality disorder and may link to somatization, requiring neurological evaluation and psychiatric consultation for better outcomes.

Area of Science:

  • Neurology
  • Psychiatry

Background:

  • Conversion disorder presents as acute sensory or motor loss unexplained by physical findings.
  • Historically linked to histrionic personality disorder, recent evidence shows it often presents independently.
  • It can be part of somatization disorder, a chronic expression of psychologic distress.

Purpose of the Study:

  • To review the presentation and management of conversion disorder.
  • To highlight the relationship between conversion disorder and other psychiatric conditions.
  • To emphasize the importance of integrated neurologic and psychiatric care.

Main Methods:

  • Literature review of neurologic and psychiatric studies on conversion disorder.
  • Analysis of diagnostic criteria and associated conditions.

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  • Discussion of recommended clinical approaches.

    • Main Results:

    • Conversion disorder frequently co-occurs with mood and anxiety disorders.
    • The presence of comorbid psychiatric illnesses can impact symptom prognosis.
    • Prompt psychiatric consultation alongside neurologic evaluation aids recovery.

    Conclusions:

    • Conversion disorder requires thorough neurologic assessment.
    • A low threshold for psychiatric consultation is crucial for effective comanagement.
    • Integrated care improves the likelihood of returning to premorbid function.