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Psychogenic Movement Disorders.
1Movement Disorders Division, Department of Neurology, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA. kanderson@psych.umaryland.edu
Current Treatment Options in Neurology
|March 12, 2003
Summary
Psychogenic movement disorders require integrated psychiatric and neurological care. Effective treatment involves multidisciplinary teams addressing underlying psychopathology and patient-specific challenges.
Area of Science:
- Neurology
- Psychiatry
- Movement Disorders
Background:
- Psychogenic movement disorders present complex diagnostic and therapeutic challenges.
- These conditions bridge neurology and psychiatry, necessitating collaborative care.
- Clinical evaluation is complicated by psychosocial factors and lack of definitive tests.
Purpose of the Study:
- To highlight the diagnostic and treatment complexities of psychogenic movement disorders.
- To emphasize the need for a multidisciplinary approach in managing these patients.
- To underscore the importance of addressing comorbid psychopathology.
Main Methods:
- Review of clinical presentation and diagnostic challenges.
- Discussion of treatment strategies involving integrated care.
- Emphasis on historical and clinical diagnostic criteria.
Main Results:
- Diagnosis relies heavily on clinical history and phenomena due to limited objective tests.
- Multidisciplinary team management is crucial for effective treatment.
- Addressing underlying conditions like depression and anxiety is vital.
Conclusions:
- Psychogenic movement disorders demand a comprehensive, team-based approach.
- Integrated psychiatric and neurological expertise is essential for optimal patient outcomes.
- Successful management hinges on treating both motor symptoms and associated mental health conditions.