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Psychogenic Movement Disorders.

Karen E. Anderson1

  • 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
PubMed
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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.

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  • 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.