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Updated: May 4, 2026

Assessment and Communication for People with Disorders of Consciousness
Published on: August 1, 2017
[Management of patients with conversion disorder]
Marinus Vermeulen1, Jan Hoekstra, Mariëtte J Kuipers-van Kooten
1Academisch Medisch Centrum, afd. Neurologie, Amsterdam.
Abstract:
The symptoms of conversion disorder are not due to conscious simulation. There should be no doubt that the symptoms of conversion disorder are genuine, even if scans do not reveal any abnormalities. The management of patients with conversion disorder starts with an explanation of the diagnosis. The essence of this explanation is that patients first hear about what the diagnosis actually means and only after this about what they do not have. When explaining the diagnosis it is a good idea to use metaphors. The treatment of patients with conversion disorder is carried out together with a physical therapist. The collaboration of healthcare professionals who are involved in the treatment of a patient with conversion disorder should preferably be coordinated by the patient's general practitioner.
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