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Management of conversion disorder

F W Silver1

  • 1Good Samaritan Hospital and Rehabilitation Center, Puyallup, Washington 98371, USA.

American Journal of Physical Medicine & Rehabilitation
|March 1, 1996
PubMed
Summary
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Conversion disorder involves physical symptoms with psychological origins, often missed when co-occurring with physical illness. Psychological management, focusing on patient education and expectation of recovery, is key to treatment.

Area of Science:

  • Psychiatry
  • Psychology
  • Neurology

Background:

  • Conversion disorder presents as physical dysfunction with no organic cause.
  • Symptoms can be subtle and overlooked, especially when co-occurring with physical conditions.

Observation:

  • Psychological interventions are crucial for managing conversion symptoms.
  • Management principles include avoiding confrontation and symptom reinforcement.
  • Educating patients with a benign explanatory model fosters recovery expectations.

Findings:

  • Behavior therapy and psychotherapy can be effective for chronic or resistant cases.
  • Identifying secondary gain is important in complex presentations.
  • Case studies illustrate successful application of these psychological principles.

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Implications:

  • Effective psychological management can improve patient outcomes for conversion disorder.
  • Early identification and intervention are vital to prevent chronicity.
  • This approach highlights the mind-body connection in physical symptom presentation.