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Management of children with non-organic (hysterical) disorders of motor function
Insights
Disorders of motor function in children were found to have a non-organic, hysterical cause, often after extensive investigations. Management requires limiting tests, starting rehabilitation, and addressing psychological issues.
Area of Science:
- Pediatric neurology
- Child psychology
Background:
- Disorders of motor function in children can be challenging to diagnose.
- Distinguishing between organic and non-organic causes is crucial for effective treatment.
Observation:
- Five children aged 10–13 years presented with motor function disorders.
- Extensive investigations were initially conducted to rule out organic etiologies.
Findings:
- The motor function disorders were diagnosed as having a non-organic (hysterical) cause.
- A pattern of extensive prior investigations before diagnosing a hysterical basis was observed.
Implications:
- Management should prioritize minimizing further investigations.
- Rapid initiation of graduated physical rehabilitation is essential.
- Addressing underlying psychological problems is critical for recovery.
Abstract:
Five children aged between 10 and 13 years are discribed whose disorders of motor function were found to have a non-organic (hysterical) cause. In most cases extensive investigations had been made to establish an organic cause before the hysterical basis was diagnosed. The three essentials of management of such cases are to limit further investigations to the essential minimum, to institute quickly a programme of graduated physical rehabilitation, and to establish and treat the underlying psychological problems.