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What is conversion disorder

Conversion disorder definition 

Conversion disorder is a mental condition in which a person has blindness, paralysis, or other nervous system (neurologic) symptoms that cannot be explained by medical evaluation. In other words it is a rare condition in which your brain converts mental stress into physical symptoms:

For example

Common examples include blindness, paralysis, diplopia, dystonia, psychogenic non epileptic seizures (PNES), anesthesia, aphonia, amnesia, and dementia, and unresponsiveness.

Symptoms of the disorder

Conversion disorder symptoms most commonly look like issues involving your nervous system (Brain, spinal cord, or other nerves). These include:

  • Weakness
  • Paralysis of the arms or legs
  • Seizures, sometimes with limited consciousness
  • Difficulty swallowing
  • A feeling of a lump in the throat
  • Shakes and tremors
  • Numbness
  • Loss of smell or speech

Causes

Some sort of extreme stress, emotional trauma, or depression normally causes conversion disorder. It’s your body’s response to something you perceive as a threat. The physical symptoms may arise as a way to try to resolve or relieve the extreme mental stress.

Diagnostic features

In conversion disorder, there may be one or more symptoms of various types :

Motor symptoms                        Sensory symptoms                                     Other symptoms            

  • Weakness                          Altered , reduced , or absent                        Reduced or absent
  • Paralysis of skin sensation, vision , hearing                   speech volume  
  • Abnormal movement                                                                             ( Aphonia)
  • Such astremor, dystonic                                                                     sensation of a lump in the throat

                                                      

Neurotransmitters  Involvement

Some neurotransmitters are involved in the disorder. However, glutamate is the main neurotransmitter associated with the sensation of pain.

Management Plan

  • Psychological therapy, such as Cognitive Behavior Therapy (CBT). CBT involves learning about the disorder, recognizing triggers and symptoms, and learning new ways to respond and control them.
  • Hypnosis
  • Stress management training to make symptoms more manageable
  • Physical therapy for weak limbs, walking problems, and other movement problems.
  • Occupational therapy
  • Speech therapy
  • Medication to treat medical conditions that may co-exist in patients affected with conversion disorder

Thought Mending

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