CloudHospital

Last updated date: 04-Mar-2023

Medically Reviewed By

Written by

Dr. Yahia H. Alsharif

Originally Written in English

Conversion Disorder | Symptoms, Causes, Diagnosis &Treatment

    Overview

    Conversion disorder is a psychiatric condition in which a person experiences physical symptoms that cannot be explained by a medical condition. These symptoms are thought to be caused by psychological factors, such as emotional stress or trauma. The physical symptoms of conversion disorder may include numbness, weakness, paralysis, tremors, tics, seizures, blindness, deafness, or loss of coordination.

    The exact cause of conversion disorder is not fully understood, but it is thought to be related to unconscious psychological conflicts or stressors. Conversion disorder is more common in individuals with a history of psychological trauma, abuse, or other mental health conditions such as anxiety or depression.

    Diagnosis of conversion disorder is typically made by a mental health professional, and involves a thorough evaluation of the individual's symptoms, medical history, and psychological functioning. Treatment for conversion disorder typically involves a combination of psychotherapy, medications, and support from loved ones. Psychotherapy can help individuals understand and address the underlying psychological factors that contribute to their symptoms, while medication can help manage any related emotional or psychiatric symptoms.

    You should seek professional help if you or someone you know is experiencing symptoms of conversion disorder, as early treatment can improve outcomes and prevent further complications.

     

    What is Conversion Disorder?

    Conversion disorder is a type of mental health condition in which an individual experiences physical symptoms that cannot be explained by a medical condition or injury. The physical symptoms, such as weakness, numbness, or tremors, are believed to be caused by psychological or emotional stress, conflict, or trauma. The individual may also have coexisting psychiatric conditions, such as anxiety or depression, which can contribute to the development of conversion disorder.

     

    How common is Conversion Disorder?

    Common is Conversion Disorder

    The exact prevalence of conversion disorder is not well known, as it can be difficult to diagnose and many cases may go unreported. However, studies suggest that conversion disorder is a relatively uncommon condition, affecting fewer than 1% of the general population.

    Conversion disorder is more common in women and typically develops in young adulthood. The condition is also more common in individuals with a history of psychological trauma, stress, or conflict, as well as those with coexisting psychiatric conditions such as anxiety or depression.

    It is important to note that conversion disorder can be difficult to diagnose and may be mistaken for other medical conditions. Therefore, the actual prevalence of the condition may be higher than current estimates.

    If you or someone you know is experiencing physical symptoms that cannot be fully explained by a medical condition, it is important to seek professional help to determine the underlying cause and receive appropriate treatment.

     

    Conversion Disorder VS Somatic Symptom Disorder

    Conversion Disorder VS Somatic Symptom Disorder

    Conversion disorder and somatic symptom disorder are related mental health conditions that involve physical symptoms, but they have some important differences.

    Conversion disorder is a condition in which a person experiences physical symptoms, such as weakness or numbness, that cannot be explained by a medical condition or injury. The physical symptoms are believed to be caused by psychological stress, conflict, or trauma.

    Somatic symptom disorder, on the other hand, involves physical symptoms that are not fully explained by a medical condition or injury, but the person is excessively concerned about the symptoms and their potential medical consequences. The person may also have depression, anxiety, or other emotional distress related to their symptoms.

    In other words, conversion disorder is primarily characterized by the physical symptoms themselves, while somatic symptom disorder is characterized by excessive anxiety or emotional distress related to the physical symptoms.

    Both conditions require a thorough evaluation by a mental health professional and can benefit from a combination of psychotherapy and medication. It is important to seek professional help if you or someone you know is experiencing physical symptoms that cannot be fully explained by a medical condition, as early treatment can improve outcomes and prevent further complications.

     

    Symptoms of Conversion Disorder?

    Symptoms of Conversion Disorder

    The symptoms of conversion disorder can vary and may include:

    • Weakness or paralysis in one or more limbs
    • Loss of sensation or feeling in one or more limbs
    • Seizures or convulsions
    • Blindness or double vision
    • Difficulty speaking or swallowing
    • Difficulty with coordination or balance
    • Tremors or tics
    • Abnormal gait or difficulties with walking
    • Loss of consciousness or fainting
    • Pain or numbness that is not fully explained by a medical condition

    Symptoms of conversion disorder can mimic those of other medical conditions, making the diagnosis challenging. Additionally, the symptoms may come and go, making them difficult to predict or explain.

    If you or someone you know is experiencing physical symptoms that cannot be fully explained by a medical condition, it is important to seek professional help to determine the underlying cause and receive appropriate treatment.

     

    What Causes Conversion Disorder?

    Causes Conversion Disorder

    The exact cause of conversion disorder is not well understood, but it is believed to be related to psychological stress, conflict, or trauma. Some research suggests that conversion disorder may occur as a way for a person to unconsciously express psychological distress or to cope with stress, conflict, or trauma.

    Risk factors for the development of conversion disorder include:

    • Exposure to traumatic events or stressful situations
    • Personal or family history of mental health disorders, such as anxiety, depression, or post-traumatic stress disorder
    • Childhood abuse or neglect
    • Conflict or dysfunction in personal relationships
    • Chronic illness or injury
    • Chronic stress or high levels of psychological stress

    Conversion disorder is not a result of a person intentionally faking symptoms, and that people with the condition experience genuine physical symptoms that can cause significant distress and impair daily activities.

     

    How is Conversion Disorder Diagnosed?

    Conversion Disorder Diagnosed

    Diagnosing conversion disorder can be challenging, as the symptoms may mimic those of a physical medical condition. To make a diagnosis of conversion disorder, a healthcare provider will typically perform a comprehensive evaluation that includes the following steps:

    1. Medical history and physical examination: A healthcare provider will ask questions about the symptoms and perform a physical examination to assess the presence and severity of physical symptoms.
    2. Neurological evaluation: This may include tests to assess the function of the nerves and muscles, such as electromyography (EMG) or nerve conduction studies.
    3. Psychological evaluation: A mental health professional may perform a psychological evaluation to assess for the presence of stress, conflict, or trauma that may be contributing to the symptoms.
    4. Ruling out other medical conditions: A healthcare provider will perform additional tests or imaging studies to rule out other medical conditions that could be causing the symptoms, such as a stroke, a tumor, or an infectious disease.

    If the symptoms cannot be fully explained by a medical condition and appear to be related to psychological distress, conflict, or trauma, a diagnosis of conversion disorder may be made.

    It is important to seek professional help if you are experiencing physical symptoms that cannot be fully explained by a medical condition. A healthcare provider can help determine the underlying cause and provide appropriate treatment.

     

    What Neurological Tests will be done to Diagnose this Condition?

    Neurological Tests

    The specific neurological tests used to diagnose a condition depend on the symptoms and suspected underlying cause. However, some common tests for neurological conditions include:

    1. Neurological exam: This exam assesses muscle strength, reflexes, and sensation.
    2. Electroencephalogram (EEG): This test measures electrical activity in the brain and can help diagnose conditions such as seizures.
    3. Magnetic Resonance Imaging (MRI): This imaging test creates detailed images of the brain and can help detect brain tumors, strokes, and other abnormalities.
    4. Computed Tomography (CT) scan: This imaging test can create cross-sectional images of the brain and help diagnose conditions such as head injuries and blood clots.
    5. Nerve conduction study: This test measures the electrical signals that travel along nerve pathways and can help diagnose nerve damage or disorders.
    6. Electromyogram (EMG): This test measures the electrical activity of muscles and can help diagnose conditions such as muscle weakness or nerve damage.

    It's important to note that not all neurological conditions require all of these tests, and other tests may also be used depending on the patient's specific case.

     

    How is Conversion Disorder Treated?

    Conversion Disorder Treated

    Treatment for conversion disorder typically involves a combination of psychotherapy and medication. The goal of treatment is to address the underlying psychological conflict or distress and improve symptoms.

    1. Psychotherapy: Psychotherapy, particularly cognitive-behavioral therapy (CBT), is a commonly used and effective treatment for conversion disorder. CBT helps individuals understand and change negative thoughts and behaviors that may be contributing to the symptoms.
    2. Medication: Antidepressant and antianxiety medications may be prescribed to relieve symptoms of depression, anxiety, and stress that may be contributing to the symptoms of conversion disorder.
    3. Physical therapy: Physical therapy may be recommended to improve physical function and relieve symptoms.
    4. Relaxation techniques: Techniques such as deep breathing, meditation, and progressive muscle relaxation can help reduce stress and anxiety and improve symptoms.
    5. Multidisciplinary approach: A team approach that involves a psychiatrist, psychologist, and physical therapist may be necessary to address the physical and psychological aspects of conversion disorder.

    It is important to work with a mental health professional who has experience in treating conversion disorder to develop an individualized treatment plan. Treatment for conversion disorder can be effective and lead to improvement in symptoms and overall quality of life.

     

    Complications of Conversion Disorders

    Complications of Conversion Disorders

    Complications of conversion disorder may include:

    1. Physical disability: If left untreated, conversion disorder can lead to significant physical disability, making it difficult to perform daily activities.
    2. Psychological distress: Symptoms of conversion disorder can be distressing and lead to increased levels of anxiety and depression.
    3. Missed opportunities: Individuals with conversion disorder may miss out on important life events and opportunities due to their symptoms.
    4. Stigma: There is often a stigma associated with conversion disorder, and individuals with the condition may feel ashamed or embarrassed about their symptoms.
    5. Interpersonal difficulties: Symptoms of conversion disorder can lead to difficulties in relationships and communication with others.
    6. Substance abuse: Some individuals with conversion disorder may turn to substance abuse as a way to cope with their symptoms, which can lead to additional health problems.

    Yoyshould seek professional help as soon as possible to minimize these potential complications and improve outcomes. Treatment for conversion disorder can be effective and lead to improvement in symptoms and overall quality of life.

     

    How Do I Look After Myself or Manage My Symptoms at Home?

    Here are some strategies you can use to look after yourself or manage your symptoms of conversion disorder at home:

    1. Practice self-care: Engage in activities that you enjoy and that help you relax, such as yoga, meditation, or deep breathing exercises.
    2. Get regular exercise: Regular physical activity can help improve your mood, reduce stress, and boost your overall well-being.
    3. Improve your sleep habits: Aim for 7-9 hours of quality sleep each night, establish a consistent sleep schedule, and avoid screens in the hour before bed.
    4. Eat a healthy diet: Focus on consuming plenty of fruits, vegetables, and whole grains, and limit your intake of processed foods and sugar.
    5. Limit alcohol and caffeine: Both alcohol and caffeine can interfere with sleep and increase stress levels.
    6. Seek support: Talk to someone you trust about your experiences, such as a friend, family member, or support group.
    7. Seek professional help: If your symptoms persist or become more severe, seek help from a mental health professional who can provide a proper diagnosis and develop a treatment plan.

    Remember that it is important to be kind and patient with yourself as you manage your symptoms, and to seek help when needed. With the right treatment and support, it is possible to improve your quality of life and reduce the impact of conversion disorder on your daily life.

     

    How Quickly Will I Feel Better Following Treatment?

    The speed of recovery from conversion disorder can vary greatly depending on a number of factors, including the severity of your symptoms, the underlying causes of your disorder, and the type of treatment you receive. In some cases, individuals may start to feel better after just a few sessions of therapy or medication. In other cases, recovery may take several months or longer.

    It's important to remember that the journey towards recovery is different for everyone, and that it's okay to take your time. Your mental health provider will work with you to develop a treatment plan that is tailored to your specific needs, and will help you track your progress over time. With the right support and care, it is possible to make meaningful improvements in your symptoms and to feel better over time.

     

    How long does Conversion Disorder Last?

    Conversion Disorder Last

    The duration of conversion disorder can vary greatly depending on a number of factors, including the underlying causes of the disorder, the severity of symptoms, and the type of treatment received. In some cases, symptoms may resolve within a few weeks or months with appropriate treatment. In other cases, conversion disorder may persist for several years or even be a lifelong condition.

    It's important to remember that recovery is a unique process for each individual and that progress may not be linear. With the right support and treatment, many individuals with conversion disorder are able to manage their symptoms and lead fulfilling lives. If you or a loved one is struggling with conversion disorder, it is important to seek help from a mental health professional to develop a personalized treatment plan.

     

    Prognosis of Conversion Disorder

    Prognosis of Conversion Disorder

    The prognosis of conversion disorder can vary greatly depending on several factors, including the severity and duration of symptoms, the presence of any underlying psychiatric or medical conditions, and the type and effectiveness of treatment received.

    With proper diagnosis and treatment, many individuals with conversion disorder are able to manage their symptoms and improve their quality of life. However, some individuals may experience a chronic course, with symptoms that persist for many years. In some cases, the symptoms of conversion disorder may improve significantly with treatment, but may also recur periodically over time.

    It's important to remember that recovery from conversion disorder is a unique process for each individual and that progress may not be linear. With the right support and treatment, many individuals are able to lead fulfilling lives. If you or a loved one is struggling with conversion disorder, it is important to seek help from a mental health professional to develop a personalized treatment plan and work towards a positive outcome.

     

    When You Should Get Emergency Care?

    You should seek emergency care if you experience any of the following symptoms related to conversion disorder:

    1. Loss of consciousness or fainting
    2. Difficulty speaking or swallowing
    3. Weakness or numbness in a limb that affects mobility or balance
    4. Seizures or convulsions
    5. Rapid or irregular heart rate
    6. Chest pain or tightness
    7. Shortness of breath or difficulty breathing

    If you are experiencing any of these symptoms, it is important to seek medical attention immediately. Early treatment can help prevent complications and improve outcomes.

     

    Conclusion

    Conversion Disorder

    In conclusion, conversion disorder is a condition in which a person experiences physical symptoms that cannot be explained by a medical condition. It is believed to be related to psychological or emotional stress. The diagnosis involves a physical examination, medical tests, and a psychological evaluation. The treatment for conversion disorder may involve physical therapy, counseling, and medications, and the prognosis varies from person to person. If you or someone you know is experiencing symptoms of conversion disorder, it is important to seek medical help for proper evaluation and treatment.