Conversion Disorder : Symptoms, type, causes and management | Doctors Gang
What is Conversion disorder?
Conversion disorder is a type of psychological disorder. Neurological symptoms are seen in people who suffer from these Conversion disorder but has no neurological cause can be found behind these disease.Thats means no organic cause can be found in Conversion disorder.
Conversion disorder symptoms
The symptoms of conversion disorder are mainly physical, that is, the symptoms manifest physically. Some of the common symptoms are difficulty in vision
or not being able to see anything, complete or incomplete paralysis, fainting or fits, or numbness in certain parts of the body such as hand, legs, in many patients has hearing loss, There is no feeling, there is difficulty in swallowing, it seems that there is something stuck in the throat, they cannot walk or keep its balance, the hands and feet are choked or the whole body is chopped or the hands and feet are bent or the face is crooked. But has no physical cause or Organic cause can be found behind these Conversion disorder. Most people think that these disorder are caused by the patient himself. Many again consider these symptoms to be gene or fairy behavior which is fully wrong. In fact, these symptoms start all of a sudden and the patients cannot tell when these symptoms will occur. The person is completely ignor of his problem when he will have a problem or his symptoms. According to DSM-5, conversion disorder is included in Functional Neurological Symptom Disorder.
Symptoms of conversion disorder last day to several weeks, sometimes go away suddenly.
The symptoms are divided into two parts
1. Motor symptoms
2. Sensory symptoms
Motor symptoms of conversion disorder
1. Impaired coordination or balance (Impaired coordination or balance)
2. Weakness / paralysis of a limb or the entire body.
3. Impairment or loss of speech or hysterical aphonia
4. Difficulty swallowing (dysphagia) or a sensation of a lump in the throat.
5. Urinary retention
8. Psychogenic non-epileptic seizures or convulsions
9. Persistent dystonia
10. Tremor, myoclonus or other movement disorders
11. Gait problems
12. Loss of consciousness / fainting
13. There is pain in the body or head.
Sensory symptoms of Conversion Disorder:
1. Impaired vision (hysterical blindness), double vision.
2. Hearing problems or impaired hearing / Impaired hearing / deafness.
3. Loss or disturbance of touch or pain sensation (Loss or disturbance of touch or pain sensation).
4. There is also the problem of forgetting in the person as to what happened to him.
5. Interestingly, the extent to which these symptoms manifest in a person depends on the person’s knowledge of medical science, that is, the person’s understanding of anatomy. For example, if a person sees / hears that another person has become paralyzed and his two legs are numb, then if that person has conversion disorder, then he will become paralyzed in both his legs, that is, the symptoms will appear in these two legs. It can also be said that if a person sees / hears someone or someone’s face is crooked, hands and feet are crooked or cannot speak or faints, if that person has a conversion disorder, then this is exactly the same part of it. Similar symptoms will appear in any other part or any other such symptoms will not appear. However, more detailed research is needed in this regard.
Causes of conversion disorder:
No specific cause of conversion disorder can be found. Although the symptoms of conversion disorder are neurological i.e. the symptoms that are seen are related to the brain but still there is no problem of brain
Medical science cannot find any specific cause for this disease.
However, psychology can explain the disease. According to psychologists, the symptoms of conversion disorder are usually caused by a psychological conflict or stress. That is, when a person cannot resolve this psychological conflict, stress, these problems are seen in him/her. That is, through these sign and symptoms, the person protects himself from that difficult situation, that is, he does not have to deal with that situation anymore.
Usually the symptoms of conversion disorder start after a stressful experience.
1. Suddenly before / after a stressful event.
2. Emotional or physical trauma.
Who is at risk for Conversion disorder
Although conversion disorder can occur any person at any age, it tends to develop during early childhood, adolescence and Specially female adolescence. Conversion disorder common in women than men Specially in developing countries. About 2/3rd of the patients have evidence of emotional abnormality or psychological disease, and the most common being Depression ,anxiety and trauma. personality disorder occurs in men.
Laboratory test for Conversion disorder
There has no Laboratory test or diagnostic
Test for diagnosis of Conversion disorder.
It depends on clinical eye and experience of the Bangladeshi physician.
Treatment and Management of Conversion Disorder :
- Treatment of Depression and anxiety.
- Meditation and yoga.
- Psychological therapy.
- Cognitive Behavioral Therapy.
- Management of Stress
- Physical limb weakness prevention.
- Speech therapy.
- Ovulational theraoy for preventing hazards.
- Medicational treatment under Psychiatrist.