scholarly journals Conversion Disorder (Functional Neurological Symptom Disorder) Masquerading as Multiple Sclerosis: A Case Report

Cureus ◽  
2019 ◽  
Author(s):  
Derman Ozdemir ◽  
Sonu Sahni
Keyword(s):  
Multiple Sclerosis ◽  
Case Report ◽  
Neurological Symptom ◽  
Conversion Disorder ◽  
Functional Neurological Symptom Disorder

scholarly journals Conversion Disorder (Functional Neurological Symptom Disorder) in Primary Care Mental Health

2018 ◽  
Vol 18 (1) ◽  
pp. 54-68
Author(s):  
Diana Rancourt ◽  
Jack Darkes
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Case Report ◽  
Dialectical Behavior Therapy ◽  
Neurological Symptom ◽  
Emotion Dysregulation ◽  
Conversion Disorder ◽  
Motor Dysfunction ◽  
Primary Care Mental Health ◽  
Functional Neurological Symptom Disorder

This case report describes the application of a dialectical behavioral therapy–informed psychotherapy approach to treating conversion disorder (functional neurological symptom disorder) with motor dysfunction in a Veterans Administration Health System Primary Care–Mental Health Integration Clinic. “Jane,” a 30-year-old veteran, was diagnosed with conversion disorder, major depressive disorder (MDD), and posttraumatic stress disorder (PTSD). She completed 25 sessions of treatment focused on improving emotion regulation and interpersonal skills over an 8-month period. At the end of treatment, Jane demonstrated improved motor ability and clinically significant improvements in her reported symptoms of MDD (per the Patient Health Questionnaire–9) and PTSD (per the PTSD Checklist–Civilian Version). This case report supports the conceptualization of conversion disorder as a function of emotion dysregulation and the application of a dialectical behavior therapy–informed treatment approach.

scholarly journals Functional Neurological Symptom Disorder in a Patient with Parkinson’s Disease and Psychotic Features: A Case Report

2020 ◽  
Vol 24 (4) ◽  
Author(s):  
Seyed Abolfazl Ghoreishi ◽  
Hoda As'adi
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Neurological Symptom ◽  
Diagnostic Category ◽  
Conversion Disorder ◽  
Primary Treatment ◽  
Classification Systems ◽  
Wearing Off ◽  
Psychotic Features ◽  
Functional Neurological Symptom Disorder

: The conversion disorder (CD) or functional neurological symptom disorder is a diagnostic category used in some psychiatric classification systems, which often refers to the patients presenting with neurological symptoms. Parkinson’s disease (PD) essentially affects non-motor and motor functions. The chronic use of levodopa, which is the primary treatment in this regard, has been reported to cause complications such as the wearing-off phenomenon. This problem may also increase the disease symptoms, as well as the patients’ need to receive higher doses of the drug to remain symptom-free for a longer period. This case study aimed to describe a 47-year-old male patient with PD and psychotic features, the symptoms of which had progressed in a conversional setup relating to particular visitation times. According to the examinations, CD was the main problem, which simulated the features of PD.

Functional neurological symptom disorder (conversion disorder)

2020 ◽  
pp. 1350-1360
Author(s):  
Jon Stone ◽  
Michael Sharpe
Keyword(s):  
Neurological Symptom ◽  
Neurological Disease ◽  
Visual Loss ◽  
Psychological Treatment ◽  
Initial Step ◽  
Conversion Disorder ◽  
Physical Symptom ◽  
Limb Weakness ◽  
Depression Disorders ◽  
Functional Neurological Symptom Disorder

Conversion disorder (now also called functional neurological symptom disorder) describes symptoms (of motor and sensory dysfunction such as limb weakness, tremor, visual loss, with or without ‘blackouts’), which can be positively identified as being inconsistent with neurological disease. The disorder is common in neurological services and frequently seen by psychiatrists working in such settings. It is often associated with chronic severe disability. The diagnosis previously hinged on the neurologist’s demonstration of the lack of disease and the psychiatrist’s hypothesis of a ‘conversion’ of stress into a physical symptom. It is now based on positive findings on neurological assessment supplemented by a psychiatric assessment to confirm the diagnosis. Comorbid anxiety and depression disorders are common. Treatment is multi-disciplinary. Explanation of the condition to the patient is a crucial initial step supplemented, where necessary, by psychological treatment (especially for dissociative or non-epileptic attacks) and physiotherapy for functional motor symptoms. The prognosis without treatment is poor once the disability is established.

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