once conversion disorder is confirmed, the key to successful treatment is the establishment of a strong therapeutic alliance with the patient and the incorporation of a goal-oriented treatment program
many patients who experience conversion disorder are unable to understand the inner conflict, which is perhaps occurring on an unconscious level
confronting patients about the "psychological nature" of their symptoms can and usually does make the symptoms worse
however, patients can only achieve resolution of the conflict and the physical symptoms once they are able to recognize the connection
psychotherapy
cornerstone of treatment for conversion disorder is psychotherapy aimed at elucidating the emotional bases of symptoms
psychotherapy can include individual or group therapy, behavioral therapy, hypnosis, biofeedback, and relaxation training
cognitive behavioral therapy (CBT) has shown the highest efficacy in treatment of pseudoseizures
behavioral interventions should focus on improving self-esteem, increasing the capacity to express emotions, and improving the ability to communicate comfortably with others
physical therapy
research has shown that physical therapy can be an effective method of treatment
physiotherapy treatment is essential in the management of people with conversion disorder to allow them to overcome their physical symptoms and prevent secondary complications, such as muscle weakness and stiffness, that may occur as a result of inactivity
Medication
conversion disorder can also be improved through the use of medications to treat underlying psychiatric issues, such as depression and anxiety
medications may include antidepressants, anxiolytics, or others depending on the psychiatric comorbidity
Reference:
Ali S et al. Conversion Disorder- Mind versus Body: A Review.Innov Clin Neurosci. 2015 May-Jun;12(5-6):27-33.
Dallocchio C, Marangi A, Tinazzi M. Functional or psychogenic movement disorders: an endless enigmatic tale. Front Neurol. 2015 Feb 27;6:37.
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