October 4, 2010. Conversion Disorder Suspect when symptoms do not fit Known medical illness Physical exam findings Subconscious plea for help with coping.

Slides:



Advertisements
Similar presentations
Abnormality & Disorders Abnormality: infrequent in population, violates norms, disability, distress.
Advertisements

Medically Unexplained Physical Symptoms for GP trainees
DR.M IMRAN AFZAL MBBS,DPM (DIPLOMAT PSYCHOLOGICAL MEDICINE) C.PSYCH (MISSOURI) USA DAYTOP GRADUATE (USA) CONSULTANT PSYCHIATRIST PUNJAB INSTITUTE OF MENTAL.
The Unexplained Physical Symptom Robert K. Schneider, MD Assistant Professor Departments of Psychiatry, Internal Medicine and Family Practice Virginia.
Somatoform and Related Disorders Chapter 21. Key Terms Psychosomatic –Psychological state that contributes to the development of a physical illness –Mental.
Somatoform and Dissociative Disorders
Mood Disorders. Level of analysis Depression as a symptom Depression as a syndrome Depression as a disorder.
Schizophrenia Diagnosis Two or more symptoms for most of the time during 1 month period (less if treated successfully) Delusions Hallucinations Disorganized.
Mental Health Nursing: Psychophysiologic (Somatoform) Disorders By Mary B. Knutson, RN, MS, FCP.
Somatoform and Sleep Disorders
Somatoform & Factitious Disorders
Somatoform and Dissociative Disorders Chapter 5. Basic definitions Somatoform disorders –pathological concern of individuals with the appearance or functioning.
Deliberate Self Harm Prof Craig Jackson Head of Psychology health.bcu.ac.uk/craigjackson.
CHILD PSYCHIATRY Fatima Al-Haidar Professor, child & adolescent psychiatrist College of medicine - KSU.
Exploring The World of Depression Daryl Davis. Table of Contents 3What Students Will Learn 4Definition of Depression 5Causes of Depression 6Causes Continued.
Dissociative Identity Disorder Kaitee Quinn P.1. Definition ▪ Most everyone experiences Dissociation ▪ The most common example- daydreaming or getting.
Somatoform Disorders When Inner Conflict Leads to the Unconscious production of Physical Symptoms.
Somatoform disorders T. Omidvar,MD. The key characteristic of somatoform disorders: preoccupation with physical symptoms without explanation of any medical.
Assessment Approach Dr. Hunt. Areas of Assessment Basic Medical record Urgent Symptom Disease Symptom-based condition.
V y.ubc.ca/PortalPlaylists.aspx?aid=1759 2&xtid=7849&loid= y.ubc.ca/PortalPlaylists.aspx?aid=1759.
STRESS REACTION Factors affecting stress reaction: Factors affecting stress reaction: STRESSOR PERSONALITY SUPPORT OTHERS.
 Soma = Body  Preoccupation with health or appearance  Physical complaints  No identifiable medical condition.
Somatoform Disorders & Dissociative Disorders Kimberley Clow
FACTITIOUS DISORDER. Intentionally produce signs and symptoms of medical and mental disorder Misrepresent their histories and symptoms Objective: assume.
CONVERSION DISORDER.
Rachel Morello P.2. A preoccupation that physical symptoms are signs of a serious illness, even when there is no medical evidence to support the presence.
Copyright © 2007 by The McGraw-Hill Companies, Inc. All rights reserved. Chapter 8 Somatoform and Dissociative Disorders Movie 2/27: “Amelie” (extra credit)
Copyright © 2007 by The McGraw-Hill Companies, Inc. All rights reserved. Chapter 8 Somatoform and Dissociative Disorders.
C. Donald Williams M.D.1 “Group Therapy in the Treatment of Injured Workers” 1997 APA Annual Meeting Current Uses of Group Therapy C. Donald Williams,
Dissociative Disorders Persistent, maladaptive disruptions in memory, consciousness, or identity.
The Watson Institute Research has demonstrated that psychosocial factors influence the behavioral development and rehabilitation course of children with.
RNSG 1163 Summer Qe8cR4Jl10.
EATING DISORDERS Dr. Y R Bhattarai TMU.
Somatoform Disorders: (Now titled Somatic Symptom Disorder or Illness anxiety disorder in DSM-V)
Chapter-06 Conversion disorder. Definition  Conversion disorder refers to a condition in which there are isolated neurological symptoms that can not.
Chapter -5 Somatoform Disorder. General characteristics  Physical signs and symptoms lacking a known medical basis in the presence of psychological factors.
ADHD 9 th dec Dr. Sami Adil. ADHD is a neuropsychiatric condition starting since childhood characterized by diminished sustained attention, and.
Chapter 1 Introduction to Disease. Elsevier items and derived items © 2009 by Saunders, an imprint of Elsevier Inc. 1 Pathology at First Glance Homeostasis:
Eating Disorders Chapter 11. Severe disruptions in normal eating patterns & a significant disturbance in the perception of body shape and weight Can often.
Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins.
Chapter 11: Somatoform, Factitious, and Dissociative Disorders Copyright © 2012, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
Differences SOMATIZATION DISORDERS HystericalPreoccupation conversion disorder somatization disorder pain disorder hypochondriasis BDD suffer changes in.
Somatoform Disorders. Physical symptoms for which there is no apparent physical cause.
Somatoform Disorder Chapter 19 West Coast University NURS 204.
Conversion Disorder (The Modern Hysteria)*
Somatoform & Factitious Disorders. Factitious Disorder Physical or psychological Sx that are intentionally feigned for the purpose of fulfilling an intrapsychic.
Hypochondriasis By Mirzha Mendez. Definitions Hypochondriasis -A somatoform disorder in which a person interprets normal physical sensations as a disease.
By: Taylor Dodd Period- 6.  ‘alteration in the perception or experience of the self so that one feels detached from and as if one is an outside observer.
A. One or more symptoms or deficits affecting voluntary motor or sensory function that suggest a neurological or other general medical condition.
Anita R. Webb, PhD JPS Health Network Fort Worth, TX.
Fibromyalgia Chronic, widespread pain in specific muscle sites. Symptoms: Muscle stiffness Numbness or tingling in the arms or legs Fatigue Sleep disturbances.
SOMATOFORM AND CONVERSION DISORDERS
Disorders Of Bodily Preoccupation. Somatoform Disorders  Body response that suggest a physical problem, often dramatic in nature.  No identifiable physical.
Case Discussion Effects of trauma in children and adolescents
CHILD PSYCHIATRY Fatima Al-Haidar
Pediatric Psychology: An Overview
Physical Problems, psychological Sources
Somatization Disorders
A middle-aged man is chronically preoccupied with his health
Schizophrenia Case #132566D Mallory Lehr
Module 22 Assessment & Anxiety Disorders
Somatic Symptom Disorders
UNIT 6 : STRESS & COPING ACROSS LIFE SPAN
Hypochondriasis Monique Hood.
Mental Health Nursing-NUR 413 Lecture 7
DISORDERS OF BODILY PREOCCUPATION
Somatoform and Dissociative Disorders
Lesson 2: Diseases and Disorders
Understanding Depression
UNIT 6 : STRESS & COPING ACROSS LIFE SPAN
Presentation transcript:

October 4, 2010

Conversion Disorder Suspect when symptoms do not fit Known medical illness Physical exam findings Subconscious plea for help with coping mechanisms School Family disharmony Abuse

Conversion Disorder 65% CNS symptoms Episodic loss of awareness Pseudoseizures or syncope Motor dysfunction Gait disturbances or paresis Sensory abnormalities Pain and/or numbness Special senses

Conversion Disorder Diagnosis Must rule out medically treatable causes Testing is important Psychiatric evaluation Levels of stress or anxiety in child and family Predisposing vulnerabilities Learning disabilities Peer pressure Body image Chronic illness Family disharmony or conflict

Conversion Disorder Psychiatric Evaluation Temporal relationship between stress and onset of symptoms Role models Evidence of primary or secondary gain

Conversion Disorder Differential Familial periodic paralysis Hypokalemic or normokalemic Metabolic myopathies Muscular dystrophy Myasthenia gravis Endocrinopathies Thyroid and adrenal

Conversion Disorder Treatment Explanation to parents Symptom is real No organic disease Anxiety or stress needs to be relieved Tailored to problem Set goals Positive feedback Physical Therapy More likely accepted

Conversion Disorder Treatment Remove secondary gain Missed school Parental attention Give some control to the child Continued psychotherapy Give up sick role Coping “to help you cope with the stress of being ill”

Conversion Disorder Prognosis Usually no underlying mood disorder Pseudoseizures – 32% History of sexual abuse is common Histrionic Personality Disorder As adults if no treatment for coping