Treatments for Conversion Disorder
Conversion Disorder: Is the Diagnosis Correct?
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Differential diagnosis list for Conversion Disorder may include:
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Book Excerpts: Treatment of Conversion Disorder
Treatments of Conversion Disorder: Online Medical Books
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Fatigue:
Treatment
(In a Page: Signs and Symptoms)
-
Treatment is targeted at specific underlying medical problems, if determined (e.g., thyroid disease, chronic infection, malignancy)
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Stop or change offending medications
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Consider trial of antidepressant therapy and/or cognitive behavioral psychiatric therapy
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Regularly scheduled physical activity
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Improve sleep hygiene
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Referral to support groups
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Discontinue offending medications
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Chronic fatigue syndrome and fibromyalgia are often treated with supportive care, healthy diet, moderate exercise, and low-dose antidepressants
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Weight loss for obesity
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Fatigue:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Behavioral modifications based on cause
–Increase duration of sleep
–Ensure three calorically adequate meals per day
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Correction of anemia
–Iron supplementation
–Blood transfusion if hemodynamically unstable
-
Depression
–Psychological counseling and antidepressants
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Infectious mononucleosis
–Rest if fatigue is severe
–No contact sports with significant splenomegaly
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Anti-inflammatory drugs for inflammatory causes
-
Chronic fatigue syndrome
–Emotional support
–Psychological treatment if indicated
–Modification of schedule as needed
–Various medications have been attempted, however no
clear consensus, high rate of placebo effect
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Conversion disorder:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Psychotherapy, family therapy, relaxation therapy, behavioral therapy, or hypnosis may be used alone or in combination (two or more).
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Chronic fatigue syndrome:
Treatment
(Professional Guide to Diseases (Eighth Edition))
No treatment is known to cure CFS. Symptomatic treatment may involve the use of medications to treat depression, anxiety, pain, discomfort, and fever. Hidden yeast infections may be present and should be treated. Antiviral drugs such as acyclovir and selected immunomodulating agents, such as I.V. gamma globulin, ampligen, and transfer factor, may be of assistance.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Somatization disorder:
Treatment
(Professional Guide to Diseases (Eighth Edition))
The goal of treatment is to help the patient learn to live with her signs and symptoms. After diagnostic evaluation has ruled out organic causes, the patient should be told that she has no serious illness currently but will receive care for her genuine distress and ongoing medical attention for her symptoms.
The most important aspect of treatment is a continuing supportive relationship with a health care provider who acknowledges the patient’s signs and symptoms and is willing to help her live with them. The patient should have regularly scheduled appointments to review her complaints and the effectiveness of her coping strategies. The patient with somatization disorder seldom acknowledges any psychological aspect of her illness and rejects psychiatric treatment.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Platelet function disorders:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Platelet replacement is the only satisfactory treatment for inherited platelet dysfunction. However, acquired platelet function disorders respond to adequate treatment of the underlying disease or discontinuation of damaging drug therapy. Plasmapheresis effectively controls bleeding caused by a plasma element that’s inhibiting platelet function. During this procedure, one or more units of whole blood are removed from the patient; the plasma is removed from the whole blood, and the remaining packed red blood cells are reinfused. (See Facts about platelet concentrate.)
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Fatigue:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Regardless of the cause of fatigue, you may need to help the patient alter his lifestyle to achieve a balanced diet, a program of regular exercise, and adequate rest. Counsel him about setting priorities, keeping a reasonable schedule, and developing good sleep habits. Teach stress management techniques as appropriate.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Gait, bizarre [Hysterical gait]:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Instruct the patient in the use of assistive devices as necessary. Review the components of a safe environment, such as establishing a clear path to the bathroom and using proper footwear.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Somatization disorder:
Treatment
(Handbook of Diseases)
The goal of treatment is to help the patient learn to live with her signs and symptoms. After diagnostic evaluation has ruled out organic causes, the patient should be told that she has no serious illness currently but will receive care for her genuine distress and ongoing medical attention for her symptoms.
The most important aspect of treatment is a continuing supportive relationship with a health care provider who acknowledges the patient’s signs and symptoms and is willing to help her live with them. The patient should have regularly scheduled appointments to review her complaints and the effectiveness of her coping strategies.
The patient with somatization disorder seldom acknowledges any psychological aspect of her illness and rejects psychiatric treatment.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Chronic fatigue and immune dysfunction syndrome:
Treatment
(Handbook of Diseases)
Treatment is aimed at the cause, if one can be found. Supportive therapy includes an anti-inflammatory, an antihistamine, and rest.
Treatment of symptoms may include a tricyclic antidepressant (doxepin), a histamine2-blocker (cimetidine), and an anxiolytic (alprazolam). In some patients, avoidance of environmental irritants and certain foods may help to relieve symptoms.
Experimental treatments include the antiviral acyclovir and selected immunomodulators, such as I.V. gamma globulin, ampligen, and transfer factor.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Fatigue:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Regardless of the cause of fatigue, you may need to help the patient alter his lifestyle to achieve a balanced diet, a program of regular exercise, and adequate rest. Counsel him about setting priorities, keeping a reasonable schedule, and developing good sleep habits. Teach stress management techniques as appropriate.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Fatigue:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Help the patient determine which daily activities he may need help with and how he should pace himself to ensure sufficient rest.
▪ Take measures to reduce pain and nausea.
▪ If fatigue results from a psychogenic cause, refer him for psychological counseling.
Patient teaching
▪ Educate the patient about lifestyle modifications, including diet and exercise.
▪ Stress the importance of pacing activities and planning rest periods.
▪ Discuss stress management techniques.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Gait, bizarre [Hysterical gait]:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Prepare the patient for a full neurologic workup to completely rule out an organic cause of the patient's abnormal gait.
▪ Remember, even though bizarre gait has no organic basis, it's real to the patient (unless, of course, he's malingering).
▪ Avoid expressing judgment on the patient's actions or motives.
▪ Be supportive and reinforce positive progress.
▪ Encourage ambulation and resumption of normal activities because muscle atrophy and bone demineralization can develop in a bedridden patient.
▪ Consider a referral for psychiatric counseling as appropriate.
Patient teaching
▪ Instruct the patient in the use of assistive devices, as necessary.
▪ Review safety measures such as wearing proper footwear.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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