Psychiatry Portal: Noon Conference

Conversion Disorders (1/21)

Noon Conference: January 21, 2021

Today we discussed a 23F referred for care after a series of physical complaints that had no physical basis, perhaps manifesting from a conversion disorder. The patient had a history of sexual assault and abuse in childhood. 

Today's Post-Conference Reading articles:

1. Akyüz F, Gökalp PG, Erdiman S, Oflaz S, Karşidağ Ç. Conversion Disorder Comorbidity and Childhood Trauma. Noro Psikiyatr Ars. 2017 Mar;54(1):15-20. doi: 10.5152/npa.2017.19184. Epub 2017 Mar 1. PMID: 28566953; PMCID: PMC5439465.
2. Peeling JL, Muzio MR. Conversion Disorder. [Updated 2020 May 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551567/
3. Recognizing and treating conversion disorder. Blitzstein S. Virtual Mentor. 2008;10(3):158-160. doi: 10.1001/virtualmentor.2008.10.3.cprl1-0803. https://journalofethics.ama-assn.org/article/recognizing-and-treating-conversion-disorder/2008-03
4. Chapter 14: Clinical and Laboratory Tests to Distinguish Conversion Disorder (Functional Neurologic Symptom Disorder) from Organic Disease. The Neurologic Examination. https://neurology.mhmedical.com/content.aspx?bookid=1844&sectionid=130021898
5. Ali S, Jabeen S, Pate RJ, Shahid M, Chinala S, Nathani M, Shah R. Conversion Disorder- Mind versus Body: A Review. Innov Clin Neurosci. 2015 May-Jun;12(5-6):27-33. PMID: 26155375; PMCID: PMC4479361.
6. Murray AM, Toussaint A, Althaus A, Löwe B. Barriers to the diagnosis of somatoform disorders in primary care: protocol for a systematic review of the current status. Syst Rev. 2013 Nov 8;2:99. doi: 10.1186/2046-4053-2-99. PMID: 24206625; PMCID: PMC3830509.

Additional Suggested Readings & Collections:

1. Conversion disorder overview & info about harm in testing
2. Conversion disorder & childhood abuse