Conversion Disorder/Hysteria in Children

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CONVERSION DISORDER (HYSTERIA) IN CHILDREN

Related topics

What is Hysteria ?

Hysteria Types

Hysteria Consequences and Symptoms

Hysteria FAQ'S

Dr Vihang N Vahia

Hon . Psychiatrist & Prof of Psychiatry
Dr R.N. Cooper Hospital & Seth G .S.Medical College,Bombay 400 056.

Consultant at:

Breach Candy Hospital.
Gandhi (Bhajekar) Hospital.
Hurkisondas Hospital.
Nanavati Hospital.

Q. A patient has come with inability to walk suddenly. How do I know whether the patient actually has a problem ?
There are two ways to diagnose a conversion disorders: -

Positive diagnosis whereby a temporal relationship between psychological stress and onset of symptoms is established. Associated features established are those of elicitable gain. The patient has dramatic symptoms without associated physical signs.

Negative diagnosis - The patient has multiple symptoms where the disability is out of proportion to any elicitable disorder. Conversion disorder is diagnosed as absence of any physical cause.

Conversion disorders are more common in females. They are often seen in families with unstable relationships. Patients may also have common associated symptoms like :-

Multiple hospitalisations for symptoms without signs.

Willingness to go through painful investigations.

In females, it may be associated with menstrual problems.

During the history taking, you may get a vicarious feeling as if the patient is enjoying the symptoms.

Q. What is the treatment of hysteria ?
Hysteria is of 2 types :-

Primary - due to substansial personality disorder. It is difficult to treat.

Secondary - due to anxiety, depression. Treated by treating the primary cause. Anxiolytics and antidepressants may help in these patients.

Last created on 23-02-2001
Last updated on 04-04-2007

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