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Conversion disorder

Also known as Conversion Reaction

A conversion disorder causes patients to suffer from neurological symptoms, such as numbness, blindness, paralysis, or fits without a definable organic cause. It is thought that symptoms arise in response to stressful situations affecting a patient's mental health and Conversion disorder is considered a psychiatric disorder in the Diagnostic and Statistical Manual of Mental Disorders fifth edition (DSM-V).

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with conversion disorder, 69% report having seizures, 58% report having depression, and 40% report having sweating. The symptoms that are highly suggestive of conversion disorder are seizures, sweating, allergic reaction, abnormal involuntary movements, and focal weakness, although you may still have conversion disorder without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with conversion disorder often receive complete blood count, psychotherapy, intravenous fluid replacement, x-ray computed tomography, mental health counseling, depression screen, magnetic resonance imaging and cat scan of head .

Common Medications

The most commonly prescribed drugs for patients with conversion disorder include venlafaxine (effexor), mirtazapine, levetiracetam (keppra), omega-3 fatty acids, estropipate (ogen), estrogens, conjugated (usp) / methyltestosterone, sulindac, zaleplon (sonata), fluvoxamine (luvox), acetaminophen / diphenhydramine, sulfasalazine, naloxone (suboxone) and zonisamide .

Venlafaxine (Effexor)
$128
(28 days)
Mirtazapine
$16
(28 days)
Levetiracetam (Keppra)
$111
(28 days)
Omega-3 Fatty Acids

Estropipate (Ogen)
$7
(28 days)
Sulindac
$18
(28 days)
Zaleplon (Sonata)
$35
(28 days)
Fluvoxamine (Luvox)
$44
(28 days)
Sulfasalazine
$20
(28 days)
Naloxone (Suboxone)
Under $1
(0 days)
Zonisamide
$63
(28 days)

Who is at risk?

Groups of people at highest risk for conversion disorder include race/ethnicity = other, age 30-44 years, age 5-14 years and age 45-59 years. On the other hand, age 1-4 years and age < 1 years almost never get conversion disorder.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
1.7x
15-29 years
0.5x
30-44 years
2.0x
45-59 years
1.6x
60-74 years
0.2x
75+ years
0.3x

Sex

Male
0.5x
Female
1.4x

Race/Ethnicity

Black
0.8x
Hispanic
0.6x
White
1.1x
Other
1.7x
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