scholarly journals Dissociative Disorders with Haemolacria: Series of Case Reports

2017 ◽  
Vol 35 (1) ◽  
pp. 36-42
Author(s):  
Md Shafiqur Rahman ◽  
Md Rezaul Karim ◽  
Mohammed Misbahul Islam ◽  
Md Redwanul Karim
Keyword(s):  
Case Reports ◽  
Conversion Disorder ◽  
Stress Factors ◽  
Dissociative Disorders ◽  
Munchausen Syndrome ◽  
Dsm 5 ◽  
Conversion Disorders ◽  
Systemic Pathology ◽  
Nasal Pathology ◽  
Rare Symptom

Bloody tears (Haemolacria) are a rare symptom that can be caused by local or systemic pathology. It is one of the most alarming symptom in ophthalmology. Besides those, idiopathic cases have been reported. A case of hyperthyroidism where haemolacria was secondary to the condition has also been reported. Haemolacria are also reported as secondary to epistaxis. Psychogenic causes are described including Munchausen Syndrome by proxy. Here we describe a series of four cases of haemolacria along with bleeding from other sites, found as associated features of dissociative disorders. In this series, patients with age ranging from 14-17 years, three of them are female and one male have been included. Examination excluded local ocular and nasal pathology, coagulopathy and hyperthyroidism. In course of their illness, two of these cases met the DSM 5 criteria for both dissociative disorders and conversion disorders, rest of them have been diagnosed as mixed dissociative disorders. After appropriate intervention, three patients recovered completely and in one patient symptoms (also bleeding) recurred on re-exposure to the previous stress factors. We report three cases of Dissociative disorders and one with both dissociative and conversion disorder where bloody tears were one of the feature. To the best of our knowledge this is the first official report of its kind in Bangladesh.J Bangladesh Coll Phys Surg 2017; 35(1): 36-42

scholarly journals Conversion Disorder in Children: Characteristics and Gender Differences

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
M Anupama ◽  
Uttam Shelar ◽  
Jitty George ◽  
Babool Raja
Keyword(s):  
Gender Differences ◽  
Interpersonal Relationships ◽  
Conversion Disorder ◽  
Complete Recovery ◽  
Stress Factors ◽  
Response To Treatment ◽  
Motor Disorder ◽  
Conversion Disorders ◽  
Common Diagnosis ◽  
And Gender

Aim: To study the clinical presentations and gender differences of conversion disorder in children less than 16 year old and correlate it with socio-demographic characteristics and stress factors. Methods: All case records of children presenting to psychiatry unit of a general hospital during last 5 years (both outpatient and inpatient) and having a diagnosis of ICD-10 Dissociative (conversion) disorders, were reviewed. Results: A total of 12 % ( n=512) had a diagnosis of conversion disorder, both genders having equal representation. Dissociative motor disorder was more common among males and dissociative convulsions among females. Academic and strained interpersonal relationships were the most common stress factors. Majority had la belle indifference and secondary gain and received outpatient treatment, and had complete recovery at last follow up. Conclusions: Conversion disorders are one of the most common diagnosis. Significant gender differences in mode of presentation and nature of stress are present. However the response to treatment is prompt and chance of recovery is high in both genders. Relevance: This study was done in a developing country where conversion disorder is seen commonly.

scholarly journals Modern faces of hysteria, or some of the dissociative disorders

2016 ◽  
Vol 17 (3) ◽  
pp. 214-225
Author(s):  
Alena Stefańska ◽  
Ewelina Dziwota ◽  
Marcin Stefański ◽  
Alicja Nasiłowska-Barud ◽  
Marcin Olajossy
Keyword(s):  
Mental Health Professionals ◽  
Somatoform Disorders ◽  
The United States ◽  
Dissociative Disorders ◽  
Defence Mechanisms ◽  
Dsm 5 ◽  
Conversion Disorders ◽  
History Of ◽  
Standard Classification

AbstractThe concept of “hysteria” comes from the Greek word “hystera” (uterus) and dates back to the time of Hippocrates, at least. Modern classifications differ regarding the area encompassed by the concepts of dissociation and conversion differ. Mental health professionals in the United States (DSM-5) use a standard classification of mental disorders codifying dissociative disorders as a distinct class of disorders, but subsumes conversion disorders under “somatoform disorders”. The history of hysteria is as long as the history of mankind. Apparently, both the essence and mechanisms of dissociative disorders remain unchanged despite the fact that many years have passed. According to Owczarek et al., dissociative symptoms are caused by the malfunctioning of defence mechanisms and anxiety. This article provides an overview of the available literature on the etiology and pathogenesis of dissociative disorders as well as disorders such as amnesia, dissociative fugue, trance and possession.

scholarly journals Characteristics and outcomes of children with dissociative (conversion) disorders in western China: a retrospective study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhixu Fang ◽  
Yuhang Li ◽  
Lingling Xie ◽  
Min Cheng ◽  
Jiannan Ma ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Environmental Variables ◽  
Binary Logistic Regression ◽  
Junior College ◽  
Conversion Disorder ◽  
Psychological Characteristics ◽  
Western China ◽  
Left Behind ◽  
Conversion Disorders ◽  
Close Relationship

Abstract Background Dissociative (conversion) disorder in children is a complex biopsychosocial disorder with high rates of medical and psychiatric comorbidities. We sought to identify the characteristics and outcomes of children with dissociative (conversion) disorders in western China. Methods We conducted a retrospective cohort study of 66 children admitted with dissociative (conversion) disorders from January 2017 to July 2019, and analyzed their clinical characteristics, socio-cultural environmental variables, and personality and psychiatric/psychological characteristics. Binary logistic regression was used to analyze the variables associated with clinical efficacy. Results Of these 66 patients, 38 (57.6%) were male and 28 (42.4%) were female, 46 (69.7%) had an antecedent stressor, 30 (45.5%) were left-behind adolescents, and 16 (24.2%) were from single-parent families. In addition, 30 patients (45.5%) were not close to their parents, 38 patients (59.4%) had an introverted personality, and 34 (53.1%) had unstable emotions. Thirteen families (19.7%) were uncooperative with the treatment. Patients who had cormorbid anxiety or depression exhibited significantly lower cognitive ability (P < 0.01). Logistic regression found that better treatment outcomes were positively associated with having a close relationship with parents, parental cooperation with treatment, and having a father with a lower level of education (i.e., less than junior college or higher). Conclusions The characteristics and outcomes of children with dissociative (conversion) disorders are related to socio-cultural environmental variables and psychiatric/psychological factors. Timely recognition and effective treatment of dissociative (conversion) disorders are important.

Dissociative disorders in DSM-5

2011 ◽  
Vol 28 (9) ◽  
pp. 824-852 ◽  
Author(s):  
David Spiegel ◽  
Richard J. Loewenstein ◽  
Roberto Lewis-Fernández ◽  
Vedat Sar ◽  
Daphne Simeon ◽  
...  
Keyword(s):  
Dissociative Disorders ◽  
Dsm 5

Anxiety Disorders, Obsessive-Compulsive and Related Disorders, Trauma- and Stressor-Related Disorders, and Dissociative Disorders in DSM-5

2014 ◽  
Vol 171 (6) ◽  
pp. 611-613 ◽  
Author(s):  
Dan J. Stein ◽  
Michelle A. Craske ◽  
Matthew J. Friedman ◽  
Katharine A. Phillips
Keyword(s):  
Anxiety Disorders ◽  
Dissociative Disorders ◽  
Obsessive Compulsive ◽  
Dsm 5

HYSTERICAL BELCHING AND HYPERVENTILATION: A RARE CASE REPORT

2021 ◽  
pp. 56-57
Author(s):  
Vijay Raj Pratheek P ◽  
Ganta Akhila
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Conversion Disorder ◽  
Conversion Disorders ◽  
Rare Case Report ◽  
Bodily Sensations ◽  
The Individual ◽  
Organic Disorder

Hysteria can present as similar to medical and organic disorder . Conversion symptoms may usually appear due to various stressors and emotional conicts in the individual. The bodily sensations or functions can be inuenced by a disorder of mind. Psychogenic origin of Belching is not unheard of and can be a part of conversion disorder, even though rare. Hyperventilation can occur due to psychogenic aetiology as a manifestation of somatisation and conversion disorders.

The Oral Mucosa, Mirror of Systemic Pathology: Case Reports

2020 ◽  
Author(s):  
José López-López ◽  
Enric Jané-Salas ◽  
Beatriz González-Navarro ◽  
Albert Estrugo-Devesa
Keyword(s):  
Oral Mucosa ◽  
Case Reports ◽  
Systemic Pathology

scholarly journals Conversion disorder: the modern hysteria

2006 ◽  
Vol 12 (2) ◽  
pp. 152-157 ◽  
Author(s):  
Colm Owens ◽  
Simon Dein
Keyword(s):  
Psychiatric Disorders ◽  
Management Strategies ◽  
Historical Context ◽  
Conversion Disorder ◽  
Physical Symptoms ◽  
Organic Disease ◽  
Conversion Disorders ◽  
Case Vignettes

Conversion disorders tend to be poorly understood and diagnosis can be difficult. In this article, we aim to clarify what conversion disorders are and how they can be distinguished from other psychiatric disorders that involve physical symptoms. Prevalence, prognosis and relationship to organic disease are controversial areas; we outline what is known about them and provide some historical context. Aetiological theories and management strategies are discussed, the latter with the aid of case vignettes.

STROKE MIMICS: A PSYCHOGENIC STROKE PATIENT TREATED WITH ALTEPLASE

2019 ◽  
Vol 17 (1) ◽  
pp. 97-102
Author(s):  
Dariusz Kotlęga ◽  
Barbara Peda ◽  
Tomasz Trochanowski ◽  
Monika Gołąb-Janowska ◽  
Sylwester Ciećwież ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Conversion Disorder ◽  
Initial Diagnosis ◽  
Therapeutic Window ◽  
Stroke Mimics ◽  
Conversion Disorders ◽  
Proper Diagnosis ◽  
Intravenous Alteplase ◽  
The Subject ◽  
Stroke Mimic

For rtPA treatment to be effective it should be initiated within the first 4.5 hours following the onset of a stroke. Such a short therapeutic window demands a rapid diagnosis and decision making on the part of the physician. There are patients with stroke-like symptoms and an initial diagnosis of a stroke, but who are finally diagnosed as suffering from another condition. According to the subject literature, stroke mimics are diagnosed in about 1.4 – 3.5% of patients initially diagnosed as having had an ischemic stroke. Psychogenic strokes (conversion disorders) may be found in as many as 8.2% of stroke patients. Proper diagnosis is especially important in patients eligible for thrombolytic treatment when there is usually not enough time to establish the diagnosis of a stroke mimic, especially one of psychogenic origin. A patient with an initial diagnosis of an ischemic stroke who was treated with intravenous alteplase infusion. The previous two ischemic strokes treated in the same manner had been diagnosed one and two years earlier. In all hospitalizations no rtPA treatment complications had been observed. In our patient a proper neuropsychological examination was performed and a conversion disorder diagnosed. We would like to underline the importance of cooperation between the neuropsychologist and neurology physician within clinical practice.

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