CONVERSION DISORDER IN PSYCHIATRIC NURSING

CONVERSION DISORDER 

INTRODUCTION

Conversion disorder is characterized by the presence of neurological disorder that cannot be explained by any known neurological disorder that cannot be explained by any known neurological or medical disorders.

DEFINITION .

Conversion disorder were formely called as HYSTERIA is used in everyday speech when referring to any extravagant  behaviour .

TYPES:

Ø  Dissociative motor disorder.

Ø  Dissociative anesthesia and Sensory loss and dissociative Convulsions.

DISSOCIATIVE MOTOR DISORDER:

It is characterized by motor disturbances like paralysis ore abnormal movement.

Paralysis may be a monople gia, paraplegia or quadric plegia.

  Dissociative convulsions (cnysterical fits or pseudo seizures)

It is characterized conclusive movements and partial loss of consciousness. Dissociative sensory loss and anesthesia.

It is characterized be sensory disturbances like nemeanes thesia ,blindes, deafness and glove and stocking anesthesia.

The disturbance is usually based on particular illness whose symptoms are produced.

Dissociative disorder:

             Dissociation is the mechanism that allows our mind to separate certain memories from conscious awareness. The dissociative disorders are described as a disturbance in the ordinary organized functions of the conscious awareness, memory and identity.

DISSOCIATIVE AMNESIA:

Most of ten, dissociative amnesia follows a traumatic or stress full life situation. There is sudden inability tovercall important personal information particularly concerning the stressful life event.

 DISSOCIATIVE FUGUE:

Psychogenic fugue is a sudden, unexpected travel away from home or work place , with the assumption of a new identity and aninability tovecall the past.

DISSOCIATIVE IDENTITY DISORDER (MULTIPLE PERSONALITY DISORDER)

In this disorder, the person is dominated by two or more personalities of which only one is manifest at a time.

Usually one personality is not aware of the existence of the other personalities.

TRANCE AND POSSESSION DISORDERS:

This disorder is very common in India. It is characterized by atemporesloss of both the sense of personal identity and full awareness of the persaon’s surroundings. When the condition is indued by veligious rituals, the person may feel taken over by a deity or spirit.

OTHER DISSOCIATIVE DISORDERS:

Aense’s syndrome is commonly found in prison feature is vorbeireden giving approximately answers to questions. The term approximate answers denotes answers to simple questions that areplaninly wrong, but are clearly related to the convert answers  in a way that suggest that the letter in known. Etiology of conversion and dissociative disorders.

DISSOCIATIVE DISORDERS PSYCHODYNAMIC THEORY:

In conversion disorder the ego derfence mechanisms involved are repression dissociation conversion.

BEHAVIOR THEORY:

According to this theory the symptoms are learn from the surrounding environment. These symptoms bring about psychological verify by avoidance of stress.

DIAGNOSIS:

Ø  Rule out physical disorders and substance abuse.

Ø  Standard tests including the dissociative Experiences scale and the Dissociative disorders interview schedule to demonstrate presence of dissociation.

TREATMENT MODALITIES:

Ø  Free association

Ø  Hypnosis

Ø  Abreaction Therapy.

Ø  Supportive Psychotherapy.

Ø  Behavior Therapy.

Ø  Drug Therapy.

Ø   

 NURSING MANAGEMENT:

NURSING ASSESSMENT:

During the diagnostic process any physical condition that could produce the symptoms of amnesia and dissociation mustbrtuled out. Psychological tests are used to further evaluation the anthenticites  of the sumptoms.

NURSING DIAGNOSIS:

Ø  Altered thought process related to memory loss and repressed trauma.

Ø  Self care deficit related to trunce like aimless wandering.

Ø  Inedffective individual copina, related to repressed   memories and iassues, loss of identity or trawel away from home.

NURSING INVENTION:

Ø  Monitor Physician’s ongoing assessment, laboratory reports and other data to vole out organic pathology.

Ø  Encourage Patient to Verblize fears and anxieties.

Ø  Withdraw attention in the patient continues to focus on physical limitations.

Ø  Assist the patient to set realistic goals for the Future.

Ø  Encourage verbalization or of feelings related to this inability.

Ø  Promote a safe environment.

Ø  Encourage the Patient thought and feelings.

EVALUATION:

 During the evaluation process assess for decrease in dissociative episodes, improvement in level of functioning.

CONCLUSION:

Conversion disorder is the one of the stress newsotic disorder. If any person affecting this disorder they will produce some symptoms because the reduction of anxiety. But the patient does not produce the sympt5oms intentionally through the drug therapy, behavior therapy, psycho analytic therapy, supportive psychotherapy can treat the conversion disorders.