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Conversion disorder
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==Treatment== Treatments for conversion disorder included hypnosis, psychotherapy, physical therapy, stress management, and [[transcranial magnetic stimulation]] (TMS). Treatment plans will consider duration and presentation of symptoms and may include one or multiple of the above treatments.<ref name = Mayo>{{cite web | url=http://www.mayoclinic.com/health/conversion-distorder/DS00877 | title=Conversion disorder | publisher=Mayo Foundation for Medical Education and Research | access-date=25 October 2013}}</ref> This may include the following:<ref name="pmid15718216">{{cite journal |vauthors=Stone J, Carson A, Sharpe M | title = Functional symptoms in neurology: management | journal = J. Neurol. Neurosurg. Psychiatry | volume = 76 | pages = i13–21 | year = 2005 | issue = Suppl 1 | pmid = 15718216 | pmc = 1765682 | doi = 10.1136/jnnp.2004.061663 }}</ref> #[[Occupational therapy]] to maintain autonomy in activities of daily living.<ref>{{cite web |url=http://www.doctorsofusc.com/condition/document/96743 |title=Conversion Disorder | Doctors of USC |website=www.doctorsofusc.com |access-date=13 January 2022 |archive-url=https://web.archive.org/web/20080822013004/http://www.doctorsofusc.com/condition/document/96743 |archive-date=22 August 2008 |url-status=dead}}</ref> #Treatment of comorbid [[clinical depression|depression]] or [[Anxiety disorder|anxiety]] if present.{{citation needed|date=January 2022}}. #Educating patients on the causes of their symptoms might help them learn to manage both the psychiatric and physical aspects of their condition. Psychological counseling is often warranted given the known relationship between conversion disorder and emotional trauma. This approach ideally takes place alongside other types of treatment.{{citation needed|date=January 2022}} #Medications such as [[Serotonin–norepinephrine reuptake inhibitor|serotonin–norepinephrine reuptake inhibitors]] (SNRIs), a class of antidepressants, and [[Sedative|sedatives]] such as [[Benzodiazepine|benzodiazepines]] may help reduce stress and also relieve or prevent symptoms from occurring.{{citation needed|date=January 2022}} There is little evidence-based treatment of conversion disorder.<ref>{{Cite journal|last1=Ganslev|first1=Christina A.|last2=Storebø|first2=Ole Jakob|last3=Callesen|first3=Henriette E.|last4=Ruddy|first4=Rachel|last5=Søgaard|first5=Ulf|date=17 July 2020|title=Psychosocial interventions for conversion and dissociative disorders in adults|journal=The Cochrane Database of Systematic Reviews|volume=2020|issue=7|pages=CD005331|doi=10.1002/14651858.CD005331.pub3|issn=1469-493X|pmc=7388313|pmid=32681745}}</ref> Other treatments such as [[cognitive behavioral therapy]] (CBT), [[hypnosis]], [[EMDR]], and [[psychodynamic psychotherapy]], [[EEG]] brain [[biofeedback]] need further trials. [[Psychoanalytic]] treatment may possibly be helpful.<ref>{{cite journal | pmc = 3091899 | pmid=21502352 | doi=10.1503/cmaj.110490 | volume=183 | issue=8 | title=Conversion disorder: advances in our understanding | year=2011 | journal=CMAJ | pages=915–20 | author=Feinstein A}}</ref> Most studies assessing the efficacy of these treatments are of poor quality and larger, better controlled studies are urgently needed. CBT is the most common treatment, with a 13% improvement rate.
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