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Dissociative (Conversion) disorders
(ICD-10 - hysteria)
(DSM-IV - dissociative = mental symptoms, conversion = physical symptoms)
- Dissociative amnesia
- Dissociative fugue
- Dissociative motor convulsions
- dissociative anaesthesiae
- Ganser's syndrome
ICD-10 criteria
- no physical cause of symptoms can be found
- association in time between onset of disorder and stressful events,
problems, needs
Tradionally characterised by
- Secondary gain
- belle indifference
Epidemiology
- Prevalence about 2%
- Females > males
- onset usually before 40 years
Treatment
- Reassure no physical cause
- explain probable psychogenic origin
- help with maintaining stresses or problems
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