Guest Finrussak Posted October 22, 2005 Report Share Posted October 22, 2005 With so many of us facing at one time or another the possibility of a psych dx I felt we needed to clarify:You absolutely CANNOT have "conversion disorder due to POTS" or DUE to anything medical. The definition of conversion disorder according to many texts of psych diagnostic guidelines is :Sudden onset of symptoms, due to stress or trauma, that CANNOT BE EXPLAINED BY ANY OF :KNOWN MEDICAL CONDITION, ILLNESS, PATHOLOGY (I.E. TUMOR), OR SUBSTANCES (DRUGS). It is very often misdiagnosed as the guidelines warn that 1-2 short exams cannot diagnose this and every medical condition related to the symptoms must be ruled out. Well, abnormal blood tests dispute this. And anyone who hasnt ever been worked up for dysautonomias, also disputes the dx. Its also known as "hysteria" such as "hysterical blindness, hysterical pregnancy etc"...and part of a class of psych conditons known as the 4 "somatoform disorders" These are : conversion disorder, hypochondria, somatization pain disorder and Somatization. The last ( also often pinned on us) must include long complicated medical history, psychological distress and/or interpersonal probs, CIRCUMSTANTIAL medical results, vague INCONSISTENT sx, and NO NON-PSYCH CONDITION THAT EXPLAINS THE SX!!!! again the warning that all psych drs rule out all medical conditions/illnesses. This definition alone shows how many of us are misdx!also discussed in the textbook is that conversion is often confused with other psych disorders like General Anxiety Disorder and somatization. So while we can have GAD or anxiety/panic along with POTs etc, and dysauto can precipitate anxiety sx, actual "conversion" or "somatization" can only be dx as a separate disorder and not caused by the dysauto!! Which makes it all mucky in that the sx are almost identical. Besides, once there IS an actual dx of a medical condition ( i.e. dysauto) then by definition, the sx associated with that med condition cant also be attributed to conversion OR somatization.Obviously "we" fit into many of the associated lists of sx-which explains the snap dx we get -BUT since we all have faced and continue to face the biases of many Drs we all need this info to be armed. This way WE can understand what truly is physiological and when/if we need psych support!!!This also doesnt discount many of us needing psych support to cope with the illness itself, affects on lives, etc. Needing supportive therapy and/or psych meds still means we have the right to not be mislabeled.So, what to do when an ER dr or another tries to dx us with either "conversion" or "somatization"??? Simply ask if all medical causes for the sx have been ruled out and if the diagnostics are all normal (blood tests etc)...hopefully it will then become obvious!!! Quote Link to comment Share on other sites More sharing options...
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