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Treatment Edit

Treatment may include the following

1. Explanation - This must be clear and coherent. It must emphasise the genuineness of the condition, that it is common, potentially reversible and does not mean that the sufferer is a 'psycho'. Taking an aetiologically neutral stance by describing the symptoms as functional may be helpful but further studies are required. Ideally the patient should be followed up neurologically for a while to ensure that the diagnosis has been understood

2. Physiotherapy where appropriate

3. Treatment of comorbid depression or anxiety if present

There is little evidence based treatment of conversion disorder (Ruddy and House - Cochrane Collaboration). Other treatments such as cognitive behavioural therapy, hypnosis, psychodynamic psychotherapy need further trials.

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