Conversion Disorder DSM 5: What it is, why it happens and treatment recommendations

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Ashley Waknine Counseling

Ashley Waknine Counseling

Күн бұрын

Conversion Disorder, now referred to as Functional Neurological Symptom Disorder (FND), is one of the most widely misunderstood mental health conditions in the DSM-V.
People struggle to understand the neurological symptoms experienced by those who suffer from FND. Symptoms which can include altered motor function (e.g. body weakness, paralysis, tremors, abnormal body movements and postures) or changes in sensory function (e.g. altered, reduced or absent skin sensation, vision or hearing, limb shaking, or impaired consciousness).
The changes in sensory or motor function closely resemble those of neurological diseases but results from medical testing show no medical findings. The symptoms therefore appear bizarre and unexplainable and those who struggle with FND often feel stigmatized.
It is important to know that the symptoms of FND are not imagined but are very real. Symptoms occur due to a problem with functioning of the nervous system though the nervous system itself has not been damaged by a structural disease.
The good news for those who struggle with Conversion Disorder is that because the nervous system remains intact, it can be treatable and potentially reversible.
Another myth about FND is that symptoms are always to do to past trauma, chronic stress, depression or anxiety. While personality traits, trauma and other mental health conditions can precipitate neurological symptoms this is not always the case. Many clients who struggle with FND come to this diagnosis after a head injury, chronic pain or due to genetic predispositions. There are many potential reasons why someone could become vulnerable to FND or struggle to recover.
Recovery from FND may occur naturally without treatment though treatment can be helpful and sometimes required. A specific approach to treatment will vary depending on specific symptoms, and the individual predisposing, precipitating and perpetuating factors beneath. I therefore recommend you start with a neurologist who can advise on other medical professions to involve.
Even if stress, anxiety or depression did not precipitate the symptoms, they can perpetuate the condition due to the impact of mind-body connection. I therefore highly recommend the inclusion of a therapist who can help you manage the psychological impact of FND including emotional distress.
Finally, if your symptoms are more physical then neurological (e.g. chest pain, headaches, fatigue, nausea...) check out my video on Somatic Symptom Disorder which may be a more appropriate diagnosis.
Somatic Symptom Disorder video: • Somatic Symptom Disord...
Physical symptoms that are very minor or nonexistent but that induce a sense of fear or anxiety often related to Illness Anxiety Disorder.
Illness Anxiety Disorder Video: • What Is Hypochondria?....
***************************************
I'm Ashley Waknine, a therapist and life coach making weekly videos about mental health and self-management.
VIDEO CREDIT/REFERENCES
Dr. Jon Stone, Neurologist
Diagnostic and Statistical Manual of Mental Disorders (DSM-V)
www.neurosymptoms.org
CONTACT
Business email: ashley@ashleywaknine.com
FIND ME HERE
Website: www.ashleywaknine.com/
MUSIC - Courtesy of Soundstripe
B-ROLL FOOTAGE - Courtesy of Videoblocks
SOUND EFFECTS - Courtesy of Zapsplat
**PLEASE READ**
If you or someone you know is in imminent danger, please go to the closest emergency room or call a local emergency number.

Пікірлер: 38
@elysewilson3445
@elysewilson3445 4 жыл бұрын
I’ve been diagnosed with conversion disorder for a couple years now and it’s very hard when there’s people looking at you with assumptions that u have the choice of what movement your body makes and that these body movements are for a need to be noticed. It’s also hard because the disorder is common but not well known. I hope a lot of people will find this channel because this really helped me and made me feel like I’m not alone. Thank you Ashley, this truely made a difference to how I feel about my disorder and how it gives me courage and the strength to carry on ☺️
@gracemama1987
@gracemama1987 3 жыл бұрын
I really liked your last sentence. Take care❤️
@RyanBernasconi
@RyanBernasconi 10 ай бұрын
Maybe it was a misdiagnosis. How are you now?
@gracemama1987
@gracemama1987 3 жыл бұрын
Thank you for making this video. My experience with CD is… Severe panic attacks started Feb 2019 and upper body jerks started this May. Until recently I had 700~1200 times a day everyday for 11 days straight. It hurt my upper body muscle, chest and back. Because first I tried to stop so I made myself exhausted. It’s the best you just rest and do 4-7-8 breathing. Last month, I went to see 3 doctors, my MD told me I need to do something immediately either take meds or counseling regularly ( I had a panic attack while I was seeing him then he told me it’s severe). he gave me 2 kind of medicines… my psychiatrist diagnosed me as FND/conversion disorder. He told me it’s fixable with counseling,he told me he does not want to give me medicine. Last place I went to was Acupuncturist/Chinese herb. I only did one session yet my symptoms significantly has changed. Yesterday I think I only had body jerks less than 200 times. I tried to count and recod it abd I suggest to do so. I’m not taking medicine, only took one time then I didn’t feel being myself. Felt living in plastic body. Through this experience, I gained understanding toward people with health challenges so it’s been good to me in a sense. Walking in nature help me to relax the best, I avoid people who has given me stress. I chose to not be sad or frustrated with this symptoms but focus on have a joy daily. I decided I don’t want to add one more sadness on my body but take care of myself gently and kindly. I pray for each of you. Well take care of yourself. Ps. I also have received blessing from church and that also effected my body…I’m amazed…receiving prayer, receiving kindness and love from others are powerful treatment as well I believe.
@SatumainenOlento
@SatumainenOlento 2 жыл бұрын
YES! Believe in miracles! And you can certainly heal yourself! Believe in yourself too!
@dialgirl5254
@dialgirl5254 3 ай бұрын
I have a friend currently dealing with this exact situation and I sent him this video. He has one foot that is swollen and tests don’t prove any condition. He has a son who is a veteran in California suffering from mental illness. He and his wife flew there to help his son to no avail and this is breaking their hearts.
@JillianNoelle
@JillianNoelle 4 жыл бұрын
I haven’t been diagnosed yet but whenever I’ve been physical or sexually assaulted I get these episodes. I guess I check out. I still have a huge gash on the back of my head. I had 8 staples put in my head after someone pushed me causing me to smash my head into the corner of a bed. I have hearing loss now and that’s very real. I have PTSD
@dacialucier7218
@dacialucier7218 3 жыл бұрын
thank you your video made me cry because somebody understands my nightmare
@jesminmeah4459
@jesminmeah4459 Жыл бұрын
Your words, your thoughts, your kindness during this video was something I needed right now so that I understand that my loved one CANNOT prevent what is happening to them.
@ashleywakninecounseling3750
@ashleywakninecounseling3750 5 жыл бұрын
Please share your story if you struggle with FND. Lets break the stigma and help people understand!
@jenniferreynolds8251
@jenniferreynolds8251 2 жыл бұрын
I have visual impairments. It is terrifying at the time. It is trauma and stress related form repeated childhood abuse. I've been in therapy for years and diagnosed with CPTSD. I told them my symptoms of visual shutdown but finally figured out myself that my symptoms are conversion disorder. I also hav e dissociative disorder.
@oni.hime9
@oni.hime9 3 жыл бұрын
Thank you so much for this. It helped a lot. I know someone who lost his vision because of this disorder and is currently having his treatment. This gave me hope that he can see again.
@hollypea6759
@hollypea6759 4 жыл бұрын
This resonates with me too well. I was diagnosed with conversion disorder in 2013, again in 2015, and again today in 2020. The first time I was in emergency because I couldn't talk or walk properly. The doctor had the audacity to tell my mother that the symptoms I was experiencing were all in my head. I knew they were not. He sent me home with a valium. Which I don't even think was a valium now. Probably just a placebo. Why is it doctors see pretty, fit, young healthy girls and assume she is "putting it on"? It forced my mother to believe the doctor. And she consistently called me the boy who cried wolf after that. So I have no support for FND. I'm relieved, assured and feeling calm to see that it's so common. It has been a very traumatic 12 years for me. I'm thirty now. And have reached the stage where I'm just sick of all of the glitches I have in my software. I need a mayo clinic or something.
@ashleywakninecounseling3750
@ashleywakninecounseling3750 4 жыл бұрын
Hi Tira, thank you so much for sharing a bit about your challenges with conversion disorder. It is very helpful for others who visit this post and see that they too are not alone. It sounds like it has been a long hard journey and continues to be. I am sorry to hear you are struggling with this again now in 2020. If there is some way I can help I'd be happy too. You may be interested in a free masterclass I'm running on Thursday. While it's not specific to FND it may offer some helpful insights. No pressure at all but just wanted to let you know about it. www.ashleywaknine.com/mind-and-emotions-webinar-registration-page/
@hollypea6759
@hollypea6759 3 жыл бұрын
@@ashleywakninecounseling3750 Thank you for your respose Ashley. Sorry I didn't see this sooner. I may not be able to involve myself in any sort of classes as my focus/awareness/attention is just not present nowadays. But thank you for the offer. :)
@RyanBernasconi
@RyanBernasconi 10 ай бұрын
@@hollypea6759did you make it to Mayo? A lot of neurologists just write you off as conversion disorder, when it could be something entirely different. But say what, a doctor wrong???? Never. 😅 I was misdiagnosed with conversion disorder due to a not very intelligent or caring neurologist, I’ve had CSF injections done and I had GAD65 antibodies. I pray you are well.
@blessyourheart1167
@blessyourheart1167 2 жыл бұрын
I’m very pleased I was fortunate enough to find your video . So here we go …. I was diagnosed with conversion disorder in 2016 ( I was hospitalized) I had every test done available. Evidently I was having PENS while hospitalized. From Jan 26,2016 until late October 2016 . I could not speak more than two words ( I could not put a complete sentence together) so if I was trying to say “ I want to go to the store” it would come out “ I go store” if I was lucky enough to get 3 properly pronounced words out. The same time frame my entire right side of my body shook/shaked 24/7 it was absolutely horrible !! Even when I was able to sleep my shakes did not stop . Shakes being very different than the seizures. I could not write a simple check to pay bills . I knew how I had done it a million times prior to getting sick . It was physically impossible to complete that task . I saw 1st neurologist in 2016 said it was conversation disorder . Saw him again in 2018 because symptoms did improve my words got better and the right side of my body does not shake constantly anymore. The PENS only come occasionally now. Believe it or not though out this entire ordeal ( except when I was hospitalized I have continued to work ) I really don’t have a choice I need money and insurance to get treatment . It’s now 2021 I have seen a different neurologist he did a lot more test confirmed I have conversation disorder and to bad so sad. I want to cry every single day !!! I have severe memory issues, dexterity issues with motor skills (some days I walk like I’m drunk ) , on bad days I sound like I’m drunk when I talk . ( people assume I’m drunk ) I don’t drink I found if I try to have a glass of wine or beer it causes the PENS to flare up. So I have been suffering from CD since 2016 yes my symptoms have improved quite a bit. However I find my quality of life so distressing. I don’t go to social events because I’m afraid of ( if my symptoms show through walk or speech ) I use to be a extreme extrovert now I’m a serious introvert. I’ve learned to be alone ( I actually prefer it at this point ) yet I’m forced to interact at my place of employment. I’m extremely blessed to have a job where my boss is working with me . I’m extraordinarily grateful that I have my boss and he tries his best to accommodate me. Although quite honestly at this state 12/29/21 I’m extremely exhausted, frustrated, disgusted and sick to death of this controlling my life. It’s as though my life is no longer mine. I’ve seen every specialist you can name. Basically no one is really able to help me any further than where I am today. In my opinion is just not good enough . I have grieved the person I once was . I actually have came to the terms she will never be back 100%. I’m trying very hard to push through everyday . Giving up is technically not in my DNA 🧬 quite frankly I’m truly surprised I haven’t kicked CD butt yet !! Honestly it has me on the ropes ( in the boxing ring ) I’m ready to tap out !!! I swear I wish you all knew how unlike me that statement is . I am truly not a person to just step aside or give up , I find a solution ( PERIOD ) However this January 26 it will be 6 years of a living HELL !! Thousands of dollars in medical bills. So many FMLA lost work hours. I’m at the realization that I am starting to feel defeated . There are some ok or decent days but the majority of my days my symptoms show in major ways. All yes how could I forget simple math I can no longer do . It’s extremely frustrating. That’s never improved over all these years . I’m extremely grateful I was able to share a small piece of my journey with CD . I hope someone can use something of my experience I have typed into my phone. I pray someone can contribute a possible solution to perhaps help me or point me in a new uncharted direction . Thank you for your wonderful video that brings light and some explanation into how and why CD happen’s . I am very grateful for your video . I hope I came across ok with my words some days I do not . I’m more than happy to answer any questions anyone else would like to ask me . I have no pride left . However I do have honestly and understanding. Thank you for letting me share my insight to my experiences with CD . It felt good to actually let it out …. I just want to be better and not feel like crap every single day of my life. I want to enjoy life again. At this point all I have energy for is work, Doctor’s , desperately seeking sleep . That is my entire world my entire existence …… the day and the life of a CD sufferer trying like crazy to succeed and overcome. 🌺💜
@drEAmzZzza
@drEAmzZzza Жыл бұрын
im the same tho my symptoms are much worse im bed bound 1 year and have forgotten my entire identity and every memory and i cant walk and im 95% blind.. i dont believe cd exists its just a diagnosis doctors give when they have no idea whats wrong with u.. ive alrdy given up but im too scared to kill myself
@blessyourheart1167
@blessyourheart1167 Жыл бұрын
@@drEAmzZzza I’m very sorry you are going through CD !! I’m having a rough week myself . I will fight as long and hard as I can. I truly hope you do not hurt yourself. Mostly you just hurt those you love the most. I am really starting to think it’s just a cover- all diagnosis because they can’t figure things out as well . I wish you all the best 🙏🌼
@JIN-rz2io
@JIN-rz2io 10 ай бұрын
Mam i have been going through this body left side paralyzies and too much headache at same time i fall unconscious twice a day. Kindly suggest some treamtment when i go unconsious my eyes go down shut and little bit open i can not talk in that condition cant walk straight.
@SatumainenOlento
@SatumainenOlento 2 жыл бұрын
This was a great video! I love how respectful you were in this video. It shows great and deep understanding on the power of human psyche. Thank you! Best video so far!
@vannevers
@vannevers 9 ай бұрын
Thanks for making this video.
@zaksnature1945
@zaksnature1945 Жыл бұрын
Thank you for this video. I have had FND for 6 years now.
@laurenclark1480
@laurenclark1480 Жыл бұрын
Ive been sick two years severe mouth pain. Now passed out seizure activity. Im so dizzy and weak its awful. I know something is wrong. My pain is horrible. Gabapentin made me feel paralyzed. Im just getting worse cant take it:(
@jonathanrichard1919
@jonathanrichard1919 6 ай бұрын
Frustrating. I have terrible anxiety. My tamily doctor refused to give me anxiety medication bexause of drug usage when i was a teenager (35 yrs ago). I have had this for years and it was always sensory issues and i just dealt with it because it wasnt ever diagnosed and i learned to accept it. Last week i had a weird episode mygf thought i was dying and coyldntbhold my body up snd lost usage of my lower part of my body. I was treated like i was a faker in the Emergency room. Literally yelled at hy a physician etc. They kept me after seeing a psychiatrist. I now know i have conversion disorder and everything mskes sense. Currently learning to walk again. Its been 1 week and although i am still not good on my feet yet and and my feet feel very numb i am doing ok. Scary stuff.
@Gibbsong1
@Gibbsong1 11 ай бұрын
What a great analogy...not hardware but software.
@bdw7254
@bdw7254 9 ай бұрын
I’ve learned to laugh about it and treat it as a minor inconvenience. I tell the people around me that I’m ok and I should probably get a bracelet that says “not having a seizure, I can hear you, I can not respond, please don’t call the ambulance unless I’ve hit my head”. Non epileptic ID bracelet lol. I have virtually no ability to regulate my stress and almost no ability to show genuine emotion. I thought I was a psychopath for a long time. But a kind ER doctor put a name to it and I was about to talk to the people I needed to talk to and I’m getting help. It doesn’t have to be scary.
@jodymortimer5014
@jodymortimer5014 Жыл бұрын
i have had conversion disorder for six year and it has not gone away but i found p-laying music really help me i sing and play guitar
@SatumainenOlento
@SatumainenOlento 2 жыл бұрын
I was looking this up and first it looked like exactly what I have...But now I have doubts. My symptoms appear when I do something physically exerting. Like, I went for a walk (I love walking!) and it was a beautiful day. I was greatly enjoying myself. But then walking long uphill towards home...yeah, the left side of the body got weaker. I have had very little of these symptoms in the past year and it had not even grossed my mind that this hill would do this to me. I am also not suffering from anxiety or depression any longer (not for a year). I do have past traumas and these I could very well see affecting my body without me being aware of it. But I had a physical reason for my symptoms to flare. I so wish this would be my diagnosis, because this gives much hope! I know that I can work on with this area on my own and full recovery sounds great. But I do need to see neurological testing through first before I flag this diagnosis down to my doctor.
@kujo62
@kujo62 5 ай бұрын
I just found out that this was a thing the other day and now I'm thinking that it's the answer.
@citlalie9791
@citlalie9791 4 ай бұрын
Mine is a sensory issue plus POTS I also deal with migraines. So physical there is a reason for these symptoms but stress and memories do trigger PNES. I got my physical symptoms as a result from Sjogrens syndrome
@kynthos
@kynthos 7 ай бұрын
Does weakness or paralysis in Conversion Disorder happen in episodes that last for an hour and then resolve? Are they brought on by triggers such as cold or carbs or overexertion? And can you produce or induce an attack with certain, very specific triggers? I was clinically diagnosed with Periodic Paralysis but genetically negative by a doctor who retired a week later. I have episodes of weakness/paralysis. That's it. No tremors or other issues. Now I am seeing another Neurological specialist who says she doesn't think it's PP and mentioned conversion disorder. I can induce an attack with 100% reliability just by getting cold long enough for my core temperature to go down. Once I'm warmed up again the attack subsides. It takes a little time to get back to normal depending how long I was cold for, but between attacks I have no weakness or other issues at all. It's a lot more involved than just the cold but I'm just using this as one example. Basically, my question is, with conversion disorder...can you purposely induce an attack of weakness with a trigger of cold, food, or strenuous activity? Or do these conversion disorder "attacks" happen randomly? Thank you in advance to anyone who can answer this.
@kimbercoleman7089
@kimbercoleman7089 3 ай бұрын
How does this compare to PNES?
@kamalpreetkaur9261
@kamalpreetkaur9261 4 жыл бұрын
Mam what is seizures?
@alexislou9404
@alexislou9404 2 жыл бұрын
My sister has been diagnosed with CD. She is receiving psychotherapy which seems to be going well. She has also been prescribed Klonipin for the seizures which she takes "on demand" rather than on a regularly scheduled basis. Any thoughts you can offer about Klonipin and the way that she's taking it would be appreciated.
@chelseascott5872
@chelseascott5872 2 жыл бұрын
Is me/cfs a conversion disorder?
@SatumainenOlento
@SatumainenOlento 2 жыл бұрын
No. Very different disease.. But as misunderstood than conversion disease. ME/CFS have been proven to have some changes in clinical tests. (Those tests are not available for regular testing.) But Conversion disease does not have any clinical evidence on the body. So you can recover from it fully!
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