TITLE

COGNITIVE-BEHAVIORAL THERAPY IN THE CASE OF A TEENAGER WITH CONVERSION DISORDER WITH MIXED PRESENTATION

AUTHOR(S)
Lupu, Viorel
PUB. DATE
September 2005
SOURCE
Journal of Cognitive & Behavioral Psychotherapies;Sep2005, Vol. 5 Issue 2, p197
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
This paper discusses a cognitive-behavioral therapeutic intervention combined with suggestive therapy and the use of a chemical agent (placebo) in the case of a 13- year old teenager, named "Suzi", hospitalized several times for conversion disorder with mixed presentation. Symptoms were different from one hospital admittance to the other, and initially included chronic vomiting, then rebel headaches and opisthotonos with lower limbs trembling and crying, functional facial paralysis, non-kinetic mutism with language regression, lower limbs hypotony, major walking disorders and fainting episodes. From a psychological point of view, her mother describes her as being sensitive, hyperemotional, emotionally unstable, anxious, impressionable, and loving to be the center of attention. The teenager's family was in harmony, but in conflict with one neighboring family. The polymorph symptoms were interpreted as conversion disorder occurring in a conflict situation, and based on a developing personality with sensitive and histrionic traits. We initiated a cognitive-behavioral and suggestive therapy combined with the use of a chemical agent (placebo). A favorable evolution was noticed with every hospitalization.
ACCESSION #
18487284

 

Related Articles

  • Intractable sneezing: is it always psychogenic? Sulemanji, Mustafa N.; Kanbur, Nuray O.; Derman, Orhan; Pehlivantürk, Berna; Şekerel, Bülent E.; Hoşal, Şefık // Turkish Journal of Pediatrics;Mar/Apr2011, Vol. 53 Issue 2, p225 

    Intractable sneezing is not a commonly encountered disorder. The clinical presentation of such patients may cause the physician to undertake several tests before making a diagnosis. Are the performed analytic tests a waste of the health service funds or are they really sufficient? In this case,...

  • Facing Your Fears in Adolescence: Cognitive-Behavioral Therapy for High-Functioning Autism Spectrum Disorders and Anxiety. Reaven, Judy; Blakeley-Smith, Audrey; Leuthe, Eileen; Moody, Eric; Hepburn, Susan // Autism Research & Treatment;2012, p1 

    Adolescents with high-functioning autism spectrum disorders (ASDs) are at high risk for developing psychiatric symptoms, with anxiety disorders among the most commonly cooccurring. Cognitive behavior therapies (CBTs) are considered the best practice for treating anxiety in the general...

  • From the Editor's desk. Tyrer, Peter // British Journal of Psychiatry;Aug2010, Vol. 197 Issue 2, p166 

    The article discusses various reports published within the issue, including one by Norman A. Poole and colleagues on the abreaction treatment for conversion disorder, one by Peter Fonagy on cognitive-behavioural therapy and one by Adrian Treloar and colleagues on treating behaviour symptoms in...

  • Medically unexplained illness and the diagnosis of hysterical conversion reaction (HCR) in women's medicine wards of Bangladeshi hospitals: a record review and qualitative study. Kendall, Emily A Kendall; Uz Zaman, Rashid; Tabassum Naved, Ruchira; Waliur Rahman, Muhammad; Abdul Kadir, Mohammad; Arman, Shaila; Azziz-Baumgartner, Eduardo; Gurley, Emily S. // BMC Women's Health;2012, Vol. 12 Issue 1, p38 

    Background: Frequent reporting of cases of hysterical conversion reaction (HCR) among hospitalized female medical patients in Bangladesh's public hospital system led us to explore the prevalence of "HCR" diagnoses within hospitals and the manner in which physicians identify, manage, and perceive...

  • Comparative randomised trial of online cognitive-behavioural therapy and an information website for depression: 12-month outcomes. Mackinnon, Andrew; Griffiths, Kathleen M.; Christensen, Helen // British Journal of Psychiatry;Feb2008, Vol. 192 Issue 2, p130 

    Background: An earlier paper reported positive outcomes immediately following access to a cognitive-behavioural therapy (CBT) internet intervention and a depression information website.Aims: To determine 6-month and 12-month outcomes of the interventions relative to a...

  • Cognitive therapy for depression. Goldberg, David // British Medical Journal (Clinical Research Edition);1/16/1982, Vol. 284 Issue 6310, p143 

    Investigates the effectiveness of cognitive therapy for depression. Efficacy of drugs; Significance of a 'negative, automatic thoughts' diary during therapy sessions; Comparison between cognitive therapy and imipramine treatment.

  • Can pill placebo augment cognitive-behavior therapy for panic disorder? Furukawa, Toshi A.; Watanabe, Norio; Omori, Ichiro M.; Churchill, Rachel // BMC Psychiatry;2007, Vol. 7, p73 

    Background: In a number of drug and psychotherapy comparative trials, psychotherapy-placebo combination has been assumed to represent psychotherapy. Whether psychotherapy plus pill placebo is the same as psychotherapy alone is an empirical question which however has to date never been examined...

  • Enhancing human healing. Reilly, David // BMJ: British Medical Journal (International Edition);01/20/2001, Vol. 322 Issue 7279, p120 

    Editorial. Discusses various studies in human healing in an effort to focus medical research. Variety of therapeutics; How placebos are used in psychoneuroimmunology, in order to study the way a person reacts to medication; Questions on primary care and biopsychologial perspective; Differences...

  • Lamivudine: In Children and Adolescents with Chronic Hepatitis B Virus Infection. Keam, S.J.; Scott, L.J. // Pediatric Drugs;2002, Vol. 4 Issue 10, p687 

    ▴ Lamivudine, the negative enantiomer of 2′-deoxy-3′-thiacytidine, is a dideoxynucleoside analog that prevents hepatitis B virus (HBV) DNA synthesis by competitively inhibiting the viral reverse transcriptase and DNA polymerase stages of HBV replication and by terminating...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics