Conversion disorder

Overview


Plain-Language Overview

Conversion disorder is a condition where a person experiences neurological symptoms such as weakness, numbness, or seizures without a clear physical cause. It primarily affects the nervous system, but the symptoms are not due to structural damage or disease. Instead, these symptoms arise from psychological stress or trauma that the brain converts into physical problems. People with this disorder may have difficulty controlling their movements or sensations, which can significantly impact daily life. The symptoms are real and can be very distressing, even though medical tests do not show typical neurological damage. This condition highlights the complex connection between the mind and body in health.

Clinical Definition

Conversion disorder, also known as functional neurological symptom disorder, is characterized by neurological symptoms incompatible with recognized neurological or medical conditions. The core pathology involves psychological stressors manifesting as functional neurological symptoms such as paralysis, sensory loss, or non-epileptic seizures. It is thought to result from abnormal brain processing of sensory or motor function without structural lesions. The disorder is classified under somatic symptom and related disorders in DSM-5 and is distinguished by the absence of intentional feigning. It is important due to its impact on patient functioning and the challenge it poses in differentiating from organic neurological diseases. Diagnosis requires careful exclusion of neurological causes and recognition of the psychogenic origin of symptoms.

Inciting Event

Locked content

Latency Period

Locked content

Diagnostic Delay

Locked content

Clinical Presentation


Signs & Symptoms

Locked content

History of Present Illness

Locked content

Past Medical History

Locked content

Family History

Locked content

Physical Exam Findings

Locked content

Diagnostic Workup


Diagnostic Criteria

Locked content

Pathophysiology


Key Mechanisms

Locked content

Organs

Locked content

Tissues

Locked content

Cells

Locked content

Chemical Mediators

Locked content

Treatments


Pharmacological Treatments

Locked content

Non-pharmacological Treatments

Locked content

Prevention


Pharmacological Prevention

Locked content

Non-pharmacological Prevention

Locked content

Outcome & Complications


Complications

Locked content

Short-term Sequelae

Locked content

Long-term Sequelae

Locked content

Differential Diagnoses


Differentials

Locked content

Medical Disclaimer: The content on this site is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. If you think you may be experiencing a medical emergency, call 911 or your local emergency number immediately. Always consult a licensed healthcare professional with questions about a medical condition.

Artificial Intelligence Use: Portions of this site’s content were generated or assisted by AI and reviewed by Erik Romano, MD; however, errors or omissions may occur.

USMLE® is a registered trademark of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). Doctogenic and Roscoe & Romano are not affiliated with, sponsored by, or endorsed by the USMLE, FSMB, or NBME. Neither FSMB nor NBME has reviewed or approved this content. "USMLE Step 1" and "USMLE Step 2 CK" are used only to identify the relevant examinations.