Intimation for Weekly Common Seminar - 03/04/2013

Presentation from: Dept of Kayachikitsa,
Govt. Ayurveda College , Thiruvananthapuram
Date and Time: 03/04/2013, 02:00 pm
Moderator: Dr. M A Shajahan, HOD, Dept. Dravyagunavijnan, Govt. Ayurveda College , Thiruvananthapuram

Abstracts

CONVERSION DISORDER – A CASE REPORT

Meera .S, Dept of Kayachikitsa, Govt. Ayurveda College, Trivandrum

46 year old married lady belonging to lower socio-economic classwith below average scholastic performance residing at suburban area of capital city, came to consultation with weakness of lower limbs , unable to walk due to tendency to fall & occasional LOC of 2 months duration. There is a  previous history of similar events since past 8 years with long symptom-free periods.Thorough physical examination & investigations done without any findings to substantiate the condition. Detailed psychiatric evaluation revealed thehistrionic personality of the patient, multiple stress factors and family pathology & acute stressors which resulted in the present psychologic reaction. There was elicitable primary & secondary gain & patient showed the feature of La Belle indifference -  enjoying the illness. Malingering , factitious,hypochondriacal & other somatoform disorderswere ruled out. The case was finally diagnosed as Conversion disorder.

Physical presentations with psychologic basis are common clinical presentations coming to our clinics. At times, we may not be able to elicit any physical basis at neurological/musculoskeletal level. In such conditions,it is better to consider various somatoform disorders including conversion disorder.

While considering the dosha pariksha, & adhishthaana of disease, involvement of rajas & tamas, manasika prakriti, satwabala & adhishthana – manas should be thoroughly examined . It will be  helpful in formulating the management with more emphasis given to satwaavajaya chikitsa, daiva vyapaasraya chikitsa, along with application of medhya rasayanas with minimal sodhana therapies. Explaining the condition to the patient & relatives with needful assurance – dhi, dhairya, aatmaadi vijnanam are essential components in the management.

Key words : conversion disorder, primary gain, secondary gain, La Belle indifference, hypochondriacal disorder, malingering, factitious disorders,somatoform disorder,rajas,tamas, satwavajaya,daivavyapasraya,medhya rasayana

CONVERSION DISORDER

Vipin S G, Dept of Kayachikitsa, Govt. Ayurveda College, Trivandrum

Psychiatric diseases are increasing alarmingly in the present social scenario .We encounter many psychiatric illness in our day to day practice. Among those, somatoform disorders are a group of mental illness which often come across in our OPD’s.

Conversion disorder is a form of somatoform disorder,which we often miss in our clinical practice. This presentation includes  the modern &ayurvedic perspective of conversion disorder,itsprevalence, diagnosis&management.