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
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.
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
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.