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Cognitive-behavioral therapy in the case of a teenager with conversion disorder with mixed presentation

Viorel LUPU*
Children and Adolescents Psychiatric Clinic
Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca

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.

Key words: conversion disorder, cognitive-behavioral therapy.

Pages: 197-205

Mar 22, 2008admin
Is repressive coping associated with suppression?Can we read others’ minds? Rational beliefs, positive illusions and mental health
Journal of Evidence-Based Psychotherapies

Journal of Evidence-Based Psychotherapies

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Keywords
irrational beliefsrebtcbtcognitive-behavioral therapydistressEditorialcognitive restructuringappraisalschemasautism spectrum disordersbinary model of distresshypnosisrational emotive behavior theoryconversion disorderpositive illusionsautismrational anticipation techniqueattributionsincompatible information techniquecognitive psychologydevelopmenttheory of mindcommunicationearly interventiontoddlersneural structuresdeficitsfunctional and dysfunctional emotionsthe Attitudes and Belief Scale 2unitary model of distressarousalfunctional and dysfunctional negative emotionsmind reading beliefseating behavioursmental healthirrational and rational beliefspre-goal/ post-goal attainment positive emotionsdysfunctional consequencesimpairmentcore relational themeswithdrawal motivational systemsapproach motivational systemsdysfunctional positive emotionspreferencesdemandingness
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