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Efficacy of Cognitive Behaviour Therapy and SSRI in Treatment of Conversion Disorder


Affiliations
1 Research Scholar, Department of Clinical Psychology, SGT University, Gurugram, India
2 Assistant Professor, Department of Psychiatry, Lady Harding Medical College, New Delhi, India
3 Professor, Department of Psychiatry, Lady Harding Medical College, New Delhi, India
     

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Context: Current understanding of the phenomenon of conversion disorder implicates some role of the unconscious in the pathophysiology of this condition. It is therefore less likely to respond to treatment when the manifestations of the conversion are confronted directly as a unitary method of therapy. Many patients who experience a conversion disorder are unable to understand this inner conflict, which is perhaps occurring on an unconscious level. They may achieve resolution of the conflict, as well as their physical symptoms, once they are gently made aware of this connection. Once the patient is aware of this, the psychological currency of the symptom loses value, and the symptom may be allowed to improve. Efficacy of Cognitive Behaviour Therapy and SSRI in treatment of Conversion Disorder reveals that CBT combined with SSRI would be more efficacious to reduce the symptoms severity than SSRI alone for conversion disorder patients.

Keywords

Conversion Disorder, Cognitive Behaviour Therapy, Selective Serotonin Reuptake Inhibitor, Psychosocial Dysfunction.
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  • Efficacy of Cognitive Behaviour Therapy and SSRI in Treatment of Conversion Disorder

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Authors

Shubhangni Jain
Research Scholar, Department of Clinical Psychology, SGT University, Gurugram, India
Nudrat Jahan
Assistant Professor, Department of Psychiatry, Lady Harding Medical College, New Delhi, India
Dinesh Kataria
Professor, Department of Psychiatry, Lady Harding Medical College, New Delhi, India

Abstract


Context: Current understanding of the phenomenon of conversion disorder implicates some role of the unconscious in the pathophysiology of this condition. It is therefore less likely to respond to treatment when the manifestations of the conversion are confronted directly as a unitary method of therapy. Many patients who experience a conversion disorder are unable to understand this inner conflict, which is perhaps occurring on an unconscious level. They may achieve resolution of the conflict, as well as their physical symptoms, once they are gently made aware of this connection. Once the patient is aware of this, the psychological currency of the symptom loses value, and the symptom may be allowed to improve. Efficacy of Cognitive Behaviour Therapy and SSRI in treatment of Conversion Disorder reveals that CBT combined with SSRI would be more efficacious to reduce the symptoms severity than SSRI alone for conversion disorder patients.

Keywords


Conversion Disorder, Cognitive Behaviour Therapy, Selective Serotonin Reuptake Inhibitor, Psychosocial Dysfunction.



DOI: https://doi.org/10.37506/v11%2Fi2%2F2020%2Fijphrd%2F194816