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Psychiatry Somatoform disorders ab205150

All are true statements about Conversion disorder except

A
Autonomic nervous system involved
B
There is primary and secondary gain
C
La bella indifference is a feature
D
Patient does not intentionally produce symptoms
High-Yield Explanation
Conversion Disorder Conversion disorder is characterised by the following clinical features: 1. Presence of symptoms or deficits affecting motor or sensory function, suggesting a medical or neurological disorder. 2. Sudden onset. 3. Development of symptoms usually in the presence of a significant psychosocial stressor(s). 4. A clear temporal relationship between stressor and development or exacerbation of symptoms. 5. The patient does not intentionally produce the symptoms. 6. There is usually a ' secondary gain' (though not required by ICD-10 for diagnosis). 7. Detailed physical examination and investigations do not reveal any abnormality that can explain the symptoms adequately. 8. The symptom may have a 'symbolic' relationship with the stressor/conflict. There can be two different types of disturbances in conversion disorder; motor and sensory. Autonomic nervous system is typically not involved, except when the voluntary musculature is involved, e.g. vomiting, globus hystericus. Ref: A Sho Textbook of Psychiatry, Niraj Ahuja, 7th Edition, pg. no. 99

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