Course Title: Conversion Disorder
Release date: July, 2020
Expiration date: July, 2022
Estimated time to complete activity: 1.5 hours
Hardware / Software Requirements: Compatible with Internet Explorer 6 and up, Mozilla Firefox 3 and up, Safari 4.0, and Google Chrome 10 and up.
If you have any questions, please contact MER at (800)-421-3756, http://www.cmepartner.org/contact
This activity is jointly provided by Medical Education Resources and Symptom Media.
Psychiatrist, psychologists, social workers, marriage and family therapists, substance abuse counselors, allied health professionals, nurses, general practice physicians, and students, interns, and trainees of these disciplines.
Underlying Need for this Course
The purpose of this activity is to expand the student’s knowledge about conversion disorder and its differential diagnoses.
- Conversion disorder presents in a way that appears to have legitimate symptoms
- Most of the symptoms are neurological and takes several tests to rule out neurological disorder
- Most of professionals cannot promptly diagnose conversion disorder, especially if there is a true underlying neurological disorder superimposed by conversion
Conversion Disorder represents about 1% of consultation in general hospitals; up to 9% of consults with neurologists or psychiatrists, and it is a diagnosis made by exclusion, requiring several works ups to rule out real neurological disorders or identify when conversive symptoms superimpose real symptoms. Conversion Disorder is a common and difficult problem seen in medical practice. There is a high incidence of co-morbidities (neurological, motor, emotional, sensory) and it is necessary to have a therapeutic approach to treat Conversion Disorder once it is diagnosed, instead of reinforcing conversive symptoms. The purpose of this activity is to expand the student’s knowledge about Conversion Disorder and its differential diagnosis.
- Conversion disorder is a common and difficult problem seen in medical practice
- There is high incidence of co-morbidities (neurological, motor, emotional, sensory)
- It is necessary to have a therapeutic approach to treat conversion disorder once it is diagnosed, instead reinforcing conversive symptoms
By the end of this course learners will be able to:
- Define conversion disorder
- Identify the differential diagnoses
- Establish therapeutic relationship to assist patient in developing insight about conversion disorder
- Offer treatment to patients with conversion disorder
Meet your instructor: Karen B. Silva PhD, MSFN, RN-BC. Board certified nurse in Mental Health and Psychiatric nursing. Has a doctoral degree in general psychology, and two master’s degrees in Advance practice Nursing in Adult and Geriatric Health and Forensic Nursing. Over 30 years of experience in psychiatric nursing and over 12 years in education. Currently work as an Education Program Coordinator and Instructor of Psychiatry in a large hospital in Los Angeles, CA.
The content of this lecture is focused on Conversion Disorder, how it is presented in clinical settings, what to look for when diagnosing it, and what options are available to treat it. The written content provides the learner with an overview of Conversion Disorder: definition, symptoms, diagnostic criteria per the DSM-V, statistics, treatment and prognosis, and differential diagnosis. It is followed by the video of an actor portraying the role of a patient with conversion disorder; hence, reinforcing the main characteristics of this disorder in the form of role play.
The written content provides the learner with an overview of conversion disorder: definition, symptoms, diagnostic criteria per DSM-V, statistics, treatment and prognosis, and differential diagnosis. It is followed by the video of an actor portraying the role of a patient with conversion disorder; hence, reinforcing the main characteristics of this disorder in the form of role play.
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Medical Education Resources (MER) and Symptom Media. MER is accredited by the ACCME to provide continuing medical education for physicians.
Medical Education Resources designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Medical Education Resources is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
This CE activity provides 1.5 contact hours of continuing nursing education.
Medical Education Resources is a provider of continuing nursing education by the California Board of Registered Nursing, Provider #CEP 12299, for 1.5 contact hours.
Disclosure of Conflicts of Interest
Medical Education Resources ensures balance, independence, objectivity, and scientific rigor in all our educational programs. In accordance with this policy, MER identifies conflicts of interest with its instructors, content managers, and other individuals who are in a position to control the content of an activity. Conflicts are resolved by MER to ensure that all scientific research referred to, reported, or used in a continuing education activity conforms to the generally accepted standards of experimental design, data collection, and analysis. MER is committed to providing its learners with high-quality activities that promote improvements or quality in health care and not the business interest of a commercial interest.
The faculty reported the following financial relationships with commercial interests whose products or services may be mentioned in this activity:
The content managers reported the following financial relationships with commercial interests whose products or services may be mentioned in this activity:
Method of Participation
There are no fees for participating in and receiving credit for this activity (or insert fee amount if applicable). During the period July, 2020 through July, 2022, participants must 1) read the learning objectives and faculty disclosures, 2) study the educational activity, 3) complete the posttest by recording the best answer to each question, 4) complete the evaluation.
A statement of credit will be issued only upon receipt of a completed activity evaluation form and a completed posttest with a score of 70% or better.
- Ali, S., Jabeen, S., Pate, R. J., Shahid, M., Chinala, S., Nathani, M., & Shah, R. (2015). Conversion Disorder- Mind versus Body: A Review. Innovations in clinical neuroscience, 12(5-6), 27–33.
- American Psychiatric Association. (2013). Conversion disorder. In Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596.dsm05
- Berger FK, Zieve D, and Conaway B. (2016). Conversion disorder. MedlinePlus. Available at http://www.nlm.nih.gov/medlineplus/ency/article/000954.htm
- Conversion Disorder. (2019). Physiopedia, . Retrieved 18:16, September 25, 2019 from https://www.physio-pedia.com/index.php?title=Conversion_Disorder&oldid=222831.
- Feinstein A. (2011). Conversion disorder: advances in our understanding. CMAJ : Canadian Medical Association journal =Journal de l’Association medicale canadienne, 183(8), 915–920. doi:10.1503/cmaj.110490
- Marshall S.A., Landau M.E., Carroll C.G., Schwieters B., and Llewellyn A. (2015). Conversion disorders. Medscape. Available at http://emedicine.medscape.com/article/287464-overview
- National Center for Advancing Translational Sciences (n.d.). Conversion Disorder. Available at https://rarediseases.info.nih.gov/diseases/6191/conversion-disorder
The content and views presented in this educational activity are those of the authors and do not necessarily reflect those of Medical Education Resources, Symptom Media and/or [insert grantor]. The authors have disclosed if there is any discussion of published and/or investigational uses of agents that are not indicated by the FDA in their presentations. Before prescribing any medicine, primary references and full prescribing information should be consulted. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities. The information presented in this activity is not meant to serve as a guideline for patient management.