Conversion disorder with motor symptom or deficit
ICD-10 F44.4 is a billable code used to indicate a diagnosis of conversion disorder with motor symptom or deficit.
Conversion disorder with motor symptom or deficit is a psychological condition characterized by the presence of neurological symptoms that cannot be explained by medical or neurological conditions. Patients may present with symptoms such as weakness, paralysis, abnormal gait, or tremors, which are inconsistent with recognized neurological diseases. The onset of these symptoms often follows a stressful event or psychological conflict, suggesting a link between psychological factors and physical manifestations. Diagnosis requires a thorough clinical evaluation to rule out other medical conditions, and symptoms must cause significant distress or impairment in social, occupational, or other important areas of functioning. Treatment typically involves a multidisciplinary approach, including psychotherapy, physical therapy, and sometimes medication to manage associated anxiety or depression. Understanding the interplay between psychological stressors and physical symptoms is crucial for effective management and recovery.
Detailed psychological evaluation, including history of present illness, mental status examination, and any relevant psychological testing.
Patients presenting with unexplained motor deficits following trauma or stress, requiring psychological intervention.
Documentation must clearly link psychological factors to the onset of motor symptoms to support the diagnosis.
Comprehensive neurological examination and diagnostic testing to exclude other neurological disorders.
Patients with motor symptoms that do not conform to known neurological patterns, necessitating a psychological evaluation.
Neurologists must collaborate with mental health professionals to ensure accurate diagnosis and treatment planning.
Used for therapy sessions addressing the psychological aspects of conversion disorder.
Document the nature of the therapy, patient progress, and any changes in symptoms.
Psychiatrists should ensure that therapy goals are clearly defined and documented.
Common symptoms include weakness or paralysis, abnormal movements, tremors, and gait abnormalities. These symptoms are not consistent with recognized neurological conditions and often follow psychological stressors.
Diagnosis involves a thorough clinical evaluation, including a detailed medical history, neurological examination, and psychological assessment to rule out other medical conditions.
Treatment typically includes psychotherapy, physical therapy, and sometimes medication to manage associated anxiety or depression. A multidisciplinary approach is often most effective.
