Conversion disorder with seizures or convulsions
ICD-10 F44.5 is a billable code used to indicate a diagnosis of conversion disorder with seizures or convulsions.
Conversion disorder with seizures or convulsions, also known as psychogenic seizures, is a condition characterized by the presence of seizures that are not attributable to any neurological or medical condition. These seizures are often triggered by psychological stressors and can manifest as convulsions, loss of consciousness, or other seizure-like episodes. Patients may experience these symptoms in the absence of any identifiable organic cause, which can complicate diagnosis and treatment. The condition is often associated with underlying psychological issues, such as anxiety disorders, post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), or phobias. The diagnosis requires a thorough clinical evaluation to rule out other potential causes of seizures, including epilepsy and other neurological disorders. Treatment typically involves a multidisciplinary approach, including psychotherapy, cognitive behavioral therapy, and anxiety management techniques to address the psychological factors contributing to the disorder. Understanding the interplay between psychological distress and physical symptoms is crucial for effective management and recovery.
Comprehensive psychological evaluation, including history of trauma, anxiety, and other mental health conditions.
Patients presenting with seizure-like episodes following traumatic events or high-stress situations.
Ensure thorough documentation of psychological assessments and treatment plans.
Detailed neurological examination and diagnostic tests to rule out epilepsy and other neurological conditions.
Patients with unexplained seizures after neurological evaluations are inconclusive.
Document all neurological findings and the rationale for diagnosing conversion disorder.
Used when assessing psychological factors contributing to conversion disorder.
Document the assessment findings and treatment recommendations.
Psychiatrists should ensure comprehensive evaluations are performed.
Common symptoms include seizure-like episodes, convulsions, loss of consciousness, and other neurological symptoms that cannot be explained by medical conditions.
Diagnosis involves ruling out other medical conditions through neurological evaluations and identifying psychological factors through comprehensive assessments.
