Conversion disorder with mixed symptom presentation
ICD-10 F44.7 is a billable code used to indicate a diagnosis of conversion disorder with mixed symptom presentation.
Conversion disorder with mixed symptom presentation is characterized by the presence of neurological symptoms that cannot be explained by medical or neurological conditions. These symptoms may include motor or sensory dysfunction, such as weakness, paralysis, abnormal gait, or sensory loss, and can also manifest as non-epileptic seizures or dissociative symptoms. The onset of these symptoms is often associated with psychological stressors or trauma, and they may fluctuate in severity. Patients may exhibit a range of symptoms that do not conform to known anatomical or physiological pathways, leading to significant distress and impairment in social, occupational, or other important areas of functioning. Diagnosis requires a thorough clinical evaluation to rule out other medical conditions, and the symptoms must not be intentionally produced or feigned. Treatment typically involves a multidisciplinary approach, including psychotherapy, physical therapy, and sometimes medication to manage associated anxiety or depressive symptoms.
Detailed psychological assessment, including history of trauma and psychosocial stressors.
Patients presenting with unexplained neurological symptoms following a traumatic event.
Ensure comprehensive documentation of the psychological evaluation and treatment plan.
Neurological examination findings, imaging studies to rule out organic causes.
Patients with neurological symptoms that do not correlate with neurological findings.
Document the rationale for ruling out other neurological conditions.
Used for therapy sessions addressing the psychological aspects of conversion disorder.
Document the focus of therapy and progress notes.
Psychiatrists should ensure that therapy goals are clearly defined.
Key symptoms include motor or sensory dysfunction that cannot be explained by medical conditions, such as paralysis, tremors, or non-epileptic seizures, often linked to psychological stress.
