Brief ReportsMANAGEMENT OF CONVERSION DISORDER1Silver, Frederick2Author Information 1From the Good Samaritan Hospital and Rehabilitation Center, Puyallup, Washington. 2 All correspondence and requests for reprints should be addressed to: Good Samaritan Hospital and Rehabilitation Center, 407 14th Avenue Southeast, P.O. Box 1247, Puyallup, Washington 98371. American Journal of Physical Medicine & Rehabilitation: March-April 1996 - Volume 75 - Issue 2 - p 134-140 Buy SDC Abstract Conversion disorder is a psychologically produced alteration or loss of physical functioning suggestive of a physical disorder. Conversion symptoms are often superimposed on organic disease and can be overlooked. Psychological techniques are central to the management of conversion symptoms. Principles of psychological management include the following: avoiding confrontation with the patient; avoiding reinforcement or trivializing the symptoms; reviewing results of tests and exams and creating an expectation of recovery; educating the patient by providing a benign explanatory model of symptoms; evaluating the patient's emotional adjustment and referring for psychotherapy when possible. Use of behavior therapy reinforcement and double-bind psychotherapy strategies may be helpful with more chronic or resistant symptoms, especially when there is a history of vague or excessive somatic complaints or significant secondary gain. Four case studies are presented to illustrate these principles. © Williams & Wilkins 1996. All Rights Reserved.