Therapy for conversion disorders?

Mood stabilizers are frequently prescribed to people with PTSD for the depression and low lows. Also "anger attacks." You would benefit from seeing a trauma specialist because the research on what works for PTSD symptoms is emergent and something that you need your doctor to care a lot about getting right, including a lot of off-label prescriptions that they're still learning about, in context of not fully understanding how any of these psychotropic drugs work. But you can always slowly come off your mood stabilizer if you want to see if there's a difference for you. I totally get mistrusting these people; I was one misdiagnosed bipolar and the answer to my continued complaints was never to question the diagnosis or do additional screening (that I'm aware of).

That out of the way, I get conversion symptoms: I get dizzy, back pain, diarrhea (sometimes out of nowhere, and quickly), nauseated and even gag/run to the toilet. What works for me is grounding skills and then trying to name what I'm feeling. I might be nervous about my husband coming home or upset about something my mom said over the phone, low-key angry again about certain unresolved issues going on in my life or with myself for not getting something accomplished.

A lot of times, something will happen with somebody else and I will automatically act like it didn't instead of saying "Hey I didn't appreciate that" or even at accepting of it, trying to see how and why that person would say or do what they did without regard for my own feelings. This isn't just letting them treat me disrespectfully or thoughtlessly, but not standing up for myself and allowing an imbalance of some kind to occur or be maintained.

So naming whatever it is that is going on for me REALLY helps at the moment I realize I'm suffering any of these symptoms, as does creating a plan for what to do about it. From there (if/when I can remember to do all this, btw, because a lot of times I just don't or can't follow through, then hours later when I'm feeling better it's like omg I have lists and notes everywhere for myself on what to do when that happens!), I will do some other grounding or visualization that makes sense for what's going on for me and what my surroundings are. If I'm just with my son in public, I look at him as a grounding force, and play with a ring I bought last year to remind me of my life in the present moment.

CBT is not for conversion disorder. Naming your upset feelings and targeting them where they belong (ie at your boss, boyfriend, landlord, mom) and away from yourself is the therapy that works. Because just as a lot of people hold their stress in their body and complain of tight shoulders or get lock jaw, conversion disorder is when you hold it in your smooth muscles which cause these specific types of problems. CBT is a method of dealing with distorted thinking that can lead you to feeling upset. But if you're mashing your upset feelings inwards, you're still going to experience this problem. So again...trauma specialist!

/r/TalkTherapy Thread Parent