- The term psychogenic dystonia refers to the uncommon but well-documented situation where dystonia is secondary to psychological disturbances.
- Importantly, in all but the most unusual cases, the process is completely subconscious. The individual is not consciously aware of causing the abnormal movements.
- In most cases only an experienced movement disorder expert can identify the subtle aspects of an individual’s history and physical examination that support a psychogenic cause for the symptoms.
- Psychogenic dystonia is considered a form of “conversion disorder.” The underlying psychiatric disturbance varies from patient to patient.
- The diagnosis of psychogenic dystonia can be exceedingly difficult. Secondary dystonias and psychogenic dystonias, in particular, may have similar characteristics.
- Cases of psychogenic dystonia may account for less than 3% of all dystonia patients.
- The best course of treatment may be a combination of medication and psychotherapy under the care of a team of professional, for example a movement disorder expert, a psychiatrist, and a counselor who specializes in cognitive-behavior techniques.
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