Which statement best describes an evidence-based approach to treating conversion disorder?

• A. Antidepressants and antipsychotics
• B. Observation only with no treatment
• C. Education about the diagnosis, physical therapy, and CBT
• D. Immediate surgical consult

Answer: (C)

Conversion symptoms are neurologic-like problems that aren’t explained by a medical disease, and the best approach is not to chase a physical cure with invasive tests or meds alone. An evidence-based plan combines teaching the patient about the diagnosis, starting physical therapy to retrain movement and reduce disability, and using cognitive-behavioral therapy to address psychological factors and stress that may contribute to the symptoms. This integrated approach helps restore function and reduces symptom reinforcement. In contrast, relying on medications as the primary treatment, watching and doing nothing, or seeking an immediate surgical consult don’t address the underlying functional nature and often don’t improve outcomes.