Phobic Anxiety Disorder and Conversion Disorder

Phobic Anxiety Disorder

An irritable, ongoing fear of a particular circumstance, item, activity, or person is referred to as a phobia. The strong, illogical urge to avoid the frightened issue is one of the key indications of this disease. In actuality, fear is a common psychological response to something perceived as a threat that may involve running away or attacking in self-defense. A person with phobic disorder, on the other hand, is aware that he or she has a persistent, irritable fear of certain things, behaviors, or situations, which results in a strong desire to avoid them. These phobias could be specific, like social phobia or agoraphobia, for example.

Treatment of Phobia

• Anti-anxiety medication for short-term use
• Therapy using behavior:
  • Comprehensive desensitization
  • Flooding is an abrupt exposure to a phobic object.
  • Implosion is a flooding technique used in fantasy.

Conversion Disorder

Conversion disorder is a loss of or alteration in bodily function brought on by a psychological conflict, the physical manifestations of which cannot be accounted for by any recognized pathophysiological mechanism or medical disorder. The symptoms of neurological diseases that are most frequently associated with conversion include paralysis, aphonia, seizures, coordination issues, dyskinesia, blindness, tunnel vision, insomnia, anesthesia, and paresthesia.

Aetiology

• Traumatic experiences
• Childhood sexual abuse
• Alterations to CNS arousal
• Absence of situational reassurance

Clinical Manifestation

• Tremors, mutism, hysterical convulsions, aphonia, and other motor deficit symptoms
• Anesthesia, paraesthesia, hyperaesthesia, loss of a special sense, such as blindness or double vision, as well as other sensory deficits

Treatment

• Psychotherapy
• Hypnotherapy
• Narcoanalysis
• Technique for behavioral modification
• Calming technique

Nursing Management

• The nurse must be impartial.
• Encourage the client to agree to and take part in group decisions and activities.
• Describe your abilities, accomplishments, and strengths.
• Giving constructive criticism and encouraging the right conduct
• Encourage the customers to stop focusing on their bodily complaints.
• The customers need to learn assertiveness methods and communication skills.
• Encourage self-care practices, promote independence in behavior, and advise families to offer clients situational support.