An Interesting Model For Functional Neurological Disorders: Integrative Approach to Psychogenic Dysphonia

Abstract

Psychogenic Dysphonia is a symptom type of functional neurological disorders. Functional neurological disorder or conversion disorder, is a mental disorder that manifests itself with neurological symptoms that cannot be explained by a neurological condition or medical condition. With DSM-5, the diagnostic criteria of conversion disorder have changed and it is imperative to develop a new perspective on the diagnosis and treatment of conversion disorder. Nowadays, functional neurological disease definition has been used instead of the definition of conversion disorder. In addition, this disorder have recently been viewed from a different perspective. Thus, an integrative approach was required in the diagnosis, evaluation and treatment of these disorder. Studies on functional neurological disorders have uncovered psychogenic dysphonies. The present review aimed the analyzing the literatüre to illuminate diagnosis, evaluation and treatment approaches in the patients with psychogenic dysphonies. Psychogenic dysphonia is very interesting in terms of its formation with emotional distress as well as its response to a functional intervention such as standard circular laryngeal therapy. Therefore, psychogenic dysphonia is an interesting model for the diagnosis, evaluation and treatment of functional neurological disorders. As psychogenic dysphonia symptoms and psychological factors mutually affect each other, the combination of voice therapy and psychotherapy for symptoms seems to be the gold standard treatment for now.

Keywords

• Psychogenic dysphonia
• functional neurological disorder
• conversion disorder

Fonksiyonel Nörolojik Bozukluklar İçin İlginç Bir Model: Psikojenik Disfoniye Bütüncül Yaklaşım

Öz

Psikojenik disfoni, fonksiyonel nörolojik bozuklukların bir belirti tipidir. Fonksiyonel nörolojik bozukluk ya da konversiyon bozukluğu, nörolojik veya tıbbi bir hastalıkla açıklanamayan nörolojik belirtilerle kendini gösteren bir ruhsal bozukluktur. DSM-5 ile birlikte, konversiyon bozukluğu tanı kriterleri değişti ve konversiyon bozukluğu tanı ve tedavisine yeni bir bakış açısı geliştirmek şart oldu. Günümüzde konversiyon bozukluğu tanımı yerine fonksiyonel nörolojik bozukluk tanımlaması kullanılmaya başlandı. İlaveten, yakın zamanda bu bozukluğa farklı bir perspektiften bakılmaktadır. Böylece bu bozukluğun tanı, değerlendirme ve tedavisinde integratif yaklaşımlar gerekliliği doğdu. Fonksiyonel nörolojik hastalıklarda yapılan çalışmalar çoğunlukla psikojenik disfonileri içermemektedir. Bu derlemede psikojenik disfonili hastaların tanı, değerlendirme ve tedavisine yaklaşımları literatür ışığında tartışmak amaçlamıştır. Psikojenik disfoniler, oluşumunda emosyenel stresin rolüne rağmen standart sirkümlaringeal terapiye yanıt vermesi açısından ilginçtir. Bu nedenle foksiyonel nörolojik bozuklukların tanı, değerlendirme ve tedavisinde ilginç bir modeldir. Psikojenik disfoni semptomları ve psikolojik faktörler karşılıklı olarak birbirini etkilediği için ses terapisi ve psikoterapi kombinasyonu en iyi tedavi gibi görünmektedir.

Anahtar Kelimeler

• Psikojenik disfoni
• fonksiyonel nörolojik bozukluk
• konversiyon bozukluğu

Kaynakça

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