Understanding the Key Differences Between Somatoform Disorder and Conversion Disorder

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somatoform disorder vs conversion disorder

Breaking Down the Distinctions Between Somatoform Disorder and Conversion Disorder

Understanding the Key Differences Between Somatoform Disorder and Conversion Disorder

This article delves into the nuances of psychosomatic health conditions, focusing on the comparison: somatoform disorder vs conversion disorder. By understanding the critical differences and symptoms of these two disorders, we can foster greater empathy and enhanced treatment approaches.

Key Points Covered In This Article

  • Understanding somatoform disorder
  • Understanding conversion disorder
  • Comparing somatoform disorder vs conversion disorder
  • Treatment approaches for both disorders

The human mind has a complex relationship with the body, which becomes evident in psychosomatic disorders like somatoform disorder and conversion disorder. These conditions, which cause real physical symptoms but originate from mental or emotional stress, underscore the intricate interplay between our bodily states and psychological wellbeing.

Understanding Somatoform Disorder

Somatoform disorder, a term no longer used in DSM-5, referred to a group of psychological disorders where symptoms suggest a medical condition, but where no physical cause can be identified. Instead of "somatoform disorders", the DSM-5 now includes the term "somatic symptom disorder".

"Somatic symptom disorder is characterized by an extreme focus on physical symptoms — such as pain or fatigue — that causes major emotional distress and problems functioning." - Mayo Clinic

This condition, shrouded in mystery due to its unclear etiology, can manifest in various subsets: somatization disorder, conversion disorder, hypochondriasis, pain disorder, undifferentiated somatiform disorder, and body dysmorphic disorder.

Understanding Conversion Disorder

Conversion disorder, termed functional neurological symptom disorder in DSM-5, is a specific type of somatoform disorder that generates neurological symptoms, like paralysis or blindness, without a clear organic cause.

"Conversion disorder is a condition in which you show psychological stress in physical ways." - Mayo Clinic

Historically known as 'hysteria,' the peculiar manifestation of mental stress as physical ailments is often linked to trauma or extreme stress.

Somatoform Disorder vs Conversion Disorder: A Crucial Comparison

Although both conditions imply a mind-body conflict, the distinction lies in the type of symptoms manifested. In somatoform disorder, the symptoms are more general, while in conversion disorder, they mimic neurological problems.

For instance, a patient with somatoform disorder may complain of chronic body pain, while one experiencing conversion disorder might exhibit unexplained blindness or seizures.

Despite their differences, the common thread is that these symptoms, real and distressing, are not due to any underlying physical sickness but are instead borne from psychological distress.

Treatment Approaches

Addressing both disorders follows a psychotherapeutic approach, often complemented with cognitive-behavioral therapy, psychoeducation, physiotherapy, and sometimes medication.

"Integrating psychological and physical treatments can be beneficial, as can working in multidisciplinary teams." - British Medical Journal

By addressing the psychological root causes, patients can learn coping mechanisms and eventually reduce their physical symptoms.


Frequently Asked Questions

1. Is somatoform disorder the same as somatic symptom disorder?Yes, the term 'somatic symptom disorder' in DSM-5 encompasses what was previously known as 'somatoform disorders'.

2. Can conversion disorder be cured?While no definitive cure is available, through a multidimensional approach involving psychotherapy, cognitive-behavioral therapy, and sometimes medication, many people find their symptoms greatly reduced or eliminated.

3. Do patients consciously or intentionally produce the symptoms in these disorders?No, the symptoms are involuntary. Despite their psychological origins, they cause genuine distress and cannot simply be 'willed away'.

4. Are these disorders common?Somatoform disorders affect about 5-7% of adults, whereas conversion disorder is less common, affecting about 2-5 people per 100,000 annually.

5. Can these disorders occur in children?Yes, both disorders can occur in children, often triggered by stress or trauma. However, the symptoms might express differently than in adults.


In conclusion, understanding the differences between somatoform disorder and conversion disorder is crucial, not just for those directly affected, but for us as society as well. By fostering a greater understanding of mental health, we can help dispel stigma and misconceptions surrounding these disorders.



Ready to start your career as a trauma informed care practitioner? Contact us at info@aurainstitute.org or (424) 400-3048 to begin your journey as a certified trauma practitioner and make a positive impact in trauma care.

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Understanding the Differences: Conversion Disorder vs Somatic Symptom Disorder