Conversive and Factitious disorders: Differential diagnosis based on a case report

Introduction Conversive disorder is characterised by the presence of one or more involuntary neurological symptoms that are not due to a clear medical pathology. On other hand, consciously simulated illnesses fall into two diagnostic categories: factitious disorders and malingering, which differentiated both motivation for behaviour awareness motivation. Factitious behaviours motivated an unconscious need assume sick role, whereas malingering driven achieve external secondary gains. Objectives Study differences between conversion their repercussions from case difficult diagnosis. Methods Bibliographic review scientific literature based on relevant clinical case. Results We present 14-year-old male patient. Adoptive parents. Studying in high school. Social difficulties since childhood. He comes emergency department several occasions referring stereotyped movements motor tics four extremities with left cervical lateralization. Increase these last month, so it was decided admit him pediatric hospital. After observation study patient’s normal complementary tests he should return home. The following day returned after episode dizziness, mutism emotional block. It Psychiatry behavioral differential Conclusions In assessment patients essential make appropriate diagnosis taking account symptomatology background life context. Conversion unintentional production symptom, represent voluntary internal incentives. They have close history this has been frequently confounded. Practitioners often confronted medically unexplained symptoms; they almost 30% neurologist’s consultation. first challenge detect them, recent studies confirmed importance “positive” bedside signs incoherence discordance. Multidisciplinary therapy recommended cognitive therapy, antidepressant treat frequent comorbid anxiety depression, physiotherapy. be clearly delineated disorder. considered as mental illness research its physiopathology treatment needed, when non-medical condition encountered medico-legal cases. Disclosure Interest None Declared