Conversion disorder.

The diagnosis of psychogenic nonepileptic seizures has become easier with the assimilation of studies on the clinical categorization of seizure-like events (1), video EEG monitoring (2), measurement of serum prolactin (3), the selective use of neuropsychological tests (4), and various other diagnostic methods. Much less information is available to the clinician on what to do next. How should the diagnosis best be presented? What is optimal treatment, and how best should it be individualized? How well does treatment work? We describe a patient with nonepileptic seizures and psychogenic tremors as a starting point for a discussion about how to proceed after establishing a diagnosis of conversion disorder.