Neurotic, Stress Related and Somatform Disorders
After witnessing a violent argument between her parents, a young woman develops sudden blindness, but does not appear as distraught as would be expected by this development. Her pupils react normally to light, and she manages to somehow avoid obstacles when walking. Her parents, who are in the middle of a bitter divorce, put aside their differences to focus on their daughter’s illness. What is the most likely diagnosis? (AIIMS Nov 2012)
a. Pesudoblindness Conversion disorder is made only after history of stressor and pt will complain of some bodily problem of motor type like pseudoparalysis, pseudoseizure , pseudoaphonia or sensory type like pseudo blindness not explained by any organic problem.
b. Malingering –pt is pretending illness with some bad motive like to gain money from health insurance company
c. Factitious disorder- Pt is pretending illness without any external motive but just want to show him sick to gain sympathy from doctor & others.
Somatization - Pt presents with multiple physical problems like pains , GIT problems etc even though physical examination and investigations are repeatedly normal.