Li Xia is a 12-year-old girl from the countryside. She was brought up by her grandmother, and after the death of her closest grandmother 3 months ago, Li Xia often suffered from sudden fainting, confusion, chest pain, breathlessness, and involuntary twitching of her hands. Her parents then sent her to the hospital, but many of the tests were normal. The pediatrician found a very strange phenomenon: Li Xia would only have seizures when there were people around, sometimes she would start to have seizures after mentioning her grandmother or scolding her, and she was prone to having seizures at school, but less likely to have seizures at home. But when she was having fun or concentrating on something, she was fine. So the pediatrician suggested that her parents bring her to the psychiatric clinic. Doctor’s observation: In the waiting room, Li Xia had a seizure that was very painful. But when the doctor talked to her about it later, she smiled and laughed and did not look ill at all. Dramatically, when asked about her medical history, she had another seizure, and she recovered when the doctor gently pressed on her renzhong. Doctor’s analysis: Li Xia suffers from conversion disorder, which is a type of hysteria. The main feature of this disease is that when the patient faces pressure or stimulation, he or she converts the psychological complex to the body, showing abnormal motor or sensory functions and little emotional expression. Therefore, this type of mental illness can easily be misinterpreted as a problem with the nervous system or some aspect of the body. Doctor’s comment: Conversion disorder is the oldest disorder in psychiatric psychology. In the past it was common in women, but now it is common in children, especially those with lower intelligence, less education or less social contact. Most of these people have strong emotional reactions, exaggerated expressions, need for constant attention from others, are easily suggestible, and have self-centered thinking, which is also known as a performer’s personality. People with this type of personality are prone to psychological trauma and physical symptoms after suffering a setback or psychological conflict, or after receiving a suggestion. Symptoms are also very abundant, some manifested as paralysis of any part of the body, paralysis, convulsions, etc., some manifested as a sudden inability to make a sound or sudden blindness. But the results of a physical examination often do not explain these physical symptoms, nor do they fit logically into the disease as seen by the doctor. These people often make their families or doctors feel as if they are faking the illness. And the patients’ reactions to their illnesses make them feel strange. For example, some patients are not at all concerned about their symptoms, like Li Xia. Other patients don’t seem to be serious, but when they sigh and moan, it feels too much. These symptoms usually appear after a stimulus, but sometimes the stimulus is not obvious to those around them, so the family may not be able to find the cause. For example, a person who represses anger may experience paralysis of the right arm, but those around him do not realize that he has anger. ABOUT TREATMENT: Psychotherapy is the basic treatment for conversion disorder, and in the past, suggestion therapy or hypnotherapy was often used to treat conversion disorder. Under hypnosis, forgotten traumatic experiences can be revived and repressed emotions can be released, thus eliminating the physical symptoms of conversion disorder, as is often the case in literature and film. Currently used more is the interpretive psychotherapy, mainly by guiding the patient to correctly recognize and deal with the disease-causing mental factors (such as Li Xia lost her loving grandmother), to help the patient to analyze the defects that exist in the personality, and to formulate a plan to overcome the defects of the personality, to achieve the purpose of treatment. As in the case of Li Xia, parents or doctors can explain the meaning of life and death to her in a way that is acceptable to the child, so that she can slowly accept the loss of her grandmother. In addition, Li Xia is so young and inarticulate that she can’t express her pain well in words and can’t help but use her physical symptoms to express it. Therefore, her treatment is mainly to gradually teach her to actively express her emotions in words, so that she can learn to say how happy or unhappy she is. At the same time, certain medications can be used to alleviate her symptoms. Doctor’s reminder: 1. Since the onset of conversion disorder is related to the level of education and personality, family education in early childhood is quite important. Parents should pay attention to cultivating not only the child’s IQ, but also the child’s EQ (the ability to express emotions). It is important for children to learn to express their feelings such as happiness or sadness through language. 2. Although conversion disorder is often misunderstood as a feigned illness, for patients, the illness is not something they intentionally feign, and they actually feel pain. 3, conversion disorder family members are often too concerned about the patient’s physical condition, around the patient all kinds of care, round and round, this will make the patient’s condition more delayed. Simple judgment of conversion disorder: 1, there are psychological stimuli before getting sick. 2, sudden onset, repeated fluctuations. 2, sudden onset, repeated fluctuations. Illness comes and goes quickly. Attacks are in occupied settings. 3, Motor or sensory system symptoms, but can not be directly explained by some kind of physical disease, and the relevant medical examination does not explain his symptoms. 4. The expression is disproportionate to the severity of the disease, and there is inactivity or over-seeking of medical care. 5.Performative personality before the disease