TY - JOUR T1 - Specialist inpatient treatment for severe motor conversion disorder: a retrospective comparative study JF - Journal of Neurology, Neurosurgery & Psychiatry JO - J Neurol Neurosurg Psychiatry SP - 895 LP - 900 DO - 10.1136/jnnp-2013-305716 VL - 85 IS - 8 AU - Ruaidhri McCormack AU - John Moriarty AU - John D Mellers AU - Paul Shotbolt AU - Rosa Pastena AU - Nadine Landes AU - Laura Goldstein AU - Simon Fleminger AU - Anthony S David Y1 - 2014/08/01 UR - http://jnnp.bmj.com/content/85/8/895.abstract N2 - Background Gold standard protocols have yet to be established for the treatment of motor conversion disorder (MCD). There is limited evidence to support inpatient, multidisciplinary intervention in chronic, severe cases. Aims To evaluate the characteristics and outcomes of MCD patients admitted to a specialist neuropsychiatric inpatient unit. Methods All patients admitted to the Lishman Unit (years 2007–2011) with a diagnosis of MCD were included. Data relevant to characteristics and status with regard to mobility, activities of daily living (ADLs) and Modified Rankin Scale (MRS) score at admission and discharge were extracted. Results Thirty-three cases (78.8% female) were included; the median duration of illness was 48 months. In comparison with brain injury patients admitted to the same unit, more cases had histories of childhood sexual abuse (36.4%, n=12), premorbid non-dissociative mental illness (81.1%, n=27) and employment as a healthcare/social-care worker (45.5%, n=15). Cases showed significant improvements in MRS scores (p<0.001), mobility (p<0.001) and ADL (p=0.002) following inpatient treatment. Conclusions Patients with severe, long-standing MCD can achieve significant improvements in functioning after admission to a neuropsychiatry unit. ER -