Adolescent Mental Health Inpatient Units

Hi.  I wondered if anyone has any experience of any of these.  My daughter (17) was in one for several months last year and, although she made progress and was not unhappy there, they were very ignorant regarding ASDs.  It now looks as if she may need to be admitted again and I am wondering if there are any which are particularly good with people on the spectrum.

Parents
  • Do you think her behaviour is deteriorating because she's in the facility?  Or was it going the same way before she was admitted?

    I confess to knowing nothing about conversion disorder, I'd never heard of it.  So I looked it up, here are a couple of snippets from Wikipedia:

    "Formerly known as "hysteria"...

    The DSM-IV classifies conversion disorder as a somatoform disorder while the ICD-10 classifies it as a dissociative disorder.

    Prognosis

    The DSM-IV-TR states that conversion symptoms will in most cases disappear within 2 weeks in those hospitalized. One-fifth to one-quarter will have a recurrence within a year with this also predicting future recurrences. Acute onset, clearly identifiable stress at this time, and short time between onset and treatment are associated with a favorable prognosis.

    Conversion disorder presents with symptoms that typically resemble a neurological disorder such as stroke, multiple sclerosis, epilepsy or hypokalemic periodic paralysis. The neurologist must carefully exclude neurological disease, through examination and appropriate investigations.[18] However, it is not uncommon for patients with neurological disease to also have conversion disorder.[19]

    In excluding neurological disease, the neurologist has traditionally relied partly on the presence of positive signs of conversion disorder — certain aspects of the presentation that were thought to be rare in neurological disease, but common in conversion. The validity of many of these signs has been questioned, however, by a study showing that they also occurred in neurological disease.[20] "

    Misdiagnosis is apparently at a rate of 4%.  I will do a little more research.

Reply
  • Do you think her behaviour is deteriorating because she's in the facility?  Or was it going the same way before she was admitted?

    I confess to knowing nothing about conversion disorder, I'd never heard of it.  So I looked it up, here are a couple of snippets from Wikipedia:

    "Formerly known as "hysteria"...

    The DSM-IV classifies conversion disorder as a somatoform disorder while the ICD-10 classifies it as a dissociative disorder.

    Prognosis

    The DSM-IV-TR states that conversion symptoms will in most cases disappear within 2 weeks in those hospitalized. One-fifth to one-quarter will have a recurrence within a year with this also predicting future recurrences. Acute onset, clearly identifiable stress at this time, and short time between onset and treatment are associated with a favorable prognosis.

    Conversion disorder presents with symptoms that typically resemble a neurological disorder such as stroke, multiple sclerosis, epilepsy or hypokalemic periodic paralysis. The neurologist must carefully exclude neurological disease, through examination and appropriate investigations.[18] However, it is not uncommon for patients with neurological disease to also have conversion disorder.[19]

    In excluding neurological disease, the neurologist has traditionally relied partly on the presence of positive signs of conversion disorder — certain aspects of the presentation that were thought to be rare in neurological disease, but common in conversion. The validity of many of these signs has been questioned, however, by a study showing that they also occurred in neurological disease.[20] "

    Misdiagnosis is apparently at a rate of 4%.  I will do a little more research.

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