Hysterical aphony is caused by fear of speaking or singing, psychological trauma, persistent vocal impairment, failure of prolonged treatment, emotional blockage, unconscious desire to draw attention. In short, there are many origins in relation to a common idea: the person presenting believes that he cannot speak. It is most common in women and young people.
Hysterical aphony has a sudden onset, can have a whispered speech, and causes no pain. On the physical exam, the pharynx cools and the larynx is structurally normal, but the vocal cords do not move properly. If your doctor asks the person to make a sound, there is a gentle, non-contact aduction of the aritenoids and an abduction when breathing. The mobility of the strings is good in situations of laughter and coughing.
Have you had or had any of these symptoms?
Have you ever had seizures or seizures?Do these symptoms affect your overall life or a specific part?
Although the term conversion (a term describing what used to be called hysteria) has been used since the Middle Ages, it became popular with Sigmund Freud, who thought unconscious conflicts became physical symptoms.
Conversion disorder was a particularly popular diagnosis in the late 19th century. Are you talking about symptoms that affect behavior and look like a neurological disease but are not caused by any known physical illnesses?Organic cause, they can’t be explained by it either.
“Alma, what’s wrong with you, crying your way and without words?Don’t you take me the paths of life where I’m going?-Alfonso Reyes Ochoa?
Conversion disorder produces symptoms that especially affect motor or sensory functions, which may make us think that, deep down, there is an organic change that causes such changes, such as a neurological disorder, on the other hand, even if it is not, and it is not possible to find evidence that this is the case, the symptoms do not occur intentionally and are not simulated , they really feel.
Conversion symptoms are, in part, the product of a person’s ideas about what the disease is. You may also need medical attention. Psychological factors are involved in the onset or progression of symptoms, which may be due to conflicts or other stressful events.
Sometimes this disorder can be maintained through direct (reduction of anxiety generated by psychological conflict) and indirect (not having to work, not having to deal with certain responsibilities, receiving more attention, etc. ) that can be obtained.
Conversion disorder usually begins in late adolescence and early adulthood; its appearance is very rare before age 10 or after age 35, and usually begins abruptly. In hospitalized patients, symptoms usually go away within 2 weeks.
Relapses usually occur mainly in the first year, and the presence of a single relapse is a good indicator of the onset of several episodes in the future; symptoms such as tremors and seizures indicate a worse course of the disorder.
“I cultivated my hysteria with pleasure and terror. ” – Charles Baudelaire?
Risk factors for developing the disorder may include
The most important thing in the treatment of hysterical aphony is to eliminate or reduce the source of stress or, on the contrary, to work with the traumatic events that the person has experienced to reduce their level of tension.
It will also be necessary to eliminate the secondary gains or benefits that the person may derive from this behavior, even if he is not fully aware of it.
Sometimes symptoms go away automatically and last from a few days to several weeks, however, there are a number of resources and interventions that can be positive, these are: