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Body integrity dysphoria (BID), also referred to as body integrity identity disorder (BIID), amputee identity disorder or xenomelia, and formerly called apotemnophilia, is a rare mental disorder characterized by a desire to have a sensory or physical disability or feeling discomfort with being able-bodied, beginning in early adolescence and resulting in harmful consequences. [1]
[1] [2] In some cases, delusions become so elaborate that a limb may be treated and cared for as if it were a separate being. [1] Somatoparaphrenia differs from a similar disorder, asomatognosia, which is characterized as loss of recognition of half of the body or a limb, possibly due to paralysis or unilateral neglect. [3]
Gender, side of limb loss, and etiology of amputation have not been shown to affect the onset of phantom limb pain. [2] One investigation of lower limb amputation observed that as stump length decreased, and therefore length of the phantom limb increased, there was a greater incidence of moderate and severe phantom pain. [8]
There is little evidence-based treatment of conversion disorder. [26] Other treatments such as cognitive behavioral therapy (CBT), hypnosis, EMDR, and psychodynamic psychotherapy, EEG brain biofeedback need further trials. Psychoanalytic treatment may possibly be helpful. [27] Most studies assessing the efficacy of these treatments are of poor ...
Epidemiological studies and meta-analysis have shown higher rates of depression and anxiety in patients with FND compared to the general population, but rates are similar to patients with other neurological disorders such as epilepsy or Parkinson's disease. This is often the case because of years of misdiagnosis and accusations of malingering.
Periodic limb movement disorder (PLMD) is a sleep disorder where the patient moves limbs involuntarily and periodically during sleep, and has symptoms or problems related to the movement. PLMD should not be confused with restless legs syndrome (RLS), which is characterized by a voluntary response to an urge to move legs due to discomfort.
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