I have a patient who has what is likely to be a conversion/somatic disorder (where she believes she has an encephalopathy but presents with clear CT head, MRI, etx). She has been unable to walk and relies on her mother to help transfer her. On Friday we took her to the parallel bars and without much input she walked about a dozen laps on her own! So yesterday I started working on some bridging, etc. with her and she walked 20 laps. Although slightly medico, my question is this….what are the overriding factors here, mind or body?
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