Psychogenic movement disorders

Post-traumatic stress disorder is an adjustment disorder combining psychological and physical symptoms. Faced with the pain associated
with post-traumatic stress disorder, it is important to know how to differentiate between the pain linked to the physical injury at the time of the traumatic event and the psychogenic pain. Identifying these pains and studying their aetiology, combined with an assessment of the patient’s psychological state and life history, enables multi-disciplinary care to be put in place to improve the patient’s prognosis and can help to improve recognition of these disorders.
Le syndrome de stress post-traumatique est un trouble de l’adaptation associant des symptômes psychiques mais également physiques.Face à des douleurs associées à un syndrome de stress post-traumatique, l’enjeu est de savoir différencier des douleurs liées à une blessure physique au moment de l’événement traumatisant des douleurs psychogènes. Le dépistage de ces douleurs et l’étude de leur étiologie, associée à une évaluation de l’état psychique du patient et de son histoire de vie, permet une prise en charge pluridisciplinaire nécessaire pour améliorer le pronostic du patient et une meilleure reconnaissance de ces troubles.

Subjective halitosis is not confirmed by halitometer or third party individuals despite the patient insistently complaints malodor. This condition is named imaginary, delusional, pseudo, non-genuine, psychogenic, psychosomatic halitosis, halitophobia, body odor psychosis, depression, hypochondriasis, olfactory reference syndrome, chronic olfactory paranoid, syndrome, olfactory obsession, obsessive-compulsive disorder, olfactory delusion and more. Almost all of the terms are psychiatric but they have been described by the dentistry related authors. Many of them need correction acording to pshyciatric concepts. In the dental literature there is confusion on the terminology and description of clinical forms of subjective halitosis has not been truely paid attention. This paper reviews and defines the terminology on subjective halitosis. It may appear in clinically neurological (neurogenic) or psychological (psychogenic) forms. Each category is apperantly described, reframed, terminology corrected, made it more understandable. We conclude that dental practitioners should be couraged to discover halitosis in a way whether a case in subjective or but not to diagnose psychiatric disorder in the patient with halitosis.