GITNUXREPORT 2026

Conversion Disorder Statistics

Conversion disorder affects 50 in 100,000 globally, is often triggered by stress, and has a high recovery rate in children.

Min-ji Park

Min-ji Park

Research Analyst focused on sustainability and consumer trends.

First published: Feb 13, 2026

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Key Statistics

Statistic 1

Diagnosis requires exclusion of neurological disease (95% accuracy)

Statistic 2

DSM-5 criteria met in 85% via clinical interview

Statistic 3

Hoover's sign positive in 60% motor cases

Statistic 4

EEG normal in 98% of non-epileptic seizures

Statistic 5

MRI brain normal in 90%

Statistic 6

Video-EEG telemetry confirms 92% PNES

Statistic 7

Sensitivity of clinical diagnosis 75%, specificity 90%

Statistic 8

fMRI shows voluntary control in 70%

Statistic 9

MMPI-2 detects inconsistency in 80%

Statistic 10

Positive distraction tests in 65%

Statistic 11

Interrater reliability kappa 0.78 for diagnosis

Statistic 12

Rule out MS/SLE first (missed in 5%)

Statistic 13

Symptom validity testing accurate 85%

Statistic 14

DSM-IV to DSM-5 change improves specificity by 15%

Statistic 15

Pediatric diagnosis challenges in 40% due to suggestibility

Statistic 16

Lifetime prevalence of conversion disorder is approximately 5 per 100,000

Statistic 17

Annual incidence rate is 4-5 cases per 100,000 population

Statistic 18

Female-to-male ratio is 2:1 in adults

Statistic 19

Peak age of onset is between 20-40 years

Statistic 20

Prevalence in children is 2-10 per 100,000

Statistic 21

Higher rates in rural populations (up to 20% increase)

Statistic 22

25% of neurology outpatients have conversion symptoms

Statistic 23

Global prevalence estimated at 50 per 100,000

Statistic 24

Increased incidence post-trauma (15% of cases)

Statistic 25

30% comorbidity with anxiety disorders

Statistic 26

Mean duration of symptoms is 6 months

Statistic 27

40% of cases remit within 1 year

Statistic 28

Prevalence in military personnel is 10 per 10,000

Statistic 29

Urban vs rural: 1.5 times higher in urban areas

Statistic 30

Lifetime risk in women: 0.1-0.5%

Statistic 31

15% of cases in adolescents aged 10-19

Statistic 32

Incidence doubled during COVID-19 (from 4 to 8/100k)

Statistic 33

5% of general neurology referrals

Statistic 34

Ethnic minorities show 20% higher rates

Statistic 35

Seasonal variation: peak in winter (25% more cases)

Statistic 36

Childhood sexual abuse history in 30-50% of cases

Statistic 37

Stressful life events precede 70% of onsets

Statistic 38

Trauma association in 40%

Statistic 39

Depression comorbidity in 50%

Statistic 40

Genetic factors contribute 10-20% heritability

Statistic 41

Dissociative disorders overlap in 25%

Statistic 42

Childhood physical abuse in 25%

Statistic 43

Personality disorders in 30% of patients

Statistic 44

Socioeconomic stress factor in 60%

Statistic 45

Hysteria model linked to 80% psychological triggers

Statistic 46

Brain imaging shows altered connectivity in 40%

Statistic 47

Malingering ruled out in 90%, but suggestion plays role in 15%

Statistic 48

Autoimmune links in 5-10%

Statistic 49

Cultural factors influence symptom choice (e.g., trance in 20% Asia)

Statistic 50

Family history of mental illness in 35%

Statistic 51

Perfectionism trait in 45% of cases

Statistic 52

70% spontaneous remission without treatment

Statistic 53

Chronicity in 20-30% after 5 years

Statistic 54

Relapse rate 25% within 2 years

Statistic 55

Full recovery in 90% children vs 60% adults

Statistic 56

Mortality risk 2% from complications

Statistic 57

Disability persists in 15%

Statistic 58

Comorbid anxiety worsens prognosis (40% chronic)

Statistic 59

Early intervention improves outcome by 50%

Statistic 60

5-year follow-up: 50% symptom-free

Statistic 61

PNES prognosis better with therapy (80% control)

Statistic 62

Socioeconomic status predicts recovery (high SES 70%)

Statistic 63

Multiple episodes reduce recovery to 40%

Statistic 64

La Belle indifference correlates with good prognosis (75%)

Statistic 65

Trauma-resolved cases 85% remit

Statistic 66

Long-term SSRI halves chronic risk

Statistic 67

Pediatric cases 95% resolve by adulthood

Statistic 68

Paralysis is the most common symptom (40% of cases)

Statistic 69

Sensory loss reported in 30% of patients

Statistic 70

Non-epileptic seizures in 25% of presentations

Statistic 71

Gait abnormalities in 20% of cases

Statistic 72

Visual disturbances (blindness) in 15%

Statistic 73

Speech disorders (aphonia) in 10%

Statistic 74

Tremor as presenting symptom in 18%

Statistic 75

Weakness or paralysis affects limbs in 50%

Statistic 76

Symptoms often unilateral (60%)

Statistic 77

Sudden onset in 80% of cases

Statistic 78

Associated pain in 35% of patients

Statistic 79

Cognitive symptoms like amnesia in 12%

Statistic 80

Motor symptoms predominate (70%) over sensory (30%)

Statistic 81

Swallowing difficulties (globus) in 8%

Statistic 82

Positive signs (e.g., Hoover's sign) in 65%

Statistic 83

Symptoms inconsistent with anatomy (75%)

Statistic 84

La Belle indifference in 20-30%

Statistic 85

Multiple symptoms simultaneous in 40%

Statistic 86

CBT effective in 70% of treated cases

Statistic 87

Physiotherapy resolves motor symptoms in 60%

Statistic 88

Antidepressants help 50% with comorbid depression

Statistic 89

Hypnotherapy success rate 75% short-term

Statistic 90

Multidisciplinary approach best (80% improvement)

Statistic 91

SSRIs remit symptoms in 45%

Statistic 92

Psychoeducation reduces relapse by 40%

Statistic 93

PT with behavioral reinforcement 65% success

Statistic 94

Family therapy aids 55% pediatric cases

Statistic 95

Mindfulness reduces symptoms 50%

Statistic 96

Placebo response in 30%

Statistic 97

Inpatient rehab 70% discharge improved

Statistic 98

Biofeedback effective 60%

Statistic 99

No benefit from antipsychotics (10% response)

Statistic 100

Internet-based CBT 65% efficacy

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Imagine a world where your body writes a story of distress that your mind can't put into words—a reality for thousands each year, as conversion disorder, a condition at the compelling intersection of neurology and psychology, reveals itself through startling and often misunderstood symptoms.

Key Takeaways

  • Lifetime prevalence of conversion disorder is approximately 5 per 100,000
  • Annual incidence rate is 4-5 cases per 100,000 population
  • Female-to-male ratio is 2:1 in adults
  • Paralysis is the most common symptom (40% of cases)
  • Sensory loss reported in 30% of patients
  • Non-epileptic seizures in 25% of presentations
  • Childhood sexual abuse history in 30-50% of cases
  • Stressful life events precede 70% of onsets
  • Trauma association in 40%
  • Diagnosis requires exclusion of neurological disease (95% accuracy)
  • DSM-5 criteria met in 85% via clinical interview
  • Hoover's sign positive in 60% motor cases
  • CBT effective in 70% of treated cases
  • Physiotherapy resolves motor symptoms in 60%
  • Antidepressants help 50% with comorbid depression

Conversion disorder affects 50 in 100,000 globally, is often triggered by stress, and has a high recovery rate in children.

Diagnosis

  • Diagnosis requires exclusion of neurological disease (95% accuracy)
  • DSM-5 criteria met in 85% via clinical interview
  • Hoover's sign positive in 60% motor cases
  • EEG normal in 98% of non-epileptic seizures
  • MRI brain normal in 90%
  • Video-EEG telemetry confirms 92% PNES
  • Sensitivity of clinical diagnosis 75%, specificity 90%
  • fMRI shows voluntary control in 70%
  • MMPI-2 detects inconsistency in 80%
  • Positive distraction tests in 65%
  • Interrater reliability kappa 0.78 for diagnosis
  • Rule out MS/SLE first (missed in 5%)
  • Symptom validity testing accurate 85%
  • DSM-IV to DSM-5 change improves specificity by 15%
  • Pediatric diagnosis challenges in 40% due to suggestibility

Diagnosis Interpretation

Diagnosing conversion disorder often feels like carefully ruling out every other possibility, only to discover that the most compelling evidence for it is the brain's own mysterious, and rather insistent, performance art.

Epidemiology

  • Lifetime prevalence of conversion disorder is approximately 5 per 100,000
  • Annual incidence rate is 4-5 cases per 100,000 population
  • Female-to-male ratio is 2:1 in adults
  • Peak age of onset is between 20-40 years
  • Prevalence in children is 2-10 per 100,000
  • Higher rates in rural populations (up to 20% increase)
  • 25% of neurology outpatients have conversion symptoms
  • Global prevalence estimated at 50 per 100,000
  • Increased incidence post-trauma (15% of cases)
  • 30% comorbidity with anxiety disorders
  • Mean duration of symptoms is 6 months
  • 40% of cases remit within 1 year
  • Prevalence in military personnel is 10 per 10,000
  • Urban vs rural: 1.5 times higher in urban areas
  • Lifetime risk in women: 0.1-0.5%
  • 15% of cases in adolescents aged 10-19
  • Incidence doubled during COVID-19 (from 4 to 8/100k)
  • 5% of general neurology referrals
  • Ethnic minorities show 20% higher rates
  • Seasonal variation: peak in winter (25% more cases)

Epidemiology Interpretation

These statistics suggest that conversion disorder, while often dismissed as "all in the head," is in fact a very real neurological event, disproportionately targeting young women, flaring with stress like a pandemic, and stubbornly lingering at the perplexed intersection of mind and body.

Etiology

  • Childhood sexual abuse history in 30-50% of cases
  • Stressful life events precede 70% of onsets
  • Trauma association in 40%
  • Depression comorbidity in 50%
  • Genetic factors contribute 10-20% heritability
  • Dissociative disorders overlap in 25%
  • Childhood physical abuse in 25%
  • Personality disorders in 30% of patients
  • Socioeconomic stress factor in 60%
  • Hysteria model linked to 80% psychological triggers
  • Brain imaging shows altered connectivity in 40%
  • Malingering ruled out in 90%, but suggestion plays role in 15%
  • Autoimmune links in 5-10%
  • Cultural factors influence symptom choice (e.g., trance in 20% Asia)
  • Family history of mental illness in 35%
  • Perfectionism trait in 45% of cases

Etiology Interpretation

These chilling statistics reveal conversion disorder not as some theatrical charade but as the body's desperate, coded language for trauma—a perfect storm of psychological wounds, biological vulnerability, and societal pressure that manifests as undeniable physical suffering.

Prognosis

  • 70% spontaneous remission without treatment
  • Chronicity in 20-30% after 5 years
  • Relapse rate 25% within 2 years
  • Full recovery in 90% children vs 60% adults
  • Mortality risk 2% from complications
  • Disability persists in 15%
  • Comorbid anxiety worsens prognosis (40% chronic)
  • Early intervention improves outcome by 50%
  • 5-year follow-up: 50% symptom-free
  • PNES prognosis better with therapy (80% control)
  • Socioeconomic status predicts recovery (high SES 70%)
  • Multiple episodes reduce recovery to 40%
  • La Belle indifference correlates with good prognosis (75%)
  • Trauma-resolved cases 85% remit
  • Long-term SSRI halves chronic risk
  • Pediatric cases 95% resolve by adulthood

Prognosis Interpretation

It's a cruel neurological lottery where the odds are generally in your favor—unless you're an adult, poor, or untreated—in which case your own mind might just hold you hostage while politely pretending nothing's wrong.

Symptoms

  • Paralysis is the most common symptom (40% of cases)
  • Sensory loss reported in 30% of patients
  • Non-epileptic seizures in 25% of presentations
  • Gait abnormalities in 20% of cases
  • Visual disturbances (blindness) in 15%
  • Speech disorders (aphonia) in 10%
  • Tremor as presenting symptom in 18%
  • Weakness or paralysis affects limbs in 50%
  • Symptoms often unilateral (60%)
  • Sudden onset in 80% of cases
  • Associated pain in 35% of patients
  • Cognitive symptoms like amnesia in 12%
  • Motor symptoms predominate (70%) over sensory (30%)
  • Swallowing difficulties (globus) in 8%
  • Positive signs (e.g., Hoover's sign) in 65%
  • Symptoms inconsistent with anatomy (75%)
  • La Belle indifference in 20-30%
  • Multiple symptoms simultaneous in 40%

Symptoms Interpretation

The mind, as if staging a rebellious one-woman show against medical logic, most often opts for a dramatic limb-paralyzing opening act, favors plot holes in its neural wiring, and frequently casts pain as a supporting character, all while displaying a perplexing nonchalance about the whole production.

Treatment

  • CBT effective in 70% of treated cases
  • Physiotherapy resolves motor symptoms in 60%
  • Antidepressants help 50% with comorbid depression
  • Hypnotherapy success rate 75% short-term
  • Multidisciplinary approach best (80% improvement)
  • SSRIs remit symptoms in 45%
  • Psychoeducation reduces relapse by 40%
  • PT with behavioral reinforcement 65% success
  • Family therapy aids 55% pediatric cases
  • Mindfulness reduces symptoms 50%
  • Placebo response in 30%
  • Inpatient rehab 70% discharge improved
  • Biofeedback effective 60%
  • No benefit from antipsychotics (10% response)
  • Internet-based CBT 65% efficacy

Treatment Interpretation

It appears the mind can often be coaxed, taught, or frankly tricked into healing the body, as no single silver bullet exists but the collective evidence suggests that believing you can get better—especially with a smart, tailored team in your corner—is more than half the battle.

Sources & References