Conversion Disorder Therapy Worksheet

Symptom Description

List your symptoms and how they affect your daily life. Note any patterns you observe in symptom onset.

Stress and Triggers

Identify situations or stressors that seem to trigger or worsen your symptoms.

Emotional Reflection

Reflect on any emotions or conflicts that might be linked to your symptoms. Consider how addressing these could help alleviate your symptoms.

Coping Strategies

List the coping strategies that have been most effective for you. Explore any new strategies you might want to try.

Goals for Therapy

Set specific, achievable goals for your therapy. What do you hope to accomplish in the short and long term?

References

Mayo Clinic. (2020). Functional Neurological Disorder. Retrieved from mayoclinic.org

Stone, J., Carson, A., & Hallett, M. (2016). Handbook of Clinical Neurology, Functional Neurological Disorders. Elsevier.

You can download more Mental Health worksheets here.

Please note: There may be a more up-to-date and editable version of this worksheet available here which may be more suitable to present to clients if you are a therapist or to use in a classroom as a teacher or guidance counsellor.