What symptom differentiates somatization disorder from conversion disorder?

The symptom that differentiates somatization disorder from conversion disorder is characterized by chronic pain following negative workups. In somatization disorder, individuals present with a range of physical complaints that are not explained by any medical condition, often leading to repeated medical evaluations yielding negative results. This reflects a chronic condition where the focus is not on a specific incident but rather on ongoing issues that appear psychologically driven.

On the other hand, conversion disorder is marked by sudden onset of neurological symptoms that can include weakness, paralysis, or abnormal gait, often occurring after a specific stressor or traumatic event. Instead of chronic complaints, the neurological symptoms typically arise rather quickly and are not consistent with recognized medical conditions.

Understanding these distinctions helps in approaching treatment, as somatization disorder may require long-term psychological support, while conversion disorder may focus more on addressing the acute stressors and neurological aspects of the symptoms.