Psychological Issues Interfere with Recovery in Patients with Burn

  • Tahira Hafeez Jinnah Burn & Reconstructive Surgery Centre Jinah Hospital Lahore
  • Farrukh Aslam Khalid Jinnah Burn and Reconstructive Surgery Centre, Lahore
Keywords: Conversion: Psychological Condition, Grafting: Surgical procedure, La belle indifference: feature of conversion disorder


A 20 year old female presented with 32% burn having premorbid psychiatric conditions. She was having history of conversion disorder which complicated her recovery as she developed contracture and stiffness in her limbs which were not burnt, whenever she was asked to mobilize herself she started shouting and crying and her behavior did not let her family to make her exercise. On her readmission she was presented with graft lost from her chest and neck in addition to that contractures on knees and leg. The patient remained admitted for 65 days and as her psychological problem worsen her condition so  at first stage her conversional  issues were managed by applying extinction technique. Family was also counseled to with draw the whole secondary gains like undue attention and support. It took 30 days to make her mobilized and complied with treatment. She was grafted on neck, arm and chest and on her discharge she was completely mobilized and her grafts were stuck. So the study concludes that psychological problems complicate the recovery in patients with burn, so for the better recovery, attending psychological issues first particularly issues like conversion.

Author Biography

Farrukh Aslam Khalid, Jinnah Burn and Reconstructive Surgery Centre, Lahore
MBBS, FCPS (Plastic Surgery), BFIRST Fellow (UK)  Assistant Professor of Plastic Surgery Jinnah Burn and Reconstructive Surgery Centre, Lahore


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