Which of the following scenarios could be indicative of a conversion disorder rather than an anxiety disorder?

Choice A reason: Avoiding social situations due to a persistent fear of being scrutinized or negatively evaluated by others is the clinical hallmark of Social Anxiety Disorder. This involves cognitive distortions and autonomic arousal in social contexts, but it does not involve the loss of sensory or motor functions characteristic of conversion. Choice B reason: Repetitive, intrusive thoughts (obsessions) regarding cleanliness, often paired with ritualized washing (compulsions), define Obsessive-Compulsive Disorder. While anxiety drives these behaviors, the pathology is centered on neutralizing perceived threats through mental or physical acts rather than manifesting as a neurological deficit or somatic dysfunction. Choice C reason: Conversion disorder, or functional neurological symptom disorder, involves the loss of voluntary motor or sensory function that cannot be explained by any known neurological or medical condition. Sudden blindness in response to psychological stress is a classic presentation where psychological conflict is "converted" into a physical symptom. Choice D reason: Sudden, unexpected panic attacks without a clear external trigger are the defining feature of Panic Disorder. These episodes involve intense physiological symptoms such as tachycardia and dyspnea, but they lack the localized neurological deficit, such as paralysis or sensory loss, that characterizes a conversion disorder diagnosis.