Dissociative neurological symptom transtorno, com speech disturbance is characterised by symptoms such as difficulty com speaking (dysphonia), loss of the ability to speak (aphonia) or difficult or unclear articulation of speech (dysarthria) that are not consistent com a recognised disease of the nervous system, a neurodevelopmental or neurocognitive transtorno, other mental, behavioural or neurodevelopmental transtorno, or other medical condition and do not occur exclusively during another dissociative transtorno.