Difference between revisions of "Factitious disorder"

 
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==Clinical Features==
 
==Clinical Features==
 
===Factitious Disorder Imposed on Self===
 
===Factitious Disorder Imposed on Self===
*A. Falsification of physical or psychological signs or symptoms, or induction of injury or disease, associated with identified deception.<ref>American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.</ref>
+
*Falsification of physical or psychological signs or symptoms, or induction of injury or disease, associated with identified deception.<ref>American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.</ref>
*B. The individual presents himself or herself to others as ill, impaired, or injured.
+
*The individual presents himself or herself to others as ill, impaired, or injured.
*C. The deceptive behavior is evident even in the absence of obvious external rewards.
+
*The deceptive behavior is evident even in the absence of obvious external rewards.
*D. The behavior is not better explained by another mental disorder, such as delusional disorder or another psychotic disorder.
+
*The behavior is not better explained by another mental disorder, such as delusional disorder or another psychotic disorder.
  
 
===Factitious Disorder Imposed on Another===  
 
===Factitious Disorder Imposed on Another===  
*A. Falsification of physical or psychological signs or symptoms, or induction of injury or disease, on another, associated with identified deception.
+
*Falsification of physical or psychological signs or symptoms, or induction of injury or disease, on another, associated with identified deception.
*B. The individual presents another individual (victim) to others as ill, impaired, or injured.
+
*The individual presents another individual (victim) to others as ill, impaired, or injured.
*C. The deceptive behavior is evident even in the absence of obvious external rewards.
+
*The deceptive behavior is evident even in the absence of obvious external rewards.
*D. The behavior is not better explained by another mental disorder, such as delusional disorder or another psychotic disorder.
+
*The behavior is not better explained by another mental disorder, such as delusional disorder or another psychotic disorder.
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
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==Evaluation==
 
==Evaluation==
Difficult to diagnose, as often a diagnosis of exclusion. Refer to the patient's medical record for indication of repeated visits, recurrent testing, or multiple identities.
+
*Difficult to diagnose, as often a diagnosis of exclusion. Refer to the patient's medical record for indication of repeated visits, recurrent testing, or multiple identities.
  
 
==Management==
 
==Management==
Close outpatient psychotherapy focused on establishing and maintaining a relationship with the patient.
+
*Close outpatient psychotherapy focused on establishing and maintaining a relationship with the patient.
  
 
==Disposition==
 
==Disposition==
Home
+
*Discharge
  
 
==See Also==
 
==See Also==
 +
  
 
==External Links==
 
==External Links==
 +
  
 
==References==
 
==References==

Latest revision as of 22:10, 21 October 2017

Background

  • The falsification of medical or psychological signs and symptoms in oneself or others that are associated with the identified deception, absent of obvious external rewards
  • Includes:[1]
    • Munchausen syndrome
    • Psychogenic seizures
    • 20% of patients in epilepsy clinics
    • 3.5% of kidney stone patients

Clinical Features

Factitious Disorder Imposed on Self

  • Falsification of physical or psychological signs or symptoms, or induction of injury or disease, associated with identified deception.[2]
  • The individual presents himself or herself to others as ill, impaired, or injured.
  • The deceptive behavior is evident even in the absence of obvious external rewards.
  • The behavior is not better explained by another mental disorder, such as delusional disorder or another psychotic disorder.

Factitious Disorder Imposed on Another

  • Falsification of physical or psychological signs or symptoms, or induction of injury or disease, on another, associated with identified deception.
  • The individual presents another individual (victim) to others as ill, impaired, or injured.
  • The deceptive behavior is evident even in the absence of obvious external rewards.
  • The behavior is not better explained by another mental disorder, such as delusional disorder or another psychotic disorder.

Differential Diagnosis

Evaluation

  • Difficult to diagnose, as often a diagnosis of exclusion. Refer to the patient's medical record for indication of repeated visits, recurrent testing, or multiple identities.

Management

  • Close outpatient psychotherapy focused on establishing and maintaining a relationship with the patient.

Disposition

  • Discharge

See Also

External Links

References

  1. Heer JS. (2014). Factitious Disorders and Malingering. In J. Marx (Ed.), Rosen's Emergency Medicine: Concepts and Clinical Practice (8th ed., Vol. 2, pp. 1487-1491). Philadelphia: Elsevier Saunders.
  2. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.