Factitious disorder: Difference between revisions
(Linked to conversion disorder) |
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==Background== | ==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 | *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:<ref>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.</ref> | |||
**Munchausen syndrome | |||
**Psychogenic seizures | |||
**20% of patients in epilepsy clinics | |||
**3.5% of kidney stone patients | |||
==Clinical Features== | ==Clinical Features== | ||
===Factitious Disorder Imposed on Self=== | ===Factitious Disorder Imposed on Self=== | ||
* | *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> | ||
* | *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=== | ===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== | ==Differential Diagnosis== | ||
*Somatic symptom disorder | *[[Somatic symptom disorder]] | ||
*Malingering | *Malingering | ||
*[[Conversion disorder]] | *[[Conversion disorder]] | ||
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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== | ||
*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
- Somatic symptom disorder
- Malingering
- Conversion disorder
- Borderline personality disorder
- Medical condition or mental disorder not associated with intentional symptom falsification
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
- ↑ 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.
- ↑ American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.