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Factitious Disorder/Münchausen Syndrome

Irene Coletsos, MD and Harold J. Bursztajn, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Factitious disorder is a mental disorder manifested by an abnormal need for a sick role. Patients appear ill because they are feigning, exaggerating, or inducing symptoms. They are a...

DIAGNOSIS

HISTORY

  • A patient will relate a history of disease symptoms, often with “classic” textbook details but has no signs of disease on examination. Or, if signs are noted, there may be evidence th...

TREATMENT

GENERAL MEASURES

  • When possible, review medical and mental health records and mental health history.

  • In cases of known or suspected factitious disorder of either type, emergency department prov...

ONGOING CARE

PROGNOSIS

  • Fair to poor especially if etiology underlying the disorder cannot be addressed

  • The long-term outcomes of untreated factitious disorder worse than other severe mental disorders su...

REFERENCES

1
Jafferany M, Khalid Z, McDonald KA, et al. Psychological aspects of factitious disorder. Prim Care Companion CNS Disord.  2018;20(1):17nr02229. {L-End} [View Abstract on OvidMedline]
...

ADDITIONAL READING

  • Denton J, Newton AW, Vandeven AM. Update on child maltreatment: toward refining the evidence base. Curr Opin Pediatr.  2011;23(2):240–248.

  • Jagoda P. Factitious disorder in the e...

CODES

ICD10

  • F68.10 Factitious disorder, unspecified

  • F68.11 Factitious disorder w predom psych signs and symptoms

  • F68.12 Factitious disorder w predom physical signs and symptoms

  • F68.13 Factitious disord w ...

CLINICAL PEARLS

  • Atypical emotional responses to illness are telling.

  • Respond as you would to someone who cannot control self-harm rather than someone who wants to deceive you.

  • In cases of medical child ...

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