Patients with factitious disorders may have a profound understanding of hospitals, health care systems, and medical language. Reported symptoms are typically severe with vague details about the historical details of their illness or injury.
Many patients will improve during hospital observation but worsen after discharge. Pathological lying and splitting contact between health care providers are common in patients with factitious disorders.
Related topics: facticial dermatitis, factitial panniculitis, factitial ulcer, malingering, medical child abuse, skin popping substance abuse
F68.10 – Factitious disorder imposed on self, unspecified
21586000 – Munchausen's syndrome
Differential Diagnosis & Pitfalls
- Malingering – Conscious production of symptoms for recognized gain (as opposed to unrecognized gain by the patient in factitious disorders).
- Medical child abuse
- Somatic symptom disorder – Excessive distressing concern about symptoms.
- Delusional disorder – Belief in an underlying physical illness reaches delusional intensity.
- Conversion disorder – Unconscious production of symptoms (as opposed to conscious production in factitious disorders).
- Illness anxiety disorder