Factitious Disorder Definition/description • • • • • Intentional invention or induction of symptoms weather in one’s self or in another person The goal is to get medical attention and sympathy even though the motivation is unconscious Patients are willing or allow the person to induce the symptoms in to undergo invasive and/or high -risk treatments Deceptive behaviour is a key feature For a primary gain - E.g. due to an internal motivation Diagnosis DSM V A. Falsification of physical or psychological signs or symptoms or induction of injury or diseases in another with indented deception. B. The individual presents self or others to others as ill, impaired or injured. C. The deceptive behaviour is evident even in the absence of obvious external rewards D. The behaviour is not better explained by another medical or mental condition • Specify if: - Single episode - Recurrent episode Key Notes • • Classify as either factitious disorder imposed on self or factitious disorder imposed on another The perpetrator not the victim receives the diagnosis Management • • • • • Provide appropriate care and ensure safety Avoid unnecessary procedures In whom symptoms have been induced: - Provide a safe space away from the perpetrator ➔ E.g. call an adult or a child protective service - Exclude other forms of abuse or neglect if suspected - Refer to psychotherapy depending on their age If it is safe to do so, discuss the diagnosis with the patient in a supportive, nonthreatening manner If the patient is willing to engage with management ➔ Refer for psychotherapy and/or parenting classes ➔ Assess for comorbid conditions ➔ Monitor pharmacotherapy intake Key Info • • Rarely patients with this disease acknowledge their condition and engage in management An important differential to consider is vulnerable child syndrome