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A Factitious Disorder must be distinguished from a true general medical condition and from a true mental disorder. Suspicion that an apparent mental disorder or general medical condition in fact represents Factitious Disorder should be aroused if any combination of
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A. Intentional production or feigning of physical or psychological signs or symptoms. B. The motivation for the behavior is to assume the sick role. C. External incentives for the behavior (such as economic gain, avoiding legal responsibility, or improving physical
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Introduction Factitious Disorders are characterized by physical or psychological symptoms that are intentionally produced or feigned in order to assume the sick role. The judgment that a particular symptom is intentionally produced is made both by direct evidence and by
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The essential feature of Factitious Disorder is the intentional production of physical or psychological signs or symptoms (Criterion A). The presentation may include fabrication of subjective complaints (e.g., complaints of acute abdominal pain in the absence of any such pain),
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Factitious Disorder is coded according to the subtype that best characterizes the predominant symptoms. 300.16 With Predominantly Psychological Signs and Symptoms. This subtype describes a clinical presentation in which psychological signs and symptoms predominate. It is characterized by the intentional
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In Factitious Disorder With Predominantly Psychological Signs and Symptoms, the intentional giving of approximate answers may occur (e.g., “8 times 8 equals 65”). The individual may surreptitiously use psychoactive substances for the purpose of producing symptoms that suggest a mental
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There is limited information on the prevalence of Factitious Disorder. Standard epidemiological techniques are constrained by the fact that Factitious Disorder always involves deception and sometimes peregrination as well, and so it often may not be recognized. On the other
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