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A factitious disorder is a mental disorder in which a person, without a malingering motive, acts as if they have an illness by deliberately producing, feigning, or exaggerating symptoms, purely to attain (for themselves or for another) a patient's role.
Malingering is the fabrication, feigning, or exaggeration of physical or psychological symptoms designed to achieve a desired outcome, such as personal gain, relief from duty or work, avoiding arrest, receiving medication, or mitigating prison sentencing. It presents a complex ethical dilemma within domains of society, including healthcare ...
If these motivators are recognized by the patient, and especially if symptoms are fabricated or exaggerated for personal gain, then this is instead considered malingering. The difference between primary and secondary gain is that with primary gain, the reason a person may not be able to go to work is because they are injured or ill, whereas ...
Factitious disorders are fundamentally a mental problem, despite the repeated faking of symptoms there is no clear secondary gain. Of the factitious disorders, Munchausens is the most serious of the physical factitious disorders. Malingering is fundamentally different as it is a premeditated fraudulent behaviour for a clear seconday gain.
The production of seizure-like symptoms is not under voluntary control; [13] [14] symptoms which are feigned or faked voluntarily would fall under the categories of factitious disorder or malingering. [15] Risk factors for PNES include having a history of head injury, and having a diagnosis of epilepsy. [16]
Factitious disorder imposed on self (FDIS), sometimes referred to as Munchausen syndrome, is a complex mental disorder where individuals play the role of a sick patient to receive some form of psychological validation, such as attention, sympathy, or physical care. [2]
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V65.2 Malingering; V71.01 Adult antisocial behavior; V71.02 Child or adolescent antisocial behavior; V62.89 Borderline intellectual functioning; 780.9 Age-related cognitive decline; V62.82 Bereavement; V62.3 Academic problem; V62.2 Occupational problem; 313.82 Identity problem; V62.89 Religious or spiritual problem; V62.4 Acculturation problem