*  DMOZ - Health: Mental Health: Disorders: Factitious
Munchausen Syndrome is sometimes described as one sub-type of factitious disorder; others say it is another name for this ... disorder. Munchausen Syndrome by Proxy (also addressed here) is a pattern of abusive behavior in which a caretaker deliberately ... Factitious disorder is a formal (DSM-IV) mental health diagnosis in which people deliberately exaggerate, fabricate, or induce ... eMedicine - Factitious Disorder Article by Todd S. Elwyn, MD, covers history, causes, symptoms and clues to recognition, ...
*  Somatic Symptom Disorder - Psychiatric Disorders - Merck Manuals Professional Edition
... treatment of Somatic Symptom and Related Disorders from the Professional Version of the Merck Manuals. ... Conversion Disorder. *Factitious Disorder Imposed on Self. *Illness Anxiety Disorder. *Psychological Factors Affecting Other ... Somatic symptom disorder is distinguished from generalized anxiety disorder, conversion disorder, and major depression by the ... Some previously distinct somatic disorders-somatization disorder, undifferentiated somatoform disorder, hypochondriasis, and ...
*  Factitious disorder imposed on self - Wikipedia
Factitious disorder imposed on self is related to factitious disorder imposed on another, which refers to the abuse of another ... Factitious disorder imposed on self, also known as Munchausen syndrome, is a factitious disorder wherein those affected feign ... Factitious disorder should not be confused with hypochondria, as people with factitious disorder syndrome do not really believe ... this term was used for all factitious disorders. Now, however, there is considered to be a wide range of factitious disorders, ...
*  Factitious Disorders | Cleveland Clinic
Learn about factitious disorders from experts at Cleveland Clinic. Explore a mental condition that causes people to mimic ... An Overview of Factitious Disorders An Overview of Factitious Disorders Factitious disorder is a mental disorder in which a ... What are the types of factitious disorder?. Factitious disorders are of two types:. *Factitious disorder imposed on self ... What is factitious disorder?. Factitious disorder is a mental disorder in which a person acts as if he or she has a physical or ...
*  Factitious disorder - Symptoms and causes - Mayo Clinic
... a serious mental disorder in which someone deceives others by appearing sick, by purposely getting sick or by self-injury. ... How those with factitious disorder fake illness. Because people with factitious disorder become experts at faking symptoms and ... www.merckmanuals.com/professional/psychiatric-disorders/somatic-symptom-and-related-disorders/factitious-disorder-imposed-on- ... Factitious disorder is considered rare, but it's not known how many people have the disorder. Some people use fake names to ...
*  Factitious disorder - Diagnosis and treatment - Mayo Clinic
... a serious mental disorder in which someone deceives others by appearing sick, by purposely getting sick or by self-injury. ... Diagnosing factitious disorder is often extremely difficult. People with factitious disorder are experts at faking many ... www.merckmanuals.com/professional/psychiatric-disorders/somatic-symptom-and-related-disorders/factitious-disorder-imposed-on- ... Treatment of factitious disorder is often difficult, and there are no standard therapies. Because people with factitious ...
*  Quiz: Factitious Disorder Imposed on Self - Merck Manuals Consumer Version
Merck & Co., Inc., Kenilworth, NJ, USA is a global healthcare leader working to help the world be well. From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world. The Merck Manual was first published in 1899 as a service to the community. The legacy of this great resource continues as the Merck Manual in the US and Canada and the MSD Manual outside of North America. Learn more about our commitment to Global Medical Knowledge.. ...
*  Factitious disorder - Wikipedia
... "factitious disorder by proxy".[citation needed] Factitious disorder imposed on self, or factitious disorder with predominantly ... factitious disorder is considered a mental disorder, while malingering is not. Factitious disorder should be distinguished from ... Factitious disorder and malingering cannot be diagnosed in the same patient, and the diagnosis of factitious disorder depends ... Factitious disorder imposed on self (also called Munchausen syndrome), a severe factitious disorder, was the first kind ...
*  The Neurocritic: Looking for Empathy in All the Wrong Places: Bizarre Cases of Factitious Disorder
The psychiatric handbook DSM-5 identifies two types of factitious disorder: *Factitious Disorder Imposed on Self (formerly ... Factitious Disorder Imposed on Another: When an individual falsifies illness in another, whether that be a child, pet or older ... Factitious disorder is a rare psychiatric condition where an individual deliberately induces or fabricates an ailment because ... There are at least two other papers describing cases of factitious disorder with repugnant feigned symptoms: one reported a ...
*  Factitious disorder imposed on another - Wikipedia
... this disorder is listed under 301.51 Factitious disorder. This, in turn, encompasses two types: Factitious disorder imposed on ... Factitious Disorder Imposed on Another (current) (U.S., 2013) American Psychiatric Association, DSM-5 Factitious Disorder by ... "factitious disorder by proxy"; MSbP would be retained as the name applied to the 'disorder' that contains these two elements, a ... factitious disorder imposed on another (FDIA or FDIoA) was officially recognized as a disorder in 2013, while in the United ...
*  Factitious disorder - Your.MD
Factitious disorder. Munchausen's syndrome is a psychological and behavioural condition where someone pretends to be ill or ... Personality disorders. There is some evidence that many people with Munchausen's syndrome have a personality disorder. ... Some experts have argued that Munchausen's syndrome is a type of personality disorder. Personality disorders are a type of ... The most common type of cluster B personality disorders is borderline personality disorder). ...
*  Factitious disorder - Case conference - PsychClub
The fantastic thing about Factitious disorder is that none of the above qualifies for a diagnosis of factitious... ... I would be aware of diagnosing a factitious... (or the patient shud have multiple hospital admission etc etc etc... even then ... I suspect an axis I factitious / malingering (very difficult to differntiate) in a lot of patients who present to out patients ... What about a conversion disorder, Neurotic spectrum? Abuse could be one reason but so could bad parenting with overinvolvement ...
*  Mental Health Facilities In Asheville, NC | Types of Factitious Disorders
What Are The Different Types of Factitious Disorders? , Outpatient Mental Health Facilities In Asheville, NC - Legacy Freedom ... Types of Factitious Disorders. There are two types of factitious disorder. Today, we are going to talk about these types. If ... factitious disorder by proxy is a subtype of factitious disorder in which a caregiver fabricates illness in an individual who ... At times, factitious disorder can be imposed on someone else. When an individual is in charge of caring for a friend, family ...
*  Dr. Christopher Dull, MD - Franklin, TN - Psychiatry | Healthgrades.com
Delusional Disorder. *Dissociative Disorder. *Dissociative, Conversion, and Factitious Disorders. *Drug and Alcohol Dependence ...
*  Dr. Vedavyasa Biliyar, MD - Nashville, TN - Psychiatry | Healthgrades.com
Delusional Disorder. *Dissociative, Conversion, and Factitious Disorders. *Drug and Alcohol Dependence. *Factitious Disorders ...
*  Home for the holidays | Mountain Xpress
... my.clevelandclinic.org/disorders/factitious_disorders/hic_munchausen_syndrome_by_proxy.aspx ... M√ľnchausen syndrome by proxy, a popularized term for factitious disorder by proxy. The Web site for the Cleveland Clinic Center ... controversial condition that's also called factitious disorder by proxy (see box). Although there is considerable disagreement ... controversial condition that's also called factitious disorder by proxy (see box). Although there is considerable disagreement ...
*  Faculty/Staff Directory
Hammond, C., & Echterling, L. (2008). Factitious disorders. In B.T. Erford (Ed.). The ACA encyclopedia of counseling. American ... Hammond, C.L. (2002, November). Keys to the fortress: Augmentive in-home therapy for autistic spectrum disorders. A ...
*  Mental Health
Factitious Disorders : Causes, Symptoms, Types, Diagnosis and Treatment. By Shan , February 12, 2015. ... Anorexia Nervosa: A Life Threatening Eating Disorder Anorexia nervosa is a psychological disorder defined by extremes in low ... Anorexia Nervosa (Eating Disorder) -Symptoms, Causes And Treatment of Anorexia. By Janhvi Johorey , September 19, 2016. ... Anxiety and Sleep If you suffer from anxiety all the time or are in the grips of anxiety disorders, you won't find it easy to ...
*  Psychology Research and Behavior Management - Dove Press
Epidemiology and evolution of the diagnostic classification of factitious disorders in DSM-5 Caselli I, Poloni N, Ielmini M, ... Comorbidity and confounding factors in attention-deficit/hyperactivity disorder and sleep disorders in children Jan YW, Yang CM ... Oppositional defiant disorder: current insight Ghosh A, Ray A, Basu A. Psychology Research and Behavior Management 2017, 10:353 ... Mental disorders, functional impairment, and nerve growth factor Salles FHM, Soares PSM, Wiener CD, Mondin TC, da Silva PM, ...
*  9780205248421 - Abnormal Psychology Plus NEW MyPsychLab | eCampus.com
... and Factitious Disorders. Somatoform Disorders. Dissociative Disorders. Factitious Disorder. Chapter 6: Mood Disorders. What ... and Factitious Disorders Chapter 6: Mood Disorders. Chapter 7: Eating Disorders. Chapter 8: Gender and Sexual Disorders. ... Learning Disorders. Pervasive Developmental Disorders. ADHD and Disruptive Behavior Disorders. Childhood Disorders of Eating, ... Chapter 4: Anxiety Disorders What is Anxiety?. What Are the Anxiety Disorders?. The Etiology of Anxiety Disorders The Treatment ...
*  9780898625684 - DSM-IV Made Easy : The Clinician's | eCampus.com
Factitious Disorder. 311. (6). Dissociative Disorders. 317. (15). Sexual and Gender Identity Disorders. ... He is the author of The First Interview, DSM-IV Made Easy, and When Psychological Problems Mask Medical Disorders, and coauthor ...
*  Case Reports in Gastroenterology 2015, Vol. 9, No. 2 - Karger Publishers
Factitious Disorder in Crohn's Disease: Recurrent Pancytopenia Caused by Surreptitious Ingestion of 6-Mercaptopurine. Abstract ... Impact of Endoscopic Ultrasound Procedures in Various Pancreatobiliary Disorders in Indonesia Based on a Case Series in a ...
*  Dr. Marina Cozort, MD - Bronx, NY - Addiction Psychiatry | Healthgrades.com
Delusional Disorder. *Dissociative Disorder. *Dissociative, Conversion, and Factitious Disorders. *Drug and Alcohol Dependence ...
*  Dr. Shanthi Lewis, MD - Allentown, PA - Psychiatry & Liaison Psychiatry | Healthgrades.com
Developmental and Learning Disorders. *Dissociative Disorder. *Dissociative, Conversion, and Factitious Disorders. *Drug and ...
*  Should people with personality disorders be given the same consideration as ...
Factitious Disorders; Dissociative Disorders, Sexual and Gender Identity Disorders; Eating Disorders; Sleep Disorders; Impulse- ... Borderline personality disorder is a personality disorder, as is Histrionic Personality Disorder. Bipolar is a mood disorder ( ... Feeding and Eating Disorders of Infancy or Early Childhood; Tic Disorders; Elimination Disorders; and Other Disorders of ... Substance-Related Disorders; Schizophrenia and Other Psychotic Disorders; Mood Disorders; Anxiety Disorders; Somotoform ...

(1/41) Mothering to death.

Three families are described in which the healthy only child was, from early childhood, put to bed and treated as if ill, dependent, and incapable. This abnormal mothering continued for 28, 45, and 48 years, respectively, and the children died as disabled adults. In each case, the three mothers evaded medical, educational, and social services. The origins of their behaviour are examined, and the links with more common forms of separation anxiety, school refusal, and perceived and factitious illness are discussed.  (+info)

(2/41) Hypoglycemia in adults.

Hypoglycemia is a clinical and biological syndrome, caused by an abnormal decrease in plasma glucose levels to below 0.55 g/l (3.0 mmol/l). Hypoglycemia is responsible for non-specific signs and symptoms which should be noted in a particular pathological context, and for secretion of counterregulatory hormones (mainly glucagon and catecholamines). Difficulty in identifying the etiology is variable, based upon history and physical examination, and hormonal investigations or imaging procedures, according to the results. Drug-related hypoglycemia is the most frequent observed cause (mainly in insulin-treated diabetic patients, but many drugs may be involved), followed par toxicity (alcohol mainly). Tumor-induced hypoglycemia is secondary to inappropriate insulin secretion by a beta-cell pancreatic tumor (insulinoma), and, rarely to an extrapancreatic mesenchymal large tumor secreting IGF-II. Hypoglycemia is present in other diseases, such as hormonal deficiencies, hepatic, or renal failure, or acute cardiac insufficiency. Multifactorial hypoglycemia seems to be underdiagnosed, mainly in hospitalized, underfed older patients with severe disease or sepsis. Autoimmune hypoglycemia is rare, due to insulin or insulin-receptor autoantibodies. Reactive hypoglycemia is observed after gastrectomy, but true primitive hypoglycemia appears to be rare, with false excess diagnosis in the majority of the cases.  (+info)

(3/41) Instrumental psychosis: the Good Soldier Svejk syndrome.

The possession of severe mental illness, mainly schizophrenia and affective psychosis, may be perceived in positive terms. We have identified a group of patients, most of them with a history of previous psychotic disorder, who present with deliberately created symptoms and behaviour, and who are defined as having instrumental psychosis. Because most such patients have had a psychotic disorder in the past the symptoms are very like those of a real psychosis. A parallel is drawn with the fictional anti-hero of the Czech nation, the Good Soldier Svejk, who demonstrated both real and instrumental psychosis. A rating scale, the 'pseudopsychosis inventory', was devised to identify the main components of this disorder and was applied in 15 consecutive patients presenting with putative psychotic disorders in whom assessment could be made by two raters within five days. The inter-rater reliability of the items of the scale was good (intra-class correlation coefficient 0.68). An epidemiological study with this scale in 45 patients with a putative psychotic disorder suggested the presence of instrumental psychosis in 2.  (+info)

(4/41) A case of thyroid storm due to thyrotoxicosis factitia.

We describe a case of thyroid storm due to thyrotoxicosis factitia, which was caused by the ingestion of excessive quantities of exogenous thyroid hormone for the purpose of reducing weight. An 18-year-old female was admitted to the hospital 24 hours after taking up to 50 tablets of synthyroid (1 tablet of synthyroid : levothyroxine 100 microg). Because of her stuporous mental state and acute respiratory failure, she was intubated and treated in the intensive care unit. After reviewing her history carefully and examining plasma thyroid hormone levels, we diagnosed this case as a thyroid storm due to thyrotoxicosis factitia. Her thyroid function test revealed that T3 was 305 ng/dL, T4 was 24.9 microg/dl, FT4 was 7.7 ng/dL, TSH was 0.05 micro IU/mL and TBG was 12.84 microg/mL (normal range: 11.3 - 28.9). TSH receptor antibody, antimicrosomal antibody, and antithyroglobulin antibody were negative. She was recovered by treatment, namely, steroid and propranolol, and was discharged 8 days after admission. Thyroid storm due to thyrotoxicosis factitia caused by the ingestion of excessive thyroid hormone is rarely reported worldwide. Therefore, we now report a case of thyroid storm that resulted from thyrotoxicosis factitia caused by the ingestion of a massive amount of thyroid hormone over a period of 6 months.  (+info)

(5/41) Regional cerebral blood flow abnormalities in depressed patients with cognitive impairment.

Depression with cognitive impairment, so called depressive pseudodementia, is commonly mistaken for a neurodegenerative dementia. Using positron emission tomography (PET) derived measures of regional cerebral blood flow (rCBF) a cohort of 33 patients with major depression was studied. Ten patients displayed significant and reversible cognitive impairment. The patterns of rCBF of these patients were compared with a cohort of equally depressed non-cognitively impaired depressed patients. In the depressed cognitively impaired patients a profile of rCBF abnormalities was identified consisting of decreases in the left anterior medial prefrontal cortex and increases in the cerebellar vermis. These changes were additional to those seen in depression alone and are distinct from those described in neurodegenerative dementia. The cognitive impairment seen in a proportion of depressed patients would seem to be associated with dysfunction of neural systems distinct from those implicated in depression alone or the neurodegenerative dementias.  (+info)

(6/41) The construct validity of the Lees-Haley Fake Bad Scale. Does this scale measure somatic malingering and feigned emotional distress?

The Fake Bad Scale (FBS [Psychol. Rep. 68 (1991) 203]) was created from MMPI-2 items to assess faking of physical complaints among personal injury claimants. Little psychometric information is available on the measure. This study was conducted to investigate the psychometric characteristics of the FBS using MMPI-2 profiles from six settings: Psychiatric Inpatient (N=6731); Correctional Facility (N=2897); Chronic Pain Program (N=4408); General Medical (N=5080); Veteran's Administration Hospital Inpatient (N=901); and Personal Injury Litigation (N=157). Most correlations of the FBS and raw scores on the MMPI-2 were positive with correlations among the validity scales being lower than correlations among the clinical and content scales. The FBS was most strongly correlated with raw scores on Hs, D, Hy, HEA, and DEP. When the more conservative cutoff of 26 was used, the FBS classified 2.4-30.6% of individuals as malingerers. The highest malingering classification was for the women's personal injury sample (37.9%) while the lowest was among male prison inmates (2.3%). Compared to men, in most samples, almost twice as many women were classified as malingerers. The results indicate that the FBS is more likely to measure general maladjustment and somatic complaints rather than malingering. The rate of false positives produced by the scale is unacceptably high, especially in psychiatric settings. The scale is likely to classify an unacceptably large number of individuals who are experiencing genuine psychological distress as malingerers. It is recommended that the FBS not be used in clinical settings nor should it be used during disability evaluations to determine malingering.  (+info)

(7/41) Behavioural interventions in the rehabilitation of acute v. chronic non-organic (conversion/factitious) motor disorders.

BACKGROUND: Repeated case series have documented the effectiveness of multidisciplinary in-patient behavioural treatment for conversion disorders. However, in the absence of controlled research, treatment success could be attributed to providing patients with a face-saving opportunity to get better. AIMS: The present study contrasts two behavioural treatments to elucidate the factors underlying successful in-patient rehabilitation of this population. METHOD: Thirty-nine patients underwent a standard behavioural programme. Using a crossover design, patients who did not improve underwent a strategic-behavioural treatment in which they and their families were told that full recovery constituted proof of an organic aetiology whereas failure to recover was definitive proof of a psychiatric aetiology. RESULTS: Chart review indicated that the standard behavioural treatment was effective for 8/9 'acute' patients but only for 1/28 'chronic' patients. Of the 21 patients with chronic motor disorder who then under went the strategic-behavioural intervention, 13 were symptom-free at discharge. CONCLUSIONS: The strategic intervention was superior to standard behavioural treatment for patients with chronic motor disorder. Treatment components previously deemed critical for the effectiveness of behavioural treatment may be unnecessary.  (+info)

(8/41) Meningeal derived cerebrospinal fluid proteins in different forms of dementia: is a meningopathy involved in normal pressure hydrocephalus?

OBJECTIVES: In animal models and in vitro studies leptomeninges have been shown to be the origin of neurotrophic substances that support the survival and growth of neuronal cells. Because dementia is associated with neuronal loss, we investigated whether leptomeningeal dysfunction may be involved in the pathogenesis of dementia disorders. METHODS: We analysed the cerebrospinal fluid (CSF) concentrations of the leptomeningeal derived beta trace protein, beta2 microglobulin, and cystatin C. RESULTS: There was a statistically significant difference of the CSF beta trace protein levels among different groups. Patients with idiopathic normal pressure hydrocephalus (NPH) (17.5 (SD 4.3) mg/l) showed significantly lower CSF beta trace protein levels than patients with Alzheimer's disease (23.8 (6.2) mg/l), depression (24.2 (7.3) mg/l), and normal controls (25.3 (4.9) mg/l). To patients with vascular dementia (20.1 (5.6) mg/l) and frontotemporal dementia (21.9 (7.0) mg/l), the difference was not significant. There was no significant difference regarding the CSF and serum concentrations of beta2 microglobulin or cystatin C among the different groups. CONCLUSIONS: We conclude that leptomeningeal dysfunction may be involved in certain types of dementia such as NPH and that reduced CSF beta trace protein levels in patients with NPH may aid in differentiating this difficult to diagnose disorder from other syndromes such as Alzheimer's disease.  (+info)

  • Borderline Personal
  • The difference between borderline personality disorder and PF is that BPD patients desperately try to cope with their feeling of abandonment, mistreatment, or rejection by making empty threats of suicide or false accusations of abandonment. (wikipedia.org)
  • caregiver
  • In either case, the perpetrator's motive is to perpetrate factitious disorders, either as a patient or by proxy as a caregiver, in order to attain (for themselves or for another) a patient's role. (wikipedia.org)
  • In factitious disorder imposed on another, a caregiver makes a dependent person appear mentally or physically ill in order to gain attention. (wikipedia.org)
  • Although there is considerable disagreement among medical professionals concerning this disorder, some sources maintain that in such cases, it may be necessary to separate the victim - typically a young child - from the caregiver for the victim's protection. (mountainx.com)
  • proxy
  • In January 2009, DSS had asked that both mother and child receive mental health evaluations, specifically recommending that the mother be evaluated by someone with experience in diagnosing M√ľnchausen syndrome by proxy, a little-known, controversial condition that's also called factitious disorder by proxy (see box). (mountainx.com)
  • conversion disorder
  • In conversion disorder (previously called hysteria), a neurological deficit appears with no organic cause. (wikipedia.org)
  • They may also have disorders of sensation similar to those in conversion disorder. (wikipedia.org)
  • Within DSM IV the attacks are classified as a somatoform disorder, whilst in ICD 10 the term dissociative convulsions is used, classed as a conversion disorder. (wikipedia.org)
  • If the examiner does not feel the "normal" leg's heel pushing down as the patient flexes the hip of the "weak" limb, then this suggests functional weakness (sometimes called "conversion disorder"), i.e. that effort is not being transmitted to either leg. (wikipedia.org)
  • Disability
  • Desires to pretend to be disabled and acquire a disability are extensions of the pathological disorder. (wikipedia.org)
  • Stigma and discrimination can add to the suffering and disability associated with mental disorders, leading to various social movements attempting to increase understanding and challenge social exclusion. (wikipedia.org)
  • In general, mental disorders are classified separately from neurological disorders, learning disabilities or intellectual disability. (wikipedia.org)
  • illnesses
  • Some theories suggest that a history of abuse or neglect as a child, or a history of frequent illnesses in themselves or family members that required hospitalization, may be factors in the development of the disorder. (clevelandclinic.org)
  • One might mimic behavioral disorders or mental illnesses like narcissism. (legacyfreedom.com)
  • typically
  • Obtaining accurate statistics is difficult because patients do not typically acknowledge their disorder. (clevelandclinic.org)
  • Direct accusations of factitious disorder typically make the affected person angry and defensive, causing him or her to abruptly end a relationship with a doctor or hospital and seek treatment elsewhere. (mayoclinic.org)
  • mimic
  • Conventional EEG may not be particularly helpful because of a high false-positive rate for abnormal findings in the general population, but also of abnormal findings in patients with some of the psychiatric disorders that can mimic PNES. (wikipedia.org)
  • medical
  • There is growing consensus in the pediatric community that this disorder should be renamed "medical abuse" to highlight the harm caused by the deception and to make it less likely that a perpetrator can use a psychiatric defense when harm is done. (wikipedia.org)
  • Factitious disorder is not the same as inventing medical problems for practical benefit, such as getting out of work or winning a lawsuit. (mayoclinic.org)
  • However, medical and psychiatric help are critical for preventing serious injury and even death caused by the self-harm typical of this disorder. (mayoclinic.org)
  • The development of factitious disorders in online venues is made easier by the availability of medical literature on the Internet, the anonymous and malleable nature of online identities, and the existence of communication forums established for the sole purpose of giving support to members facing significant health or psychological problems. (wikipedia.org)
  • It may be classified as a type of factitious disorder or as a medical fetishism. (wikipedia.org)