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Factitious Disorder with Psychological Symptoms
Factitious Illness with Psychological Symptoms

Presentation

Presentation The patient can present in a multitude of different ways. Common presentations These include: Feigning surgical illness and hoping for a laparotomy (historically known as laparotimophilia migrans). [patient.info]

Patient B presented with physical and psychological symptoms. Patient C presented with mainly psychological symptoms. [primarypsychiatry.com]

Munchhausen syndrome is a psychological disorder that is characterized by the recurrent presentation of the patient for treatment of an acute and often dire illness that is, in reality, not present. [medicinenet.com]

Data needed for the present study were available from 2008. [hindawi.com]

The individual is able to induce severe illness in his or her own child, yet remain cooperative, concerned, and compassionate in the presence of healthcare providers.[5] Presentation of MSBP There is no single, typical presentation of MSBP; victims' symptoms [medscape.com]

Psychiatrical

  • Denial

    1.0 out of 5 stars Absurd book Reviewed in the United Kingdom on May 16, 2012 Having read `Sickened' by Julie Gregory immediately before this book, and having conducted some minor research online into the aftermath of Julie's story and discovering the denial [amazon.com]

    Such denials are sometimes contradicted by surgical scars, by other evidence from the physical examination, or by laboratory, radiologic, or other test findings that suggest a significant medical or surgical history (eg, the presence of benign surgical [emedicine.medscape.com]

    This form of treatment can be unsuccessful if the family is uncooperative or displays signs of denial and/or antisocial disorder. Psychotherapy is another method used to treat the disorder. [en.wikipedia.org]

    However, even in situations where patients are caught “red-handed,” there may be an impressive level of denial with patients going so far as to assert that events never actually took place. [primarypsychiatry.com]

    However, as no clear structured methods are available to diagnose the FD and no clear guidelines are available to confront, precautionary methods need to be taken to avoid untoward outcomes like absconding and denial for follow-up. [ijpm.info]

Workup

Preliminary workups reveal that there is no cyst or obstruction, no infection, and no apparent reason for the pain. The young woman demands surgery to remove her appendix. [luxury.rehabs.com]

[…] angry, disruptive, or attention-seeking behavior during hospitalization Evidence of pathologic lying in areas other than the presenting symptoms Fluctuating clinical course, including rapid development of complications or a new pathology if the initial workup [emedicine.medscape.com]

[…] biological and neuropsychological factors important (impaired hemispheric communication); pre-existing psychiatric illness, depressive disorders, anxiety disorders, schizophrenia, somatization disorder Conversion Disorder - management thorough medical workup [quizlet.com]

[…] complications of Factitious Disorder Imposed on Self (FDIOS) / Factitious Disorder Imposed on Another (FDIOA) include: The artificial production of illness can lead to emotional distress in the individual (or victim) and their family members Multiple workups [dovemed.com]

Treatment

Although a person with Munchausen syndrome actively seeks treatment for the various disorders they invent, the person often is unwilling to admit to and seek treatment for the syndrome itself. [webmd.com]

The other parent (usually the father) is not involved in the child's treatment, even though the child's condition may be serious. A caregiver suddenly changes doctors and lies about prior testing and treatment. [healthlinkbc.ca]

The treatment for MSP must involve both the child and the adult. It may also be beneficial for the entire family to participate in treatment. Treatment for the Child Once it’s determined that the child is being abused, they must be protected. [healthline.com]

Invention of psychological symptoms never felt before by the patient and deliberate intervention in the psychiatric treatment to modify the evolution of the illness were less frequent. [ncbi.nlm.nih.gov]

Early recognition and treatment of factitious disorder may help avoid unnecessary and potentially dangerous tests and treatment. Dec. 14, 2019 [mayoclinic.org]

Prognosis

Pain Disorder - course and prognosis varies; can be chronic and disabling; prognosis worse when: patient has characterological (personality) traits, is involved in litigation, is receiving financial compensation, using addictive substances Pain Disorder [quizlet.com]

Prognosis The prognosis of factitious disorder varies by subcategory. Males diagnosed with the psychological subtype of FD are generally considered to have the worst prognosis. Self-mutilation and suicide attempts are common in these individuals. [minddisorders.com]

[…] proxy; External incentives (such as monetary gain) are absent; and Behavior is not better accounted for by another disorder.[3] The fabrication or induction of a child's illness is a form of child abuse that carries the possibility of an extremely poor prognosis [medscape.com]

Indeed, the limited outcome studies that have been described suggest that a factitious psychological disorder has a worse prognosis than most other Axis I disorders. [health.am]

However, every effort should be taken to protect them from doing further damage to themselves (or victims) The prognosis varies from fair to poor depending on the severity and chronicity (prolonged period). [dovemed.com]

Etiology

Clayton Springer Science & Business Media, ١٥‏/٠٥‏/٢٠٠٨ - 799 من الصفحات Psychiatry has emerged as a burgeoning scientific field with major advances in etiology and treatment of several disorders. [books.google.com]

Munchausen syndrome should be considered in the differential diagnosis of hemoptysis of unclear etiology, especially when accompanied by changing symptoms and in patients with a calm manner despite dramatic complaints. [erj.ersjournals.com]

Identification of factitious psychological disorders also may be more difficult than identification of factitious physical disorders because verification of the etiology rests primarily with the patient. [health.am]

Dementia A true Dementia frequently has a demonstrable organic etiology or pathophysiological process. [dsm.wikia.com]

Epidemiology

Disorders e e e e e s e a e 332 Malingering 340 The Affective Disorders 349 Biological Considerations 369 Biological 375 Delusions a s e e 383 Theories of Delusional Thinking 399 Delusions as Rational Systematic Explanations 402 The Schizophrenias 411 Epidemiology [books.google.com]

Standard epidemiological techniques are constrained by the fact that Factitious Disorder always involves deception… » » In Factitious Disorder With Predominantly Psychological Signs and Symptoms, the intentional giving of approximate answers may occur [recurrentdepression.com]

To address this issue, we performed a nationwide epidemiological study in Norway on the incidence of these diagnoses in an unselected patient population. [hindawi.com]

Epidemiology Data from the central Norwegian patient registry showed a prevalence of only 0.0026%; however, careful review revealed that diagnoses were frequently incorrect and far too rarely made. [patient.info]

[…] intentionally produced with sole objective to assume the role of patient; facitious disorder with predominantly physical signs and symptoms - Munchausen's syndrome; factitious disorder with predominantly psychological signs and symptoms Factious Disorder - epidemiology [quizlet.com]

Pathophysiology

Dementia A true Dementia frequently has a demonstrable organic etiology or pathophysiological process. [dsm.wikia.com]

Definition and Classification Somatization has been defined as the occurrence of one or more physical complaints for which appropriate medical evaluation reveals no explanatory physical pathology or pathophysiologic mechanism. [pedsinreview.aappublications.org]

Response of an individual and his/her family to symptoms pathophysiological process and documentable lesions attention patients give to and how they interpret their bodily symptoms, and what action they take about their symptoms Abnormal Illness Behavior [quizlet.com]

Bursztajn, MD and Irene Coletsos, MD Reviewed 06/2022 BASICS DESCRIPTION EPIDEMIOLOGY ETIOLOGY AND PATHOPHYSIOLOGY RISK FACTORS COMMONLY ASSOCIATED CONDITIONS DIAGNOSIS HISTORY PHYSICAL EXAM DIFFERENTIAL DIAGNOSIS DIAGNOSTIC TESTS & INTERPRETATION TREATMENT [5minuteconsult.com]

Prevention

Because the cause of factitious disorder is unknown, there's currently no known way to prevent it. [mayoclinic.org]

Prevention Recognition of Munchausen syndrome by proxy in the child-parent relationship can prevent continued abuse and unnecessary, expensive, and possibly dangerous medical testing. References Byrne R, Kirschner K. Unusual behaviors. [mountsinai.org]

Can Munchausen Syndrome Be Prevented? There is no known way to prevent Munchausen syndrome. [webmd.com]

There’s no way to predict who will develop MSP, and there’s no known way to prevent it. However, if MSP is suspected, there are ways to prevent the disorder from escalating. [healthline.com]

It's difficult to see how to prevent mentally ill people or criminals from adopting false personae online. [networkworld.com]

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