Clinical Features of Factitious Disorder

A. Identity disturbance and prominent dependent and narcissistic traits are frequent. Patients with physical symptoms often have histories of many surgeries and hospitalizations.

B. Patients are able to provide a detailed history and describe symptoms of a particular disease and may actively produce symptoms (use of drugs such as insulin, self inoculation to produce abscesses).

C. Common coexisting psychological symptoms include depression or factitious psychosis.

D. Great effort should be made to confirm the facts presented by the patient and confirm the past medical history.

E. An outside informant should be sought to provide corroborating information.

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Diabetes 2

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