Introduction | Factitious Disorder | 300.19 Factitious Disorder
Not Otherwise Specified
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 excluding
other causes of the symptom. For example, an individual presenting
with hematuria is found to have anticoagulants in his possession.
The person denies having taken them, but blood studies are consistent
with the ingestion of anticoagulants. A reasonable inference, in
the absence of evidence that accidental ingestion occurred, is that
the individual may have taken the medication intentionally. It should
be noted that the presence of factitious symptoms does not preclude
the coexistence of true physical or psychological symptoms.