Factitious disorder imposed on self
ICD-10 F68.1 is a billable code used to indicate a diagnosis of factitious disorder imposed on self.
Factitious disorder imposed on self is a mental health condition characterized by the intentional production or feigning of physical or psychological symptoms in oneself. Individuals with this disorder may present with symptoms that are not based on any underlying medical condition, often with the goal of assuming the sick role. This behavior can stem from a deep-seated need for attention, sympathy, or care from others. The disorder is distinct from malingering, where the individual has a clear external incentive, such as financial gain. Patients may engage in maladaptive behaviors, including self-harm or manipulation of medical tests, to create the appearance of illness. The disorder can be associated with personality disorders, particularly those involving impulsivity or identity issues, as individuals may struggle with self-image and emotional regulation. Treatment typically involves psychotherapy aimed at addressing underlying psychological issues and improving coping mechanisms. Understanding the complexities of this disorder is crucial for accurate diagnosis and coding, as it often overlaps with other mental health conditions.
Comprehensive mental health evaluations, including history of symptoms and treatment response.
Patients presenting with unexplained medical symptoms or frequent hospital visits without clear medical justification.
Careful documentation of the patient's mental state and any observed behaviors indicative of factitious disorder.
Thorough documentation of physical examinations and diagnostic tests performed.
Patients with recurrent symptoms that do not align with medical findings, requiring extensive workup.
Collaboration with mental health professionals for comprehensive care and accurate coding.
Used when assessing a patient suspected of having factitious disorder.
Detailed history, mental status examination, and treatment recommendations.
Psychiatrists should ensure comprehensive evaluations to support the diagnosis.
Factitious disorder involves the intentional production of symptoms without external incentives, while malingering is motivated by clear external rewards, such as financial gain.
