Factitious disorder imposed on self, with predominantly physical signs and symptoms
ICD-10 F68.12 is a billable code used to indicate a diagnosis of factitious disorder imposed on self, with predominantly physical signs and symptoms.
Factitious disorder imposed on self is a mental health condition characterized by the intentional production or feigning of physical or psychological symptoms. Individuals with this disorder may present with a variety of physical signs and symptoms that are not attributable to any underlying medical condition. The motivation behind these behaviors is to assume the sick role and gain attention, sympathy, or reassurance from healthcare providers. This disorder can often be associated with underlying personality disorders, such as borderline or narcissistic personality disorder, where individuals may exhibit maladaptive behaviors and impulse control issues. The symptoms can range from mild to severe, and the individual may go to great lengths to create or exaggerate symptoms, including self-harm or manipulation of medical tests. Diagnosis requires careful assessment and exclusion of other medical or psychiatric conditions, as well as a thorough understanding of the patient's history and behavior patterns. Treatment typically involves psychotherapy aimed at addressing the underlying psychological issues and maladaptive behaviors.
Detailed psychiatric evaluation, including history of symptoms and behaviors.
Patients presenting with unexplained physical symptoms, frequent hospital visits, or inconsistent medical histories.
Psychiatrists should be aware of the potential for self-harm and the need for a multidisciplinary approach.
Thorough documentation of physical examinations and test results.
Patients with recurrent symptoms that do not respond to standard treatments.
Internists should consider the psychological aspects when evaluating unexplained physical symptoms.
Used when evaluating a patient suspected of having factitious disorder.
Comprehensive history and mental status examination.
Psychiatrists should document the patient's history of symptoms and any observed behaviors.
Factitious disorder involves the intentional production of symptoms without external incentives, while malingering is characterized by the same behavior but with the goal of achieving a specific external gain, such as financial compensation.
