Factitious disorder imposed on self, with predominantly psychological signs and symptoms
ICD-10 F68.11 is a billable code used to indicate a diagnosis of factitious disorder imposed on self, with predominantly psychological 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 psychological signs and symptoms, including depression, anxiety, and other mood disturbances, often without any identifiable medical cause. The motivation behind these behaviors is to assume the sick role, which can lead to unnecessary medical interventions and a complex clinical picture. Patients may have a history of personality disorders, such as borderline or narcissistic personality disorder, which can complicate their presentation. Impulse control issues may also be present, as individuals may act on urges to fabricate symptoms or manipulate healthcare providers. Gender identity issues can intersect with factitious disorder, as individuals may seek to gain attention or sympathy related to their gender identity struggles. Maladaptive behaviors are common, as these individuals often lack healthy coping mechanisms and may resort to deceit as a means of managing their emotional distress.
Detailed psychological assessments, treatment plans, and progress notes.
Patients presenting with unexplained symptoms, frequent hospital visits, or a history of self-harm.
Understanding the patient's background and previous psychiatric history is crucial for accurate diagnosis.
Comprehensive medical history, physical examination findings, and any diagnostic tests performed.
Patients with recurrent symptoms that do not align with medical findings.
Collaboration with mental health professionals for a holistic approach to treatment.
Used when evaluating a patient suspected of having factitious disorder.
Comprehensive history, mental status examination, and diagnostic impressions.
Psychiatrists should focus on the patient's history of symptoms and any previous psychiatric treatment.
Factitious disorder involves the intentional production of symptoms without external incentives, while malingering is motivated by external rewards, such as financial gain or avoiding work.
