Factitious Disorder Imposed on Self (FDIOS)

Factitious Disorder Imposed on Self (FDIOS)

Article
Behavioral & Mental Health
Diseases & Conditions
Contributed byMaulik P. Purohit MD MPHJun 06, 2018

The topic Factitious Disorder Imposed on Self (FDIOS) you are seeking is a synonym, or alternative name, or is closely related to the medical condition Factitious Disorder, NOS.

Quick Summary:

  • Factitious Disorder is a mental illness. An individual is said to have a mental illness when abnormalities in emotional, judgment, memory, reasoning or perception processes affect
    • One’s thoughts, feelings and actions
    • How he or she relates one’s self with the outside world
  • Factitious in Latin means “artificial”
  • Individuals with Factitious Disorder voluntarily makes (acts or deceives) symptoms and signs to assume a sick role:
    • These individuals are themselves disturbed by this behavior or urges. At the same time, they are not aware why they are getting these urges
    • They may fake both physical and psychological signs and or symptoms
    • In simple terms they want to appear sick+
  • As per the latest DSM5 (APA standard reference book for mental diseases) it is classified under Somatic Symptom and Related disorders; DSM5 classifies Factitious Disorder into
    • Factitious Disorder Imposed on Self (FDIOS) (formerly Factitious Disorder): Severe FDIOS was previously called Munchausen syndrome
    • Factitious Disorder Imposed on Another (FDIOA) (formerly Munchausen syndrome by proxy or Factitious Disorder by proxy)
  • Factitious Disorder Imposed on Another (FDIOA) is a disorder in which, a caregiver makes (or acts, or deceives) symptoms and signs in an individual whom they care for, in order to obtain attention while accompanying the sick. The word 'proxy' means 'substitute'. For example a mother intentionally makes her child sick in order to get attention. The diagnosis is for the caregiver and not the individual who are sick (victim)
  • The main motive of these individuals is to assume a sick role and not for any other potential gain such escaping law, financial reason, etc.
  • The exact cause and mechanism of Factitious Disorder is unknown. It is very difficult to treat these individuals, as they are dishonest. Nevertheless healthcare providers and family should support and help them in recovering from this disorder; medications do not help
  • The prognosis of Factitious Disorder varies from fair to poor depending on the severity and chronicity (prolonged period). The overall outlook becomes better as they age and mature

Please find comprehensive information on Factitious Disorder, NOS regarding definition, distribution, risk factors, causes, signs & symptoms, diagnosis, complications, treatment, prevention, prognosis, and additional useful information HERE.

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Maulik P. Purohit MD MPH

Assistant Medical Director, Medical Editorial Board, DoveMed Team

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