CASE STUDY: LATE DETECTION OF FACTITIOUS DISORDER-MUNCHAUSSEN’S SYNDROME WITH FEIGNED SCHIZOPHRENIA
10.54615/2231-7805.47338.
- Author:
Vie Cheong Thong
1
;
Deshvin Kaur Amanjit Singh
2
;
Sze Hung Chua
3
Author Information
1. Department of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia
2. Department of Medicine and Health Sciences, Hospital Mesra Bukit Padang, Kota Kinabalu, Sabah
3. Department of Psychiatry and Mental Health, Hospital Lahad Datu, Lahad Datu, Sabah
- Publication Type:Journal Article
- Keywords:
Factitious Disorder;
Munchaussen’s Syndrome;
Poly-pharmacy;
Schizophrenia;
Borderline Personality Disorder
- From:ASEAN Journal of Psychiatry
2024;25(1):1-6
- CountryMalaysia
- Language:English
-
Abstract:
Abstract:The Authors present a case illustrating factitious disorder, who was previously diagnosed
as schizophrenia for 2 years, with a comorbidity of depressive disorder (unspecified)
and obsessive-compulsive disorder. The factitious presentation involved exaggeration of
symptoms, demanding and challenging behavior towards medical personnel, prolonging
of sick role by refusing necessary intervention. Diagnosis of schizophrenia complicated
patient’s condition when poly-pharmacy was introduced. The element of deception too
provided difficulty in clinician to identify other comorbid psychiatric issue of depression
and Obsessive Compulsive Disorder (OCD), with the suspicion of Borderline Personality
Disorder. We emphasize the importance of recognizing possible signs of deception through
looking at the atypical presentation throughout the treatment course and consequences
following the misdiagnosis. ASEAN Journal of Psychiatry, Vol. 25 (1) January, 2024; 1-6.
- Full text:202511261617357786717.2024my0002.pdf
