Motivation is unconscious; symptoms are not intentionally produced (as opposed to factitious disorders) Patients with conversion disorder (also known as functional neurological symptom disorder) present with neurological symptoms that cannot be fully explained by a neurological condition. Factitious disorder is a serious mental disorder in which someone deceives others by appearing sick, by purposely getting sick or by self-injury. (Factitious disorder imposed on self) DSM V criteria factitious disorder imposed on self (Munchausen syndrome) the patient falsifies physical or psychological symptoms or induces injury or disease to themselves . Conversion disorder is a "communication" problem in which the brain and body’s nerves are unable to send and receive signals properly. Also called functional neurological symptom disorder, learn its causes, symptoms, diagnosis, treatment and more from Cleveland Clinic. Reporting of symptoms that are excessive, nonexistent, or exaggerated beyond available medical evidence is a central feature of each condition, and this can make the clinical differentiation of these disorders a daunting task. Also important to note is that conversion disorder is almost always preceded by a traumatic, anxiety producing event. Conversion disorder. Factitious disorder, Munchausen syndrome, Fabricated illness, Medically unexplained symptoms Introduction Factitious disorder (FD) is a psychiatric disorder in which sufferers intentionally fabricate physical or psychological symptoms in order to assume the role of the patient, without any obvious gain [1]. (DSM-5 2013). Factitious disorder vs Malingering Malingering, the person tends to have tangible external rewards ( avoiding work, military service or prosecution). It is important to distinguish it from Factitious Disorder and Malingering. Co-morbidity with anxiety disorders and depressive disorders is common. Differential Diagnosis: Factitious Disorders vs. Somatoform Disorders There are a number of similarities in the clinical presentation of factitious and somatoform disorders, namely: • A) The presentation of multiple medical conditions that have elicited multiple treatment interventions via multiple • Can mimic convulsive and nonconvulsive epileptic seizures • A clear distinction cannot always be made between PNES somatization disorder, conversion disorder, factitious disorder, and malingering as the conditions blur into each other (it can be difficult to decide sometimes whether someones motivation is truly unconscious). Conversion disorder is classified as a somatoform disorder. when in another person (e.g., a child) it is termed factitious disorder imposed on another (Munchausen syndrome by proxy) It is, however, much less common than the classic somatization disorder. Factitious disorder also can happen when family members or caregivers falsely present others, such as children, as being ill, injured or impaired. Malingering, factitious disorder, and related somatic disorders present with unique diagnostic and treatment challenges. In factitious disorder, individuals consciously create illness as a means to assume the sick role. Summary. Conversion disorder is often confused with both factitious disorder and malingering. Malingerers consciously fake symptoms or illness to achieve secondary gain (e.g., avoidance of work, jail, or military duty or obtaining compensation). Other diagnoses under this section include somatic symptom disorder, conversion disorder, and illness anxiety disorder. Factitious disorder no extrernal rewards gained. Factitious disorder is classified under the Somatic Symptom and Related Disorders section of the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). Somatization, as mentioned above, is a chronic condition. Conversion disorder is often associated with dissociative symptoms, and it is often associated with stressful life events and maladaptive personality traits.
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