2021 Jul 18. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan–.
Factitious disorder imposed on self - Munchausen syndrome - is a syndrome in which patients consciously induce, feign, or exaggerate physical or psychiatric symptoms for primary gain. These patients are motivated purely by internal gains, such as a desire for attention, coping with stress, or enjoyment in stumping healthcare workers. Patients with factitious disorder can pose a significant danger to themselves by undergoing a plethora of unnecessary procedures or in the induction of symptoms. Additionally, they often over-utilize limited healthcare resources. The inherent deception in this condition poses a significant challenge for healthcare providers in making a diagnosis. Due to a lack of willing participants for large-scale randomized treatment trials, evidence-based recommendations for the management of these patients is limited. Current recommendations are largely based on expert opinion, case reports, and systematic reviews. Based on information from these sources, treatment options are limited, and the prognosis for these patients is generally poor.