Factitious Disorder

Factitious disorder is a complex psychiatric condition in which individuals deliberately fake or induce symptoms of illness—either physical or psychological—not for material gain, but to assume the role of a sick person and receive attention, care, and sympathy. Unlike malingering, where deception serves an external benefit like money or time off work, factitious disorder stems from deeper emotional needs often rooted in unresolved trauma or a history of neglect. People affected by this condition may go as far as tampering with test results, harming themselves, or fabricating elaborate medical histories. Diagnosis can be challenging due to the deceptive nature of the illness, and treatment requires a compassionate, psychological approach. Therapy, especially Cognitive Behavioral Therapy (CBT), plays a crucial role in helping individuals understand their behaviors, uncover emotional wounds, and adopt healthier coping strategies. With the right support system and professional care, recovery is possible.