A female adolescent with factitious disorder presenting neurological and psychiatric symptoms: case report

The essential feature of factitious disorder is the deliberate falsification and fabrication of medical or psychological symptoms in oneself or others without obvious external rewards. The DSM-V and seperated factitious disorder in two subcategories entitled with “factitious disorder imposed on self” and “factitious disorder imposed on another”. There has been increasing recognition and awareness of “Munchausen by Proxy” in the last two decades for pediatric patients with inexplicable, dramatic or rare sign and symptoms. However as a result of similar prevalance rates with adult population and early onset of the disorder, “factitious disorder imposed on self” subcategory must be also considered in the pediatric patients with inexplicable symptoms and unknown etiology. In this case report, an adolescent female patient diagnosed with factitious disorder presenting signs of temporal lobe epilepsy and obsessive compulsive disorder, is going to be presented. [Anadolu Psikiyatri Derg 2014; 15(0.100): S14-S16]