Factitious Disorder and Malingering: The Skinny

http://medicine.uicapture.uiowa.edu/Panopto/Pages/Viewer/Default.aspx?id=862d2a6d-5ec2-43a9-8121-913cc569c84c

The link above takes you to a special format multimedia presentation I recently made about factitious disorders and malingering. I hope that it will be available soon for Category 1 CME. It was made through materials from the University of Iowa Carver College of Medicine and with the help of information technology. I had originally asked that my Dirty Dozen YouTube presentations posted on my blog site be offered for CME, but there were too many ads on the YouTube videos. This is a nice format because you click on the Powerpoint slide and lose the Geezer video. You can also click on different time points in the show that are linked to the slides to review or skip forward. It’s nice to have options.

ADDENDUM: The DSM-5 and the book “Essentials of Psychiatric Diagnosis: Responding to the Challenge of DSM-5 by Dr. Allen Frances, MD have a lot to say about the somatoform disorders. The DSM-5 now has a new category called Somatic Symptom and Related Disorders into which Factitious Disorder has been subsumed. While the name Conversion Disorder is still in the DSM-5, in parentheses it’s also called Functional Neurological Symptom Disorder. Dr. Frances says “This new category is ridiculously overinclusive…” recommending it be used only when clearly necessary. My opinion is that the new DSM-5 category will not change the management recommendations from psychiatric consultants. The suggestions will still be to avoid invasive procedures, medications with the potential for toxicity and addiction, and specialist referrals unless the risk to benefit ratio is safe, favorable to the patient, and address an objectively demonstrable disease process.

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