In Factitious Disorder (self-imposed), which of the following is true?

• A. Factitious Disorder
• B. Malingering
• C. Illness Anxiety Disorder
• D. Somatic Symptom Disorder

Answer: (A)

Factitious Disorder imposed on self is defined by intentionally feigning or producing physical or psychological symptoms to assume the sick role, without external rewards driving the behavior. This motive to be cared for or seen as ill explains why it’s the correct choice when the question specifies self-imposed symptoms. It stands in contrast to malingering, where symptoms are fabricated for tangible external benefits such as money, time off work, or avoiding obligations. It also differs from Illness Anxiety Disorder, where there is a preoccupation with having a serious illness despite few or no somatic symptoms, and from Somatic Symptom Disorder, where actual somatic symptoms are present and the distress or behavior is disproportionate but not intentionally faked.