From the Research
Treatment for factitious disorder primarily involves psychotherapy, particularly cognitive-behavioral therapy (CBT), to address the underlying psychological issues driving the fabrication of symptoms. A multidisciplinary approach is essential, involving psychiatrists, psychologists, and the patient's primary care physician working together 1. Unlike many psychiatric conditions, medication is not the primary treatment but may be used to address co-occurring conditions like depression or anxiety, with specific medications chosen based on those particular symptoms. Family therapy can be beneficial to repair relationships damaged by the deception.
Some key points to consider in the treatment of factitious disorder include:
- Establishing a trusting therapeutic relationship is crucial, as patients often deny their behavior and resist therapy 2
- The goal is not to confront the patient about their deception but to help them develop healthier coping mechanisms and address underlying emotional needs
- Hospitalization may be necessary in severe cases, especially when patients cause serious self-harm
- Long-term management focuses on preventing relapse through regular follow-up appointments and continued psychological support, as factitious disorder tends to be chronic and difficult to treat completely 3
It's also important to note that factitious disorder can present with various symptoms, including endocrinological, cardiological, and dermatological problems, and may be associated with comorbid psychopathology such as depression or personality disorder 3. A comprehensive treatment plan should take into account the individual patient's needs and circumstances. According to the most recent study 4, psychologists in medical settings may play a crucial role in identifying patients with factitious disorder, conducting evaluations, and providing treatment or referrals.