Factitious Disorders

Factitious disorder is a mental disorder in which a person acts as if they have a physical or psychological illness when they themselves have created the symptoms. People with this disorder are willing to undergo painful or risky tests to get sympathy and special attention.

What is factitious disorder?

Factitious disorder is a serious mental health disorder in which a person appears sick or produces physical or mental illness. People with factitious disorder deliberately produce symptoms of an illness for the purpose of receiving care and attention in a medical setting. The symptoms aren’t intended to get them practical benefits — the gain is believed to be mainly psychological.

Factitious disorder is considered a mental illness. It’s associated with severe emotional difficulties and patients’ likelihood of harming themselves by continuing to produce more symptoms, resulting in getting themselves unnecessary procedures and surgeries.

What are the types of factitious disorder?

Factitious disorders are of two types:

  • Factitious disorder imposed on self: This type includes the falsifying of psychological or physical signs or symptoms. An example of a psychological factitious disorder is mimicking behavior that is typical of a mental illness, such as schizophrenia. The person may appear confused, make absurd statements, and report hallucinations (the experience of sensing things that are not there; for example, hearing voices).
  • Factitious disorder imposed on another: People with this disorder produce or fabricate symptoms of illness in others under their care: children, elderly adults, disabled persons or pets. It most often occurs in mothers (although it can occur in fathers) who intentionally harm their children in order to receive attention. The diagnosis is not given to the victim, but rather to the perpetrator.  read more

Mania

Mania

Mania is a condition in which you display an over-the-top level of activity or energy, mood or behavior. This elevation must be a change from your usual self and be noticeable by others. Symptoms include feelings of invincibility, lack of sleep, racing thoughts and ideas, rapid talking and having false beliefs or perceptions.
Abnormal manic behavior is behavior that stands out. It’s over-the-top behavior that other people can notice. The behavior could reflect an extreme level of happiness or irritation. For example, you could be extremely excited about an idea for a new healthy snack bar. You believe the snack could make you an instant millionaire but you’ve never cooked a single meal in your life, don’t know a thing about how to develop a business plan and have no money to start a business. read more

Depression (major depressive disorder)

Overview

Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest. Also called major depressive disorder or clinical depression, it affects how you feel, think and behave and can lead to a variety of emotional and physical problems. You may have trouble doing normal day-to-day activities, and sometimes you may feel as if life isn’t worth living.

More than just a bout of the blues, depression isn’t a weakness and you can’t simply “snap out” of it. Depression may require long-term treatment. But don’t get discouraged. Most people with depression feel better with medication, psychotherapy or both.

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Pure OCD: A Life Story

How to Change Your Brain By Accepting that it Can’t be Changed

It’s not easy for me to confess just how often I cried in the fall of 2009. I wish I didn’t care, but I’m still a slave to some old notions. All of which is to say that I cried quite a lot, and I’m ashamed to admit it.

If you found yourself in midtown Manhattan that autumn, around noon, you may have witnessed a 26-year-old man with his hands jammed in his pockets, marching across the city. He’d usually head south to the Village, but sometimes he’d go west to Hell’s Kitchen or east to the river. He’d be wearing an outfit that just barely met the standards of “business casual”—ink-stained khakis a size too big, untucked polo, brown sneakers doing a poor imitation of dress shoes. And if you committed the ultimate New York faux pas and actually looked him in the eyes, you’d see the tears.

The forgettable 26-year-old was me, and I was crying for joy—for the beauty of the world. Who knows what inspired these tears, exactly? Maybe I had watched an old woman teach a young blind girl how to use her cane to detect a sidewalk curb, and maybe I thought, this is someone with real problems, and look at her courage. Or maybe I had phoned my mother in a panic, and she had restored my self-belief with a convincing pep talk. In any case, the bracing truth reached me: “Yes, of course! Life is wonderful, and you never want to leave! You idiot!” So the tears flowed—tears of relief and salvation.  more

Biology may make certain PTSD patients unresponsive to behavioral therapy

How well-connected a particular brain network is, and how successfully memories are formed, may determine which patients with post-traumatic stress disorder benefit from behavioral therapy, researchers at the Stanford University School of Medicine have found.

The finding could indicate a biological subtype of PTSD whose clinical relevance only becomes obvious when patients undergo treatment, the researchers said. Furthermore, by replicating their results across a diverse range of patients, the researchers were able to clearly and objectively characterize a biological signature in PTSD patients who differ in their response to behavioral therapy.  more

The Unreliable Reader

In Esmé Weijun Wang’s book of personal essays, “The Collected Schizophrenias,” it’s the reader, not the writer, who is an unreliable narrator.

“I write this while experiencing a strain of psychosis known as Cotard’s delusion, in which the patient believes that they are dead,” the novelist Esmé Weijun Wang writes at the beginning of “Perdition Days,” an essay from her new book, The Collected Schizophrenias. (Read an excerpt on Longreads.) “What the writer’s confused state means is not beside the point, because it is the point,” she continues. “I am in here, somewhere: cogito ergo sum.” The passage moves swiftly, from first person agency (“I am writing”) to distanced third person (“the patient,” “the writer”) to the famous Descartes assertion, in Latin, “I think, therefore I am.” As a reader, it’s astonishing and a little unnerving to consider the immediacy of the prose, your intimacy with a speaker searching to find the correct vantage from which to narrate the strangely drawn, difficult-to-map districts of her mind. more

HERE’S EVERYTHING YOU NEED TO KNOW ABOUT DEALING WITH ANXIETY ATTACKS

“Let it go, let it go. Can’t hold it back anymore.” Okay, to most wide-eyed children, Elsa from Disney’s Frozen is just this super-cool, kind of complicated snow queen with a great singing voice and a killer side braid. But if you really boil it down, the character is oh-so-relatable to the adult set, too. Think about it: She spends most of her life hiding from the outside world. She’s so worried about what might happen that she secludes herself from all of it. Beyond withdrawing from her family and friends, she avoids her problems instead of accepting or dealing with them. And not to get all clinical, but might it be possible that Elsa was suffering from some pretty intense anxiety while she was refusing to build a snowman with sweet Anna?

Sure, it’s a cheeky comparison, but in today’s ever-busy, always-working, rise-and-grind #hustleculture, all people are practically wired for anxiety. We may not have to worry about dudes trying to steal our castles and family fortune (probably), but the demands of life today are no joke, whether you’re a successful CEO, an analyst by day and yoga instructor by night, or a living-paycheck-to-paycheck recent grad trying to figure out WTF to do next. So, in the event your worries ever percolate into anxiety-attack territory, here’s what to do.  more

Interview: Artist with Anxiety Illustrates Mental Health Tips She Learns in Therapy

Illustrator Kate Allan was diagnosed with Generalized Anxiety Disorder as an adult. The identification not only validated her experience, but it has given her the opportunity to use her artistic talent to help herself and others in the quest for improved mental health. Allan has taken what she’s learned since entering therapy to create a mental health comic about mindfulness. “Mindfulness,” she says on Twitter, “can be useful for literally everyone, but I found it particularly helpful for anxiety—this exercise got me out of the house and functioning again.”

Through the guidance of a cute bunny, Allan’s 10-panel comic introduces mindfulness and how it can help pinpoint emotions. By noticing, acknowledging, and thinking through feelings, the practice emphasizes that emotions are temporary—not part of our identity. You, for example, are not sad, but you are experiencing sadness at this moment. The feeling will pass, just as all others eventually will. Allan treats this serious subject without judgment and through a charming presentation. It’s thoughtfully created and, above all, is comforting to those who have anxiety; Allan is reminding us that no one is alone.  more