Pseudologia Fantastica in the Emergency Department: A Case Report and Review of the Literature.
Case Rep Psychiatry 2017;
2017:8961256. [PMID:
28573061 PMCID:
PMC5442346 DOI:
10.1155/2017/8961256]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2017] [Revised: 03/10/2017] [Accepted: 04/09/2017] [Indexed: 11/17/2022] Open
Abstract
Psychiatrists commonly encounter deception in the emergency department. This article presents the case of a patient who presents to the emergency department with an unusual and elaborate web of deceptions along multiple themes including feigning medical illness, multiple losses, and grandiose academic and athletic achievements. We review the clinical characteristics of pseudologia fantastica and discuss how this patient's constellation of malingering, factitious disorder, and personality disorder suggests this diagnosis.
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