Indian Journal of Clinical Psychology
  • Year: 2011
  • Volume: 38
  • Issue: 2

Cognitive Behavioural Management of a Child with Factitious Disorder

  • Author:
  • Shahzadi Malhotra1,, Gaurav Rajender2, Manjeet S Bhatia3, Tej B Singh4
  • Total Page Count: 6
  • Page Number: 169 to 174

1Chacha Nehru Baal Chikitsalya, Delhi, Email: malhotra_shahzadi@rediffmail.com

2M.G. Medical College & Hospital, Jaipur

3Department of Psychiatry, UCMS & GTB Hospital, Dilshad Garden, Delhi

4Department of Clinical Psychology, IHBAS, Delhi

*Correspondence: First author

Online published on 27 September, 2013.

Abstract

Factitious disorder is characterized by the intentional production or feigning of physical or psychological symptoms with the objective of assuming the patient role for emotional benefits associated with being ill. The present case study attempts to examine the effects of cognitive-behavioural management of factitious disorder of a fourteen year old girl who reported with a three month history of unexplained superficial scratch marks on her limbs and fainting spells. The intervention programme comprising of various behavioural, cognitive techniques along with coping skills training was carried out over twenty five sessions. Results showed marked improvement in the patient's symptoms.

Keywords

Factitious disorder, self-harm, pseudo-seizures, Malin's Intelligence Scale for Indian Children, extinction, reward management, cognitive-behavioural management, social skill training