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View Full Version : Facticious Disorder or is she really just crazy???



stillmissing
06-16-2003, 01:15 PM
My sister is one for the books. She is a complete puzzle and I'm not sure what (if anything) I can do for her and my parents.
She has always had a low self-esteem (she graduated high school at a 3rd grade reading level) and was diagnosed a couple of years ago with manic-depression.
She has been on many different types of medication, none of which seem to be helping.
She got into a relationship with a guy and ended up having a son with this man. Needless to say he took off when she was expecting and when their son was 2 years old, they got back together and proceeded to have another child. She cannot take care of either of them, financially or physically (because she doesn't know how). My mother takes care of them because my sister is either too ill or too tired from her medication. I believe that these are just excuses. I think it's just easier for someone else to do it.
She has never worked for longer than 2 weeks at a time and her children were always sick in the hospital when they were younger. There was a point where I thought that she was displaying signs of Munchausen by Proxy. Of course no one in my family (especially my parents) wanted to believe me.
She checks herself into the psych ward every time she needs a 'vacation' from her children. That's what she tells people. She's taking a vacation. And it always seems to be around the time when someone else in the family has something going on. My father came home from the hospital a couple of months ago from having life saving surgery. Only a couple of weeks afterward she checked herself into the hospital....twice. Even her daughter, who is 4 says it was because my father was getting all of the attention and she was jealous. She has threatened many times to hurt herself, but she never does anything that would be considered 'serious'. She tried cutting her wrist with a paperclip once. One would think that if she truly wanted to hurt herself she would have used a knife or something sharper.
I am sure that my sister has some sort of disorder, but I don't believe it is as bad as she is telling everyone it is. She plays it for all it's worth.
My biggest question is, why can't her doctor see that she is just playing it up? Is it that doctors don't tend to look for that sort of thing?
My next question is, how can I get her to see that her brothers and sisters are sick of seeing her do this to our parents? It is absolutely disgusting to see her do this every time the focus is taken off her and put on someone else.
Do you think it would be wise to talk to her doctor and see what he/she thinks of the situation?
I'm just looking for a way to deal with it. All of my brothers and sisters are beginning to hate her because of what she's doing. Mainly because she seems to get a kick out of going to the hospital. I call it a white coat fascination.

Dr. Adams
06-16-2003, 01:28 PM
If her doctor is competent, he knows what she is doing. If the doctor is competent, he will not speak to famlily about his patient. If the doctor is incompetent, he will fail to recognize that the potential that this is a factitious disorder (symptoms designed to keep the patient in a dependent role).

While it is frustrating, the nature of western civilization is that it permits individuals to assume and use symptoms in very disturbing ways.

Perhaps there are other alternatives to dealing with her.

Melody
12-04-2007, 02:29 PM
I have a young student, 12 years old who defecates in his pants when he gets home everyday. His mother has to force him to take a shower and clean up or he would otherwise just walk around without changing. He has a new ailment everyday at school and tells lies about his home life. He doesn't have any appetite and is on a Ritalin patch. Looking at the DSM IV, it seems like he may have facticious disorder with ADD. It seems like he has problems bonding with his mom, too. Any thoughts anyone?

Dr. Adams
12-04-2007, 03:07 PM
Defecating in one's pants does not sound like factitious disorder. There is a normal tendency to find that noxious and in the absence of that response, someone would need to look at the possibility that the child has a thought disorder (based solely upon the data you provided).