Factitious disorders

It is difficult to say how common factitious disorders are. A review of psychiatric consultations in a tertiary care setting found about 1% of referrals received a diagnosis of factitious disorder. Using an entirely different approach, researchers examined specimens submitted by patients as kidney stones and found that 3.5% were obviously non-physiological.

But whatever the prevalence, the consequences can be serious. They include unnecessary diagnostic procedures or interventions and sometimes self-injury.

To find out more about this condition, please do listen to this BMJ Best Practice podcast interview with James Levenson, Professor of Psychiatry at Virginia Commonwealth University. And importantly James is author of our BMJ Best Practice topic on factitious disorders. Competing interests: None

For more on factitious disorders, visit BMJ Best Practice.

The BMJ Best Practice podcast publishes interviews with clinical experts, aimed at healthcare professionals and students with an interest in keeping up to date with the latest scientific developments, evidence-based medicine and guidelines.

BMJ Best Practice is ranked one of the best clinical decision support tools for health professionals worldwide.* Structured around the clinical workflow and updated daily, BMJ Best Practice uses the latest evidence-based research, guidelines and expert opinion to offer step-by-step guidance on diagnosis, prognosis, treatment and prevention.

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*Kwag KH, González-Lorenzo M, Banzi R, Bonovas S, Moja L. Providing Doctors With High-Quality Information: An Updated Evaluation of Web-Based Point-of-Care Information Summaries

The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement...

• No. of episodes: 174
• Latest episode: 2025-07-22
• Health & Fitness Medicine

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