We encountered a case of somatoform disorder induced by bullying, and factitious disorder was revealed during treatment. This case was a 14-year-old female, who was admitted to a pediatric ward at first. However, she was transferred to a psychiatric ward after a serious suicidal attempt.She caused many problems,and demanded that medical staff treat her symptoms. We assumed that medical care promoted regression. We performed psychotherapeutic intervention based on consensus among medical staff,similar to behavioral therapy.
During the patient’s admission to the psychiatric ward, her mother was compulsorily hospitalized.After separation of the mother and child,medical staffcould intervene,and this stabilized the mental state of her and her mother.
Factitious Disorder Mixed with Somatoform Disorder in a Patient Treated with a Psychotherapeutic Approach : Psychopathology and Treatment
1 Department of Psychiatry, Jichi Medical University
2 Psychiatry and Neurology Department, Kamitsuga General Hospital
3 Division of Palliative Care Medicine, Jichi Medical University
4 Psychiatry and Neurology Department, Sano Kousei General Hospital
2 Psychiatry and Neurology Department, Kamitsuga General Hospital
3 Division of Palliative Care Medicine, Jichi Medical University
4 Psychiatry and Neurology Department, Sano Kousei General Hospital
Psychiatria et Neurologia Japonica
114: 906-914, 2012
Accepted in revised form: 3 March 2012.
Accepted in revised form: 3 March 2012.
＜Keywords：somatoform disorder, feigned illness, factitious disorder, mother and child, behavioral therapy＞
