Conversion disorder

No

Voluntary or motor sensory deficits not explainable by a neurological or general medical condition.

Typically occurs in a setting of psychological stressors.

Hypochondriasis

No

An exaggerated fear of having serious disease based on misinterpretation of benign bodily somatic symptoms.

Continuing fear despite adequate medical evaluation and reassurance.

Rule out delusional disorder, somatic type.

Somatization disorder

No

History of several chronic physical symptoms beginning before age 30 years that result in functional impairment. A cluster of symptoms to include 4 pain, 2 gastrointestinal, 1 sexual, and 1 pseudoneurological.

Confabulation

No

Unintentionally filling in gaps in memory with what was imagined to have happened.

Often associated with disorders such as Wernicke-Korsakoff syndrome and head injury.

Factitious disorder

Yes

Voluntary production or faking of physical and/or psychological signs and symptoms.

Associated with primary gain.

Malingering

Yes

Intentionally feigning, exaggerating, or lying about physical or psychological symptoms for secondary gain.

Secondary gain encompasses a clearly definable goal, such as housing, avoiding incarceration, financial compensation, drug seeking, medicolegal context.

Often associated with antisocial personality disorder.

^a Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Text revision. Washington, DC: American Psychiatric Association; 2000.