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Factitial bleeding: successful management with psychotherapy.

L E Tucker, J R Hayes, A L Viteri

Digestive Diseases and Sciences

|July 1, 1979

Summary

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See all related articles

A young nurse experienced unexplained gastrointestinal bleeding, later identified as factitious disorder. Psychotherapy led to successful management of this self-induced illness.

Area of Science:

Gastroenterology
Psychiatry
Medical Psychology

Background:

Factitious disorder, previously known as Munchausen syndrome, presents diagnostic challenges.
Gastrointestinal bleeding is a complex symptom with diverse etiologies.

Observation:

A young female nurse presented with recurrent, unexplained upper and lower gastrointestinal bleeding.
Diagnostic investigations revealed the bleeding to be factitial in origin, self-inflicted by the patient.

Findings:

The patient's factitious disorder was successfully identified through careful clinical observation and investigation.
Confrontation and subsequent psychotherapy were effective in managing the condition.

Implications:

Related Experiment Videos

This case highlights the importance of considering factitious disorder in patients with unexplained medical symptoms.

Effective management strategies involve a multidisciplinary approach, including psychological intervention.

A structured plan for managing Munchausen syndrome is crucial for patient care and recovery.