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Glisser: 1
“I keep getting severe stomach pain and dizziness. I’ve been to three hospitals this month.”
Hmm..Multiple visits with inconsistent findings… I should review the chart carefully.”
The patient reports repeated medical symptoms and frequent hospital visits.
Glisser: 2
“They just happen… I feel like nobody believes me.”
All Labs within normal range
“I noticed your lab tests and scans have all been normal. Can you tell me more about when the symptoms begin?”
The NP notices inconsistencies between symptoms and objective findings.
Glisser: 3
“Sometimes people unintentionally create or exaggerate symptoms because of emotional distress or a need for care and support.”
Diagnosis considered: Factitious Disorder.
Glisser: 4
“Factitious disorder involves intentionally producing symptoms to take on the role of being sick. This can be linked to psychological stress.”
“So… this might be related to how I’m coping with things?”
Glisser: 5
Treatment Plan:• Cognitive Behavioral Therapy• Regular follow-ups• SSRI medication (e.g., sertraline)
“We’ll focus on therapy to help manage stress and underlying emotional needs. I also recommend starting an SSRI to help with anxiety and mood.”
Glisser: 6
“I’m willing to try therapy and medication if it helps.”
Supportive treatment and careful monitoring are essential in managing factitious disorder.

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