One of the things I am focusing on is what can be done for factitious disorders. This disorder is typically seen as not being amendable to treatment. Granted, the co-morbid personality disorders that usually accompany FD’s, some really are not. Of the three main ones seen in FD’s, they are Borderline Personality Disorder (BPD), Narcissistic Personality Disorder (NPD) and Antisocial Personality Disorder (APD). Both APD and NPD are not typically associated with change and are not usually considered amendable to treatment. Borderline personality disorder is while serious, one that can be associated with a positive outcome.
Someone’s ability to recover from a FD is going to be determined by seeing something wrong with what they’re doing. Often, many do not “see the error of their ways.” For those people, little can be done until they realize the need and have the desire for change. As serious as these problems are, I don’t believe they are beyond hope. But one has to want change. Some of the possible treatments I feel can be helpful for someone suffering from a FD are (and will be discussed in detail in my book):
- DBT (Dialectical Behavioral Therapy)
- Insight oriented therapy to identify how the FD came about and what coping strategies can be helpful if a relapse happens (and this does not stop overnight.
- STEPPS (Systems Training for Emotional Predictability and Problem Solving)
- EMDR (Eye Movement and Desensitization Reprocessing)
- Medical treatment for existing (legitimate) medical problems, including pain (pain will make you mental) but it is my belief that if possible, it be managed without the use of narcotics
There are many conventional therapies that can be of benefit for someone with a FD or even someone who has non-suicidal self-injury (NSSI). But in my mind, the most critical one for factitious disorders is a 12 step program (such as Alcoholics Anonymous, Narcotics Anonymous, or any of the others). For someone who has a basic problem with a lack of honesty-these are all programs of rigorous honesty.
I have had most of the above treatments and while they were helpful, they did not change the underlying problems, the chronic self-pity or the resentments that caused me to use them as an excuse to use or self-harm. For me, AA is what changed all of that.
Try it, it will change your life.