Pseudologia Fantastica in the Emergency Department:A Case Report and Review of the Literature

Psychiatrists commonly encounter deception in the emergency department. This article presents the case of a patient who presentsto the emergency department with an unusual and elaborate webof deceptions along multiple themes including feigning medicalillness, multiple losses, and grandiose academic and athletic achievements. We review the clinical characteristics of pseudologiafantastica and discuss how this patient’s constellation of malingering, factitious disorder, and personality disorder suggests thisdiagnosis