Persistent Pseudologia Fantastica in a Patient with Bipolar Disorder and ADHD: A Case Report

Shokouh  Gheibi; Mohammad Aidin  Farahvash; Morvarid  Ahadi

doi:10.18502/crcp.v10i2.19896

Shokouh Gheibi Razi Educational and Therapeutic Psychiatric Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Mohammad Aidin Farahvash School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Morvarid Ahadi Psychiatry Department, Psychosis Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

DOI: https://doi.org/10.18502/crcp.v10i2.19896

Keywords: Pseudologia fantastica; Pathological lying; Bipolar disorder; Adult ADH

Abstract

Pseudologia fantastica is characterized by habitual, elaborate, and often fantasticalfabrications that the patient recognizes as untrue.We report a case of a 24-year-old male with bipolar disorder and adult ADHD whosetreatment included mood stabilizers and atomoxetine, which improved psychiatricsymptoms but had minimal effect on the pseudologia.This case highlights the persistent nature of pseudologia fantastica and its diagnosticand therapeutic complexity, calling for further investigation into its management.