Malingering

Refusal linked to leave, housing, avoidance of discharge, medication seeking

RoutineReview due

At a glance

Watch forMissing real psychosistraumaor withdrawal. Diagnosis of exclusion.

Altered reality testing drives refusal rather than simple preference.

Separates the Treatment Refusal / Non-Adherence / Poor Insight group. It is not specific to Malingering.

Rows marked “Whole group”: Applies to the Treatment Refusal / Non-Adherence / Poor Insight group — not specific to Malingering

Refusal linked to leave, housing, avoidance of discharge, medication seeking

Key features

Missing real psychosis, trauma, or withdrawal. Diagnosis of exclusion.

High-risk causes3 causes

Applies to the Treatment Refusal / Non-Adherence / Poor Insight group.

Altered reality testing drives refusal rather than simple preference.

Helpful clues

Applies to the Treatment Refusal / Non-Adherence / Poor Insight group.

None listed

Priority steps

Applies to the Treatment Refusal / Non-Adherence / Poor Insight group.

None listed

Core tests

Applies to the Treatment Refusal / Non-Adherence / Poor Insight group.

None listed

Consider

Clinical reference — not validated decision support. Review before use.