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Malingering Psychosis: Guidelines for Assessment and Management


  • Conflict of Interest Statement
  • The authors report no actual or potential conflicts of interest.



The purposes of this paper are to (a) identify theoretical underpinnings of malingering, (b) to discuss interview and intervention techniques based on pertinent literature, and (c) to offer an organized mnemonic to help clinicians easily identify possible malingered psychosis presentations.


Detecting the malingering of psychotic symptoms is a challenging task for Advanced Practice Psychiatric Nurses. Diagnosing a patient of malingering requires caution on the clinician's part.

Practice Implications

A thorough understanding of potential signs of malingering vs. genuine psychosis is needed as well as knowledge of legal ramifications.