Chart 5. Warning signs of simulation.

Legal-medicine context of presentation (e.g., the individual is referred to general practitioner by a lawyer for exam, or he does it by himself/herself whereas legal processes and accusations are judged

Important difference between reported stress and incapability of the individual, findings and objective observations

Lack of cooperation during diagnostic evaluation and adherence to treatment regimen prescribed

Presence of antisocial personality disorder.

Source: American Psychiatric Association (APA). Manual diagnóstico e estatístico e transtornos mentais DMS-5. 5a ed. Tradução de Maria lnês Corrêa Nascimento, Paulo Henrique Machado, Regina Machado Garcez, Rêgis Pizzato, Sandra Maria Mallmann da Rosa. Porto Alegre: Artmed; 2013. Transtorno factício; p. 325-7.^{( 5 )}