Some people claiming post-traumatic stress disorder (PTSD) may be malingering. Distinguishing these people from true cases can be difficult.


Reasons to suspect that a person claiming PTSD is malingering:

(1) The person has a motive for doing so.

(2) The person has findings uncommon for PTSD or common in malingering (see below).

(3) There is good evidence for the suspicion - one or more of the following:

(3a) admission by the person

(3b) good evidence for deception (from surveillance, contacts, etc)

(3c) unambiguous psychometric evidence


Clinical findings that may suggest malingering - 2 or more of the following:

(1) history of previous claims of dubious merit

(2) job dissatisfaction or poor work history

(3) ability to pursue recreational and home activities but not at work

(4) antisocial personality

(5) contradictions in story and/or evasive behavior

(6) uncooperative during the evaluation

(7) absence of nightmares OR nightmares limited to the traumatic event


To read more or access our algorithms and calculators, please log in or register.