An extreme and long-term form of factitious disorder is:

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Munchausen syndrome is a severe and enduring form of factitious disorder in which individuals deliberately feign symptoms and illness to receive medical attention and treatment. It is considered extreme because it involves intentionally harming oneself to obtain care and can result in repeated hospitalizations and invasive medical procedures. Munchausen syndrome by proxy, on the other hand, involves individuals falsely claiming that someone else, usually a child, is ill or injured, and is also considered an extreme form of factitious disorder. Von Willebrand's disease is a hematological disorder, and pseudologia fantastica is a condition in which individuals compulsively lie and embellish their personal stories without a specific motive to obtain medical attention.

An Extreme and Long-Term Form of Factitious Disorder Is