“…Features that are regarded as characteristic of PMD include abrupt onset, fluctuations in symptom severity, spontaneous remissions, inconsistency, incongruency, distractibility, suggestibility, bizarre movements, deliberate slowness of movements and disproportional functional disability. Other clues are a dramatic increase of PMD by direct observation, physical or psychosocial triggers, secondary gain and normal diagnostic studies [3,6,9,12]. Somatoform disorders are also very common [3].…”