DOCTOR SHOPPING .

Doctor shopping is the practice of visiting multiple physicians to obtain multiple prescriptions for otherwise illegal drugs, or the medical opinion that one wants to hear. It is a common practice of drug addicts, suppliers of drug addicts, hypochondriacs or patients of factitious disorder and factitious disorder imposed on another. A doctor who for a price will write prescriptions without the formality of a medical exam or diagnosis is known as a "writer" or "writing doctor".

A doctor shopper will visit multiple health care providers as a "new patient" or "visiting from out of town," and will exaggerate or feign medical problems to obtain prescriptive medications or a wanted medical opinion, diagnosis or treatment with no specific material gain.

Doctor shopping is a kind of malingering with the specific goal of procuring prescription drugs. Malingering is underdiagnosed, often because of the physician's fear of making false accusations. Covert surveillance has indicated that as many as 20% of pain clinic patients misrepresent the extent of their disability. The judgment of the morality of malingering is largely a matter of the observer and circumstances. Most people would regard the defraudment of an insurance company, through a false injury, as an antisocial act. In contrast, the malingering of a prisoner of war, who is attempting to manipulate his or her captors, would be seen by most compatriots as a skillful coping mechanism.

Dr Anshul Mahajana