Secondary gain was defined in terms of interpersonal, and social advantage achieved by patient as outcome of the illness. It helps the Ego to incorporate the symptom(s). Secundary gain is unconcious mechanism. It shouldn’t be mixed up with malingering or factitious disorder.

45 years old male patient was hospitalized at a Clinic of Psychiatry in Tuzla complaining the memory inpairment, confusion, and weakness of right arm and leg. The patient had been hospitalized at the Clinic of Neurology few months prior to actual hospitalisation. Diagnostic procedures, including MRI of the brain were done. Despite of negative tests results the diagnosis of ischemic stroke was made. During clicical observation the diagnosis of Dissociative motor disorder was postulated.

The dissociative disorders is common in clinical practice. Existence of strong secondary gain may lead to chronicity and working and social dysfunction.