Munchausen's by Proxy?

Specialties Psychiatric

Published

I'm wondering if anyone can direct me to a FACTUAL website regarding this syndrome, if anyone has had direct contact with a Munchausen's patient.

A 2.5 year old nephew who has been 100% healthy since birth, got an ear infection over 2 months ago and since then has had febrile seizures of increasing severity. The mom is a stay-at-home mom who has a history of "just deciding" not to give various meds for whatever reason. If Dad doesn't do it himself, it doesn't get done.

The situation in a nutshell is this: child goes to hospital, all tests (EEG, spinal, MRI, CT scan) normal. No epilepsy, but febrile seizures due to ear infection. Funny that the ear infection only responds to antibiotics given by a pediatrician wielding a needle. Funny also that the seizures only respond to meds given in hospital or by father. As soon as child goes on oral meds, and father goes back to work, infection returns, and seizures escalate. Child is now on so many meds he has no normal baseline between seizures which are short lived in duration, but occur average 3x an hour.

The mother has other "issues", but has already been documented with bizarre harmful behavior regarding this child abd another one a year older. Primarily overfeeding to the point they both vomited several times a day and were 99 percentile for weight. Three different pediatricians told her she was "actively harming" the children, and it wasn't until they got old enough to refuse food that they got down to normal weight.

Everyone involved (including father) is becoming increasingly suspicious of the mother, but how to prove she is the one either actively harming the child, or actively neglecting treatment or "augmenting"?

here is a good checklist that will allow correct diagnosis of the person with Munchausens by Proxy

http://munchausenssyndromebyproxywithadultvictims-atextbookcase.yolasite.com/

Specializes in Psychiatry.

If you suspect harm may come to a child, you should call your local Child Protective Services hotline. Protect yourself, protect the child.

That being said, to simply answer your question, real cases of Munchausens are extremely rare. What is going on might be more of a personality disorder issue- or something else. There are certain diagnoses that raise my red flag when I see them- simply because they are so few and far between. DID, Munchausens, Reactive Attachment Disorder to name a few. In my personal opinion, these are highly overdiagnosed diorder that I'm seeing a lot or right now. While they are real disorders, they are also extremely rare.

Psych disorders seem to be diagnosed almost in waves. ADD/ADHD in the 90's, autism spectrum disorders in the 00's............

Bottom line in your case, consider the child's safety first and report as needed. You are a mandated reporter. Leave the diagnosis to a professional

Specializes in Nephrology, Cardiology, ER, ICU.

Due to the recent revamp of the site, some threads are not in order - this thread is four years old.

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