Munchausen Syndrome by Proxy

Home Treatment

Munchausen syndrome by proxy (MSBP) is a form of child abuse. Adults who suffer from this disorder need to be diagnosed and treated by a doctor as soon as possible.

MSBP behavior has a high recurrence rate, and close monitoring and continuous counseling are usually needed. Some children who are reunited with the offending caregiver become victims of MSBP again.

MSBP affects an entire family, not just a mother and child. Support from family and friends can help the mother and child during and after treatment.

If you suspect a child is a victim of Munchausen syndrome by proxy, do not confront the suspected caregiver. This may cause the person to leave the area or hurt the child more to convince others that a reported illness really exists. Consider the following options:

• Keep a diary of the child's symptoms and significant life events, if possible.
• Talk to a health professional about your concerns.
• Report your suspicions to the local health department or child welfare agency. You can make anonymous reports.
• Report your concerns to local police authorities.

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Author:	Debby Golonka, MPH	Last Updated: July 13, 2009
Medical Review:	Kathleen Romito, MD - Family Medicine Michael J. Sexton, MD - Pediatrics
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