What is Munchausen Syndrome by Proxy?

What is Munchausen Syndrome by Proxy?

Munchausen Syndrome by Proxy (MSBP) is a mental illness. MSBP is also known as Factitious Disorder Imposed on Others (FDIA).

People with MSBP make up diseases or illnesses in their children or people they are caring for so that they get attention or praise. Their victims include children, the elderly, or anyone else in their care. When a person is suffering from MSBP, they believe that the people they are caring for have allergies, asthma, and infections, or some serious medical condition. MSBP is more likely to happen in people who are responsible for a very vulnerable group in society. These vulnerable groups are people like the elderly or children.

People with MSBP seek attention and praise from medical personnel, friends, and family for caring for their “sick” children. They make up symptoms and illnesses not with the intent of financial gain, but for the attention from others. 

Although it is not a very common disorder, the effects that it has on families and children can be catastrophic and potentially fatal. It is important to know the signs and take the necessary steps to protect your children.  

Why is Munchausen Syndrome so Dangerous? 

Individuals with Munchausen Syndrome by Proxy may subject their children to painful medical care for these fabricated illnesses. They may lie about symptoms, create false reports, and in more serious cases, create symptoms through poisoning or starving their children. 

Because of this, MSBP is considered a form of child abuse by the American Professional Society on the Abuse of Children. 

How Common is Munchausen Syndrome? 

Munchausen Syndrome by Proxy is very uncommon. Only around 1% of people meet the criteria (The Facts on Munchausen by Proxy Syndrome | Newport Academy). Many people who suffer from this disorder tend to lie about having it, causing the data to be inaccurate.

MSBP is more common in women than men. In most cases, the mother is the one fabricating the illnesses on the child. 

What is Munchausen Syndrome by Proxy

What Causes Munchausen Syndrome by Proxy? 

The causes of Munchausen Syndrome by Proxy include biological and psychological factors, but the exact cause is unknown.

Some factors that may lead to the development of Munchausen Syndrome by Proxy are 

  • Situations of major stress 
  • History of child abuse/ neglect 
  • Low self esteem
  • Overwhelming feelings of guilt 
  • Frequent hospitalizations as a child 
  • Other personality disorders 

What are the Symptoms of Munchausen by Proxy? 

Some symptoms of Munchausen by Proxy include: 

  •  The child having multiple hospitalizations 
  • Deception from caregiver 
  • A strange combination of symptoms 
  • Illness doesn’t respond to treatment 
  • Eagerness to do additional tests 
  • Chemicals in the children’s stool, blood, or urine 
  • The parents insist the child is sick with no basis 
  • Parent is overly concerned about their child 

In order to diagnose MSBP, a doctor must first make sure that the child does not actually have the illnesses their caretaker is claiming they have. Then they use a variety of tests to see if they can make the diagnosis.

What is Munchausen Syndrome by Proxy

Can Munchausen Syndrome be treated?

The issue with people who have Munchausen is that it is really hard to convince them of undergoing psychotherapy treatment. Trained professionals who are used to dealing with this disorder recommend using a gentle approach. That means 

The key in curing a Munchausen patient is to be non-judgmental and speak to them with understanding and empathy of their concerns. To properly help someone suffering from these dangerous obsessions, it’s best to do the following:

  • Have only one primary care doctor to oversee medical care.
  • Have one psychiatrist to prescribe medication
  • Establish a clear medical history
  • Engage in psychotherapy for factitious disorder with an expert psychologis
  • Address any other mental health concerns through prescribed medications

How Can You Treat Munchausen by Proxy?

First and foremost, it is important to ensure the safety of the victims before treating an individual for MSBP.

That means the child who is in the care of the individual must be relocated to another person’s house, such as another family member care. 

Treatment for MSBP is very difficult because most of the time the individual denies there being an issue. Some forms of treatment include: 

  • Psychotherapy
  • Cognitive- behavioral therapy 
  • Family therapy
  • Group therapy
  • Therapy for other conditions 

What is Munchausen Syndrome by Proxy

Why Finding a MA DCF Lawyer Can Help 

Parents, above everyone else, are supposed to take care of their children. DCF investigates allegations of Munchausen Syndrome by Proxy because it can have deadly effects even though it’s rare. Since DCF looks out for the best interests of children, they try to be extra cautious. This means they accuse some parents of having MSBP when they actually don’t have it. make sure to protect your legal rights if DCF falsely accuses you of MSBP. It is important to find an experienced lawyer who specializes in DCF law to best determine the danger of your children. There are only a handful of experts in MSBP in the United States. The best DCF lawyers will know one of these experts.

To learn more about MSBP, visit:

Munchausen By Proxy (MSBP) or Induced Illness by Carers – What to Watch For (webmd.com)


Factitious Disorder (Munchausen Syndrome by Proxy) (clevelandclinic.org) 

Kevin Seaver is a trusted Massachusetts DCF Lawyer specialized in DCF law since 1991.