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Munchausen Syndrome by Proxy - Topic Overview

How is it treated?

Child protective services, law enforcement, and doctors are all involved in treatment for Munchausen syndrome by proxy. Caregivers who have this condition need long-term counseling. They may resist treatment or deny that there is a problem. Medicines are used only when the caregiver has another health problem, such as anxiety disorder, along with MSBP.

Even after treatment, caregivers may repeat their behavior. So doctors, counselors, and family members need to closely watch how the caregiver interacts with his or her children.

For victims, the first step is to protect the child by moving him or her into safe custody. Then a doctor will monitor the child for symptoms. Most of the time, the child's symptoms stop after the child is away from the caregiver. Some children need counseling or other help.

What should you do if you think someone has Munchausen syndrome by proxy?

MSBP is child abuse. If you suspect that a child is a victim, don't confront the suspected caregiver. It might make the problem worse. Instead, think about these options:

  • Keep a journal of the child's symptoms and other related events.
  • Talk with your doctor about your concerns.
  • Report your concerns to your local child welfare agency. You can make a report without using your name (anonymous).

WebMD Medical Reference from Healthwise

Last Updated: May 03, 2013
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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