Understanding Munchausen by Proxy: Signs, Symptoms & Impact

Munchausen by Proxy Syndrome (MBPS) is a mental illness where a person (usually a mother) devises illnesses or causes sickness in others (often a child). The symptoms of MBPS can be difficult to recognize, but are usually noticed when a child is constantly ill in the presence of a parent.

Characteristics

• MBPS is commonly exhibited by mothers who appear to be attentive caretakers. The relationship between the ill child and mother looks normal, and the mother may not have previous mental-health issues. The mother continually misleads and manipulates medical professionals with possible explanations for the symptoms.

Indicators and Symptoms

• Doctors recognize MBPS when the child's symptoms do not match up with the textbook version of a diagnosis. The symptoms lessen at the hospital, but appear to be made worse at home, causing repeat visits to the doctor. Lab work may show chemicals and toxins present in the child that the mother cannot justify.

Treatment

• The child with MBPS typically is removed from the mother, and needs medical care for possible physical and psychological damage. The authorities must be notified, as MBPS is considered child abuse. The mother typically undergoes psychiatric treatment and, often, faces child-abuse charges in court.