- Patient Comments: Munchausen Syndrome by Proxy - Symptoms
- Patient Comments: Munchausen Syndrome by Proxy - Experience
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- Munchausen syndrome by proxy facts
- What is Munchausen syndrome by proxy?
- What causes Munchausen syndrome by proxy? What are MSBP risk factors?
- What are Munchausen syndrome by proxy symptoms and signs?
- How do health-care professionals diagnose Munchausen syndrome by proxy? What types of specialists treat MSBP?
- What is the treatment for Munchausen syndrome by proxy?
- What are the complications of Munchausen syndrome by proxy? What is the prognosis of MSBP?
- Is it possible to prevent Munchausen syndrome by proxy?
- Where can one get more information on Munchausen syndrome by proxy?
What is the treatment for Munchausen syndrome by proxy?
The involvement of a comprehensive child-protective-services team is of paramount importance in the treatment of MSBP. As with any other child abuse, achieving and maintaining the safety of the child in the least restrictive setting is a key focus. If professionals, family members other than the perpetrator, and community support systems can successfully maintain the safety of the victim and any other child in the home, refraining from removing children from the home may be encouraged. However, if keeping the child in the same home is thought to put him or her at continued risk of harm, steps will likely be taken to move the victim and/or other children to a safer placement. With effective treatment progress by the victim and the abuser, professionals may consider slowly reintroducing the child to the home while closely monitoring the child's safety. In the event that such reintegration is not possible, the child might be permanently placed outside the home of the perpetrator. In severe cases, professionals may seek the prosecution and incarceration of the perpetrator and permanently prevent the abuser's access to the victim.
In working with the child, therapists often teach the victim techniques for changing dysfunctional ways of behaving while helping the child understand the underlying feelings and motivations for those behaviors. While psychiatric medications like antidepressant, anti-anxiety, mood stabilizer, and antipsychotic medications may be used to alleviate specific symptoms for the perpetrator or victim, medication by no means cures the illness completely.
Individual psychotherapy for both the perpetrator of MSBP and the victim, as well as family therapy for members of the household involved are often incorporated into the treatment program. At the same time, the ongoing use of medical services is closely monitored by medical, mental-health, and child-protection professionals. Sometimes, the primary-care doctor (for example, pediatrician) will be notified by the insurance company of future use of medical services by the MSBP victim or the victim's siblings. The professional might also be notified when the child is absent from school. Access to such information is either granted through child protective services or by a parent. School officials may agree not to excuse an absence unless approved by the primary-care physician.