Munchausen Syndrome – When Fiction Is Presented as Facts

Do you someone with Munchausen syndrome who changes facts of the situation? (Image via Pexels/ Andrea Piacquadio)
Do you someone with Munchausen syndrome who changes facts of the situation? (Image via Pexels/ Andrea Piacquadio)

When someone fabricates, induces, and/or exaggerates an illness to gain sympathy and attention, it is known as Munchausen syndrome (factitious disorder inflicted on self). People suffering from this condition tend to make up symptoms, interfere with medical exams (by, for example, putting blood in their urine), or inflict pain on themselves to elicit sympathy.

Due to the patient's dishonesty, Munchausen syndrome is challenging to diagnose and cure. The self-harm that is typical of this illness must be prevented, though, and medical and psychological assistance is essential.


Munchausen Syndrome: What is it?

The ulterior motive is associated with psychological gains compared to material ones. (Image via Pexels/ Anna)
The ulterior motive is associated with psychological gains compared to material ones. (Image via Pexels/ Anna)

Munchausen syndrome or factitious disorder imposed on self causes a person to pretend to be sick. Individuals may exaggerate their symptoms, pretend to be ill, or purposefully become ill. This kind of mental illness, which is seen as a kind of self-harm, is most frequently observed in young people.

A person suffering from Munchausen syndrome may be exceedingly persuasive, which may lead to medical professionals performing unnecessary procedures or prescribing drugs.

An individual with Munchausen syndrome won't lie about being sick to get things like money or prescription drugs for himself. Instead, the individual is driven to act this way by complicated psychological factors, such as a great desire for sympathy and attention.

Although the precise cause of Munchausen syndrome is unknown, researchers believe psychological factors may contribute to its development. Based on certain ideas, this syndrome may be influenced by circumstances like a history of abuse or neglect as a child or a history of many hospitalizations due to sickness.


What Do We Mean By Munchausen Syndrome By Proxy?

Is there a difference between imposed on self and by proxy? (Image via Freepik/ Freepik)
Is there a difference between imposed on self and by proxy? (Image via Freepik/ Freepik)

Falsely asserting that another person exhibits physical or psychological symptoms of illness, or intentionally inflicting harm or disease on another person with the intent to deceive others, is known as factitious disorder imposed on another (formerly known as Munchausen syndrome by proxy).

Individuals who have this disorder portray another person as ill, hurt, or incapable of functioning and insist that they require medical assistance. Generally, a parent will hurt their child in this situation. A youngster who experiences this kind of abuse may be in grave danger of harm or needless medical attention.


How Do People with Factitious Disorders Pretend to Be Sick?

Individuals with this disorder become masters of pretending to be sick. (Image via Freepik/ Freepik)
Individuals with this disorder become masters of pretending to be sick. (Image via Freepik/ Freepik)

It may be challenging for medical professionals and loved ones to determine whether illnesses are real or not since people with factitious disorders become masters at fabricating symptoms, ailments, and injuries, or inflicting real harm upon themselves.

There are various methods by which people with factitious disorders exaggerate symptoms or cause illnesses, including:

1) Exaggerating already present symptoms

They might exaggerate symptoms to seem worse or more disabled than they are, even when a real medical or psychiatric disease exists. The idea is not about existence, but rather an exaggeration of the current symptoms.


2) Inventing history

They might fabricate a medical history to share with family members, doctors, or support groups, such as saying they had cancer or AIDS. Alternatively, they can fabricate medical records to prove the condition.


3) Self-inflicted harm

People with Munchausen Syndrome may also end up requiring physical assitance or hospitalization. (Image via Pexels/ Pavel)
People with Munchausen Syndrome may also end up requiring physical assitance or hospitalization. (Image via Pexels/ Pavel)

They may inject themselves with bacteria, milk, gasoline, or feces, for instance, to make themselves ill. They might cut, burn, or hurt themselves, and to imitate ailments, they may take pharmaceuticals like blood thinners or diabetes pills. They might also cause cuts to reopen or become infected, which would prevent a wound from healing.


4) Tampering

People suffering from this condition might alter medical equipment, such as heated thermometers, to skew results. They might also falsify test results by contaminating the urine samples they provide with blood and other substances.


5) Posing as ill

They may pretend to have symptoms like nausea, convulsions, or fainting. Some people will pump themselves with feces, place tight elastic bands around an arm or leg, push dirt into their IV lines, or put blood in their urine. They may act as though they are swallowing their pills, but instead spit them out later. Moreover, deliberate dehydration may also be noted in such cases.


The likelihood of health issues (or even death) from self-harm or other symptoms is higher in those with Munchausen syndrome. They also run a significant risk of substance misuse and suicide attempts, as well as responses and health issues related to numerous testing, surgeries, and therapies.

Recovery is dependent on a physician identifying or suspecting Munchausen syndrome in a person and encouraging them to seek appropriate medical care for their disorder and adhere to it.


Janvi Kapur is a counselor with a Master's degree in applied psychology with a specialization in clinical psychology.


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