Munchausen Syndrome, Factitious Disorder, Malingering, and Munchausen Syndrome by Proxy
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- Опубліковано 3 бер 2021
- There are several disorders so branded with taboo, stigma, and legal consequences that they are almost never diagnosed and very little research has been done on them. These patients are literally seen by every specialty, often without knowing it, and without a good solution. I am hoping this podcast brings awareness to this important topic and gives providers insight into the power of empathy in helping these patients.
This episode does not offer CME at this time.
There are no conflicts of interest for this episode.
Link to Full Blog: www.psychiatrypodcast.com/psy...
Check out my Microexpression Training Program to increase empathy in your daily interactions and with your clients: emotionconnection.com/ - Наука та технологія
I recently read a book called My Mother, Munchausen's, and Me. It really goes into the experience from the perspective of a child who had a parent with it (imposed on self). The author's mother also was incredibly narcissistic, histrionic, and abusive/manipulative, so it really was coming from a need for praise, validation and attention. As the mother got older, her list of fake illnesses just became more and more ridiculous, to the point where she would contradict herself in the same sentence. She ended up dying prematurely because she starved herself so she could "look sick" and she got an infection from a weak immune system due to the malnutrition. The daughter suffered a lifetime of emotional (and some physical/medical) abuse, and had to deal with her mother's lies and manipulation for decades. But she's learning how to move past that and become stronger.
This podcast really enlightened me because it showed me that people with Munchausen's/factitious disorder (at least imposed on self; MBP is just child/other proxy abuse and should not be given any empathy) are actually hurting inside and even though they know they are doing it for attention, it's because they were deprived of attention in some form. Before, I thought that people with Munchausen's were just manipulative and narcissistic (some of them probably are, but I now realize it's not the main driver behind Munchausen's behavior). I will definitely listen to her podcast!
well narcs are also hurting inside, so it's a bit naive of you to feel sorry for them
This lecture is amzing, thank you for making it accessible to regular people!
Your welcome!
I would love to see an entire episode on malingering! Fascinating stuff!
Yes I would love that. I have the person in mind to interview.
How do I help an adult I suspect is a victim to this behavior? My brother in-law was always a decently healthy individual, he became involved with a woman and ever since he has gone down hill with all sorts of random unexplainable things including a lot of kidney issues or infections. We can never get him alone to get any sort of explanation and she's always threating or trying to tell doctors how to do their jobs. She also takes him to a different hospital or provider for every bout of illness. We know something is wrong but they or she wont allow us to get close enough to figure anything out. If you have any advice I could really use it at this point.
Munchausen syndrome is very different from simple "drug shopping". Equating the two is a mistake that should not be made by professionals.
Deeply saddened listening to that poor woman
As a mother to a young daughter I can’t understand someone not promoting body positivity to their child - why would you not be there for your daughter like that :(
Very sad I agree. I always tell my daughter she is beautiful.
This was fascinating, thank you.
That woman's mother sounds like a real treat. Not showering for months on end? Really?
did they ever speak to someone who have it with proxy? aren't they in jail? i want to know why they did it from their perspective. about the victim, if theyre alive.
I believe the case you're referring to is the Gypsy Rose Blanchard case (her mother Dee Dee was the perpetrator of extreme MBP). You can easily find more information about that case on Google, but to sum it up: Gypsy conspired with her then-boyfriend, Nicholas Godejohn (who had a lot of mental issues himself) to kill Dee Dee, and Nicholas ended up murdering Dee Dee. (It is important to note that Gypsy was not fully aware of the extent of Dee Dee's abuse as she truly believed she was ill, and so her actions were more motivated by getting away from her mother's control than defending herself.) Gypsy was sentenced to 10 years in jail (this was around 2016/2017, so she'll be getting out in about 5 years) while Nicholas got a life sentence. Since then, the media has been eating up this story like popcorn, with two documentaries investigating the case, a miniseries adaptation of the case called The Act as well as a shitty Lifetime movie. There was even an interview with Gypsy herself on Dr. Phil. Gypsy personally, from her reports from jail, doesn't like how obsessed the media is with her story and says that she is much happier in jail than she was at the hands of Dee Dee.
Oh, BPD and factitious disorder - how interesting. I actually know someone like that and they are ALWAYS mysteriously sick with stuff that just doesn't add up in amongst things they actually do have.
@8min "He had committed suicide several times."
Come again?
But how do you distinguish between someone who has a genuine illness but is just crap at looking after themselves and someone who is deliberately making their symptoms worse?
Did you do the chronic lyme episode yet? I'm very interested
Is Munchausen by Proxy simply an extension of Antisocial Personality Disorder? I read an interesting hypothesis on this
I’m wondering if you could check out Dougherty Dozen mother. She has multiple diagnoses for her 12 kids, not only biological but adopted and fostering. They all have a list and so many medications. It’s a list of so many medications and it’s including FASD. But the adults who adopt and fostering have alcohol. At one point she said she needed to hide Whiteclaw (it’s alcohol) because kids with fetal alcohol syndrome possibly were sneaking them
Please let us know your thoughts on Dougherty dozen parents
Where can I find her podcast?
She disappeared! I think she just decided to keep going with her life as a professional and thought that she did not want consequences that might happen if they found out who she was.
It sounds like she is still snowing people. She must’ve said she had to pick dandruff out of her mom’s hair over ten times. Sure sounds like she is getting the attention now by blaming her Mom. It’s a horrible disorder and I pray she heals but I don’t think it’s healthy to give her a platform for attention.
Why does this video take so long when you provide less than two minutes worth of information
Because it tells someone’s story
If you do not hear the case in depth, you will know what this disorder is, but you will not understand why it is.
I had to do an entire psych eval for my insurance to pay for this extremely expensive spinal surgery as well as scans and blood work and having a longstanding diagnosis. I was kind of shocked but thankfully it helped and I was later able to read it and it said something like 'somatic/somatoform, malingering, factitious disorder, ruled out. Patient is not exaggerating claim that her spinal condition is incredibly debilitating and that she is in near constant chronic pain. Diagnosis was 8 yrs ago done in person with doctor (name here) following verified MVA. She has tried other suggested modalities faithfully and understands the risks of this type of major surgery. Patient is overweight and depressed that she is housebound, wheelchair and opioid dependent and it would be great if she could be more active/take less meds etc' still it took 6 months before it was deemed a medical necessity! Then we had issues with the particular surgeon who took issue with the fact I have adjustment disorder and anxiety and that once I showed up to an appointment very confused (turns out Lyrica makes me act like I am drunk lol....you could argue that the caretaker who drove me and regularly takes care of me allowed me to go in there like that)
Faking seizures is crazy. I have seizures due to having bacterial meningitis (I was born with it and was over 8 weeks old before I could be taken home) and diabetes (if I am too low or high) which we found out when I went into a coma.
Ewwww non human blood wtf that is so, so gross. There's this girl who is quite well known on the internet who is faking behcets. She actually had double above knee amps bc she picked her way to insanity.
You know one thing I will say is that bc I grew up in the hospital I don't see it as a scary negative place. I'm comforted and I feel safe and I'm among people who have saved my life. I could see how someone could get used to that. It's also an interesting thing growing up the 'sick kid'. My brother basically hates me and I wish he didn't bc I don't have a hell of a long time left.
Holy shit why would anyone want to go into metabolic acidosis or bleed through the EYES. Or have NECROTIZING FASCIITIS or want to talk about genital discharge 😂😂😂 I would say people who put feces on ANYTHING are psychotic though, right?
Covert ops I am laughing hardddd
A lot of women like me even with very definitive diagnoses will get told we are crazy or making it up or drug seeking which can get very upsetting. I would think the con artists would be the ones to quietly change doctors rather than get mad. Honest people will get very angry when you call us liars. Please be careful doc bc people die bc they aren't taken seriously until it's too late.
I would also warn you that there are many people who are addicts (either active or in recovery) who DO have cancer, autoimmune etc. Probably even more so bc their immune systems are lowered often sometimes for life. Doesn't mean they are liars or that their pain isn't real or they shouldn't be sedated or put under for painful tests or treatment. There are many ways to help those people (like only doing controlled meds by the week or bi weekly and have them do a tox screen randomly or make them sign a contract or also do therapy or outpatient treatment. I am in long term recovery and you don't know how grateful I am for the medical people who gave me a chance to show I could take my health seriously and that included being on agreements and contracts such as these because I've now been clean and sober for 3 years as of next month. The stigma is unfortunately still there and I am often treated like I am still using, even called a liar sometimes to which I reply with an extra copy of 3 years worth of random drug tests with my therapist, caseworker and providers signatures and a 'im happy to be busting stereotypes and teaching those I come across who still believe in old stigma. Let me know if there's any questions you have that I might be able to answer or if you aren't comfortable working with me because of a medical condition :D it takes balls to advocate like that and a lot of docs are surprised and it ends well.
One thing the woman you interviewed said stuck with me about feeling unhelpable which we say in AA and that I TOTALLY empathize with is 'youre only as sick as your secrets'
Anyway this is very interesting.