Munchausen syndrome

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Definition

By Mayo Clinic staff

Munchausen (MOON-chou-zun) syndrome is a serious mental disorder in which someone with a deep need for attention pretends to be sick or gets sick or injured on purpose. People with Munchausen syndrome may make up symptoms, push for risky operations, or try to rig laboratory test results in their effort to win sympathy and concern.

Munchausen syndrome belongs to a group of conditions, called factitious disorders, that are either made up or self-inflicted. Factitious disorders can be psychological or physical. Munchausen syndrome refers to the most severe and chronic physical form of factitious disorder.

Although it has been recognized for centuries, Munchausen syndrome remains mysterious and difficult to treat. Medical help is critical, however, to preventing serious injury and even death that can result from the self-harm typical of Munchausen syndrome.

Symptoms
References
  1. Factitious disorders. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed March 24, 2009.
  2. Eisendrath, SJ. Factitious disorder (including Munchausen's syndrome). In: Ferri FF. Ferri's Clinical Advisor 2009. St. Louis, Mo.: Mosby; 2008. http://www.mdconsult.com/das/book/body/128035876-3/821157946/1701/215.html#4-u1.0-B978-0-323-04134-8..50009-4--subchapter1_4547. Accessed March 24, 2009.
  3. Hamilton JC, et al. Factitious disorders and malingering. In: Gabbard GO. Gabbard's Treatments of Psychiatric Disorders. American Psychiatric Association; 2007. http://www.psychiatryonline.com. Accessed March 24, 2009.
  4. Purcell TB. Factitious disorders and malingering. In: Marx JA, et al., eds. Marx: Rosen's Emergency Medicine: Concepts and Clinical Practice. 6th ed. St. Louis, Mo.: Mosby; 2006. http://www.mdconsult.com/das/book/body/128035876-4/821158282/1365/348.html#4-u1.0-B0-323-02845-4..50117-7--cesec4_5748. Accessed March 24, 2009.
  5. Factitious disorder and malingering. In: Hales RE, et al., eds. The American Psychiatric Publishing Textbook of Psychiatry. 5th ed. Arlington, Va.: American Psychiatric Association; 2008. http://www.psychiatryonline.com. Accessed March 24, 2009.
  6. Lipsitt DR. Factitious disorder and Munchausen syndrome. http://www.uptodate.com/home/index.html. Accessed March 24, 2008.
  7. Hall-Flavin DK (expert opinion). Mayo Clinic, Rochester, Minn. March 26, 2009.

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May 14, 2009

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