Münchausen syndrome is a psychiatric factitious disorder wherein those affected feign disease, illness, or psychological trauma to draw attention, sympathy, or reassurance to themselves. It is also sometimes known as hospital addiction syndrome, thick chart syndrome, or hospital hopper syndrome. True Münchausen syndrome fits within the subclass of factitious disorder with predominantly physical signs and symptoms, but in addition they also have a history of recurrent hospitalization, travelling, and dramatic, untrue, and extremely improbable tales of their past experiences. There is discussion to reclassify them as somatoform disorder in the DSM-5 as it is unclear whether or not people are conscious of drawing attention to themselves.
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Munchausen syndrome symptoms revolve around faking or producing illness or injury in order to meet deep emotional needs. People with Munchausen syndrome go to great lengths to avoid discovery of their deception, so it may be difficult to notice that their symptoms are actually part of a serious mental disorder.
Munchausen syndrome is not the same as inventing medical problems for practical benefit, such as getting out of work or winning a lawsuit. It also isn't the same as hypochondria. People with hypochondria truly believe they are sick, whereas people with Munchausen syndrome aren't sick, but they want to be.
In Munchausen syndrome by proxy, someone makes another person ill in order to win sympathy. Usually, Munchausen syndrome by proxy involves a parent harming a child.
Munchausen syndrome symptoms may include:
Dramatic stories about numerous medical problems
Frequent hospitalizations
Vague or inconsistent symptoms
Conditions that get worse for no apparent reason
Eagerness to undergo frequent testing or risky operations
Extensive knowledge of medical terminology and diseases
Seeking treatment from many different doctors or hospitals
Having few visitors when hospitalized
Reluctance to allow health professionals to talk to family or friends
Arguing with hospital staff
Frequent requests for pain relievers or other medications
How those with Munchausen syndrome fake illness
Because people with Munchausen syndrome become experts at faking symptoms and diseases or inflicting real injuries upon themselves, it's sometimes hard for medical professionals and loved ones to know if illnesses are real or not.
People with Munchausen syndrome make up symptoms or cause illness in several ways, including:
Made-up histories. They may give loved ones, health care providers or even Internet support groups a false medical history, such as claiming to have had cancer or HIV.
Faking symptoms. They may fake symptoms, such as abdominal pain, seizures or passing out.
Self-harm. They may injure or make themselves sick, such as injecting themselves with bacteria, milk, gasoline or feces. They may cut or burn themselves. They may take medications to mimic diseases, such as blood thinners, chemotherapy medications and diabetes medications.
Preventing healing. They may interfere with wounds, such as reopening cuts.
Tampering. They may manipulate medical instruments to skew results, such as heating up thermometers. Or they may tamper with laboratory tests, such as contaminating their urine samples with blood or other substances.