Health encyclopaedia

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Treatment of Munchausen’s syndrome

Because of underlying psychological problems, denial, and the ability to manipulate the system, treating FII and Munchausen’s syndrome is difficult.

Many cases can be solved by consultation, although in extreme cases involving physical and emotional harm the family or criminal courts may need to be involved. Most importantly in FII there is a need to ensure the child’s welfare and protection, including the use of the justice system where necessary.

There is no conclusive evidence about the effectiveness of treatments, but the following course of action may result in improvement:

•  detailed physical and psychological assessments
•  psychological support and counseling of the whole family, and 
•  individual therapy.

Treatment seems to be best focused on management rather than on cure, especially as individuals may not be willing to involve themselves in behavioural or psychological therapy.

The most important factor of successful management is early recognition of the condition and to secure a lasting and stable relationship with health professionals. It is best to avoid confrontation.

It is also very important to recognise and treat other disorders that may be causing the person to harm themselves or another person. These may include personality disorders, depression, or drug or alcohol abuse.

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