Munchausen syndrome

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Treatments and drugs

By Mayo Clinic staff

Treatment of Munchausen syndrome is often difficult, and there are no standard therapies for the condition. Because people with Munchausen want to be in the sick role, they're often unwilling to seek treatment. However, if approached in a gentle, face-saving way, a person with Munchausen syndrome may agree to be treated by a mental health provider.

Although there are no standard treatments for Munchausen syndrome, treatment often focuses on managing the condition, rather than trying to cure it. Treatment generally includes psychotherapy and behavior counseling. If possible, family therapy also may be suggested.

Medications may be used to treat other mental disorders that also are present, such as depression or anxiety. In severe cases, temporary psychiatric hospitalization may be necessary.

References
  1. Lipsitt DR. Factitious disorder and Munchausen syndrome. http://www.uptodate.com/home/index.html. Accessed Jan. 6, 2011.
  2. 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/content.aspx?aID=9652. Accessed Jan. 6, 2011.
  3. Munchausen syndrome. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/print/sec15/ch204/ch204e.html. Accessed Jan. 6, 2011.
  4. McDermott BE, et al. Factitious disorders and malingering. In: Gabbard GO. Gabbard's Treatments of Psychiatric Disorders. 5th ed. Arlington, Va.: American Psychiatric Publishing; 2008. http://www.psychiatryonline.com. Accessed Jan. 6, 2011.
  5. Ford CV. Factitious disorders and malingering. In: Ebert MH, et al. Current Diagnosis & Treatment: Psychiatry. 2nd ed. New York, N.Y.: McGraw Hill Medical; 2008. http://www.accessmedicine.com/content.aspx?aID=3287516. Accessed Jan. 7, 2011.
  6. Eisendrath SJ. Factitious disorder (including Munchausen's syndrome). In: Ferri FF. Ferri's Clinical Advisor 2011: Instant Diagnosis and Treatment. Philadelphia, Pa.: Mosby; 2011. http://www.mdconsult.com/books/page.do?sid=1102213041&eid=4-u1.0-B978-0-323-05610-6..00015-9--sc0010&isbn=978-0-323-05610-6&type=bookPage&sectionEid=4-u1.0-B978-0-323-05610-6..00015-9--sc0010&uniqId=234252088-133#4-u1.0-B978-0-323-05610-6..00015-9--sc0010. Accessed Jan. 7, 2011.
DS00965 May 13, 2011

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