Good Enough Shrink

Münchausen and Münchausen by Proxy: Harming Self and Others to Play the Sick Role


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Hello listeners! Münchausen Syndrome or factitious disorder is a fascinating yet devastating topic that we’ve taken a few recordings to discuss, especially in light of the recent Florida appeals court ruling on the famous case of Maya Kowalski. As child psychiatrists, we hope to share with you that we are relentlessly searching for answers in conditions like this, and not giving up on the pursuit despite our own vulnerabilities. 

Topics Discussed:

  1. History of Münchausen Syndrome
  2. Diagnosis of Exclusion
  3. Differential Diagnoses: malingering, somatic symptoms disorder, functional neurological symptom disorder 
  4. Clues to Diagnosis 
  5. Theories Behind Münchausen Syndrome & Münchausen by Proxy
  6. Statistics on Münchausen Syndrome & Münchausen by Proxy
  7. Case 1: Gypsy-Rose Blanchard
  8. Case 2: Maya Kowalski
  9. How families can cope with someone with possible Münchausen Syndrome 
  10. Treatment Approaches: Team Effort 
  11. Countertransference 
  12. Vulnerability as Physicians 

**Disclaimer: Any discussion or commentary regarding the mentioned public cases is only intended for educational or illustrative purposes. No confidential or privileged information is being disclosed, and any statements made do not constitute a clinical, psychiatric nor medical evaluation or diagnosis. 

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Good Enough ShrinkBy Dr. Jenna Cheng, Dr. Patrick Kelly