Can someone fake a mental health assessment?

Munchausen Syndrome: Lies for Attention

Man is a social being. He joins other people, builds relationships. And after a while of acquaintance, he gains confidence. Trust what another person is telling them. And so it happens that people find Munchausen Syndrome on the glue. Those affected by this artificial disorder - also known as luminary killer or hospital hopper syndrome - bind other people around them to a real bear. How you can recognize Munchausen Syndrome and what you can do ...

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Munchausen Syndrome ICD-10: Artificial Disorder in Physical Health

Baron Münchhausen - it was this baron of lies who told so many incredible stories, many people think when they hear about the Münchhausen syndrome for the first time.

Exactly, the baron who allegedly claims to have ridden a cannonball. Such stories are fun and entertaining. But also pulled by the hair in such a way that the listeners immediately realize that they were invented.

Munchausen Syndrome is far less funny. It belongs to the artificial disorders, that is, a mental illness in which the sufferer Faking symptoms of illness or even induce yourself. The whole thing is embedded in a dramatic presentation.

According to ICD-10, Munchausen syndrome is listed under F68 as a personality and behavioral disorder, more precisely under 68.1 as an artificial disorder. Those affected are initially physically healthy but make it through a number of pronounced symptoms often to convince doctors of their symptoms.

Such complaints can be:

  • Seizures
  • stomach pain
  • Blood in the urine
  • Eczema
  • Gallbladder Inflammation
  • heart problems
  • a headache
  • Gastric bleeding
  • Kidney and bladder infections
  • Spine problems
  • Faint

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Munchausen Syndrome: This is how it expresses itself

Individual symptoms may not seem worrying at first glance, but in their abundance and with them accordingly dramatic productions those suffering from Munchausen Syndrome manage to attract attention. The aim of these stagings is to be taken seriously and treated by the doctor.

For this purpose, the sick resort to all sorts of means of self-harm or self-poisoning; some inject themselves with feces or gasoline just to get the appropriate Cause symptoms of illness.

The methods of self-manipulation know hardly any limits, so real symptoms of illness are there to doctors and other medical professionals make it difficult to rule out beyond doubtthat the causes do not stem from a genuine illness, but were brought about from outside.

Especially since they are obliged, for insurance and legal reasons, to carefully examine and include all eventualities. Next, ask those suffering from Munchausen Syndrome extensive investigations to operations that would normally be avoidable.

If the attending physician suspects or does not comply with the wishes of his patient, those affected change the doctor or the hospital fast (hence the term hospital hopper syndrome).

Lies Syndrome: Outsiders need detective skills

The Münchhausen syndrome represents an area of ​​pseudology because it is part of the clinical picture of those affected notorious lying. While the so-called pseudologists invent everything possible - including titles of nobility - people with Munchausen syndrome concentrate on diseases and their credible representation.

Either way, the problem for outsiders is that it's hard to find out Review stories. Imagine getting to know a new work colleague. After a while you get into conversation and you find out that this friendly colleague carries quite a burden because he has to look after his old mother, even though he is so attacked himself.

His doctors are at a loss, but suddenly it seems clear: One Cancer diagnosis is in the room. In the meantime - you will learn - the colleague's partner has a miscarriage. In order to "top" the whole thing, she leaves him shortly afterwards. So your colleague is someone who has suffered from fate and who is confronted with unbelievable things.

And that is often the only indication, like outsiders See through people with Munchausen Syndrome can: When the stories get out of hand, so to speak. Because of course every halfway empathetic person wants to show his sympathy and does not initially doubt the stories of his colleague.

In addition to the dilemma of not showing excessive skepticism, it is so difficult for others to recognize Munchausen Syndrome because the sick ...

  • have a very good memory that will help them knit the lies,
  • are very talented as an actor and can express themselves very well,
  • have an engaging nature.

MBI: lies on social networks

Munchausen syndrome goes down over time: pathological lying is drowned out Using the Internet is a phenomenon that has been observed for some time.

The term refers to the American Marc D. Feldman (PDF), clinical psychologist and expert in this field Munchausen by Internet, in short: MBI, back.

In the anonymity of the Internet, those suffering from Munchausen Syndrome sometimes lay down multiple false identities to. Because of the distance, it is sometimes easy for them to deceive their followers and new friends. Particularly perfidious: For example, self-help groups are set up and donations are collected for the seriously ill.

Feldman observes an increase in Munchausen Syndrome and suspects it is more likely to spread. Because since the Internet has existed, everyone has access to knowledge. What for earlier cumbersome ways to the medical library were necessary, for which specialist books had to be scrolled for hours, now just a few clicks are enough.

Anyone with Munchausen Syndrome can get some at least superficial expertise Acquire when it comes to inducing or simulating symptoms. Those affected are not considered to be simulators in the medical sense, because that assumes that someone is cheating on an advantage:

For example, sick leave due to migraines because someone wants a day off. However, people with Munchausen Syndrome are mentally ill, they act compulsively.

In contrast to pure Munchhausen syndrome, it seems MBIs mostly affect women. One reason for this could be the anonymity of the internet, which also enables women to live out their needs.

Munchausen deputy syndrome: attention at all costs

Munchausen syndrome is common in people diagnosed with narcissistic personality disorder or borderline disorder. Although the latter is more common in women, Munchausen syndrome is more likely to affect men.

However, it is different with Munchausen deputy syndrome. Here it is mainly women who are affected. This disorder is also known as Munchausen-by-proxy syndrome and describes people who are not themselves but rather hurt and make others sick.

Often it is mothers who harm their children in order to then take care of them self-sacrificingly. In some cases Munchausen Deputy Syndrome comes along in adults or animals in front. This means that the sick person harms another adult - usually the partner - or their pet in order to take care of it accordingly.

The other person is kept in constant dependency, as is the animal. In all cases, the sick person is the focal point: People with Munchausen Deputy Syndrome have an exaggerated desire to be the center of attention all the time. Through her outwardly acting selflessly acting draw a sickness profit.

Anyone who stands out because of their own history of suffering in Münchhausen syndrome not only attracts attention in the sense of regret and sympathy, but also secures medical care, Caring and Forbearance: After all, one cannot expect above-average performance from someone who has been punished in this way.

Somebody like that can always be on Willingness to help and understanding hope for yourself, even if the work done is below average.

Munchausen Syndrome: What Can You Do?

What can you do when you feel like a colleague or confidante Person around you has Munchausen Syndrome? We have these three recommendations:

  • attention

    A certain amount of skepticism is warranted if you have the impression that the disastrous reports are piling up. People with Munchausen Syndrome tend to cling to rather naive people to whom they can complain of all their suffering. Do not believe everything. Train your powers of observation, see whether the person is entangled in contradictions, whether you are possibly resistant to advice when you make recommendations.

  • Advice

    If you suspect that your counterpart has Munchausen Syndrome, be careful with criticism. Those affected are extremely sensitive if the suspicion is expressed that they are lying or are even responsible for their illnesses themselves. It is therefore important to address the topic of therapy very carefully and carefully steer it in the direction. Unfortunately, the prognoses for therapeutic success are rather low.

  • authority

    If there are signs of Munchausen deputy syndrome, for example in your neighborhood or at your children's school, you may find that a child is mysteriously ill, other measures may be required. Here, in consultation with teachers and / or parents, it should be weighed up in advance which step you should go to next. If, however, there are justified doubts and, unlike in the past, they hardly ever see the child, other bodies such as the youth welfare office must be involved.

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