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Lifestyle and home remedies
By Mayo Clinic staffOvercoming Munchausen syndrome can be difficult. For those who are able to begin taking steps toward managing this condition, these tips may help:
- Stick to your treatment plan. Attend therapy appointments and take any medications as directed. If you feel an urge to harm yourself or cause yourself to become ill, talk honestly to your therapist or primary care doctor for better ways to cope with your emotions.
- Have a medical gatekeeper. Have one trusted primary care doctor to manage your medical care, rather than visiting numerous doctors, specialists and surgeons.
- Remember the risks. Remind yourself that you could face permanent injury or even death each time you hurt yourself or undergo a risky test or operation needlessly.
- Consider biofeedback or self-hypnosis. Some research suggests that biofeedback and self-hypnosis may offer relaxation and a sense of control over your condition.
- Don't run. Resist urges to find a new doctor or to flee to a new town where medical professionals aren't aware of your background. Your therapist can help you overcome these powerful urges.
- Connect with someone. Many people with Munchausen syndrome lack friendships and other relationships. Try to find someone you're able to confide in, share fun times with and offer your own support to.
References
- 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. Accessed March 24, 2009.
- Eisendrath, SJ. Factitious disorder (including Munchausen's syndrome). In: Ferri FF. Ferri's Clinical Advisor 2009. St. Louis, Mo.: Mosby; 2008. http://www.mdconsult.com/das/book/body/128035876-3/821157946/1701/215.html#4-u1.0-B978-0-323-04134-8..50009-4--subchapter1_4547. Accessed March 24, 2009.
- Hamilton JC, et al. Factitious disorders and malingering. In: Gabbard GO. Gabbard's Treatments of Psychiatric Disorders. American Psychiatric Association; 2007. http://www.psychiatryonline.com. Accessed March 24, 2009.
- Purcell TB. Factitious disorders and malingering. In: Marx JA, et al., eds. Marx: Rosen's Emergency Medicine: Concepts and Clinical Practice. 6th ed. St. Louis, Mo.: Mosby; 2006. http://www.mdconsult.com/das/book/body/128035876-4/821158282/1365/348.html#4-u1.0-B0-323-02845-4..50117-7--cesec4_5748. Accessed March 24, 2009.
- Factitious disorder and malingering. In: Hales RE, et al., eds. The American Psychiatric Publishing Textbook of Psychiatry. 5th ed. Arlington, Va.: American Psychiatric Association; 2008. http://www.psychiatryonline.com. Accessed March 24, 2009.
- Lipsitt DR. Factitious disorder and Munchausen syndrome. http://www.uptodate.com/home/index.html. Accessed March 24, 2008.
- Hall-Flavin DK (expert opinion). Mayo Clinic, Rochester, Minn. March 26, 2009.
