Munchausen Syndrome: Seeking Help for Mental Health Struggles

Q: Munchausen Syndrome: Seeking Help for Mental Health Struggles

Hello： After reading your description, it seems that you have been living in a state of emotional conflict for the past few years. <br>You genuinely want to improve your condition, but your symptoms do not align with typical Munchausen syndrome, as you are aware that your symptom

Menkes syndrome

Five years ago, after being diagnosed with severe depression and receiving care, I developed symptoms that I found online referred to as "Munchausen syndrome." My depressive feelings have mostly alleviated now, but my emotional fluctuations are more pronounced, making me more vulnerable than others.
The act of feigning illness began in the last couple of years when my severe depression symptoms started to improve.
Initially, in an attempt to understand the causes of my severe depression, I found a convenient excuse online: "borderline personality disorder." I falsely claimed that I had a fear of abandonment since childhood, and while other symptoms resembled my actual experiences, I was not entirely pretending.
However, after the doctor assessed me and concluded that I did not have borderline personality disorder, I gradually gave up on that narrative.
Later, due to my severe depression causing me to drop out of university, I wanted to secure lifelong support for my future.
I began to falsely claim that I was experiencing auditory hallucinations and pretended to have delusions, saying nonsensical things.
In reality, half of the delusions were true, but the key point is that I knew half of what I was saying was fabricated, so it wasn't true delusion.
As a result, the doctor diagnosed me with "dissociative mood disorder" and recommended that my family ensure I take medication long-term.
I was satisfied with this outcome, but I felt I needed to return to my original state of severe depression to obtain what I wanted: a lifelong disability certificate.
I wanted to ensure that someone would help me find a job, as I wanted to always be in a position of support.
Since dropping out, I have been staying at home without work, and I previously only received three years of support due to my severe depression, which led me to these misguided thoughts.
I am sharing this in a public anonymous space because I am starting to believe that I truly have these issues.
I even have a terrible thought of repeating self-harming behaviors from my depressive phase.
My past self-harming behaviors were quite severe, often requiring emergency care.
However, this time, I am seeking a more guaranteed form of self-harm that ensures I do not die, such as jumping from a height.
I am not afraid of breaking my legs; in fact, that is something I hope for.
Yet, I am simultaneously very afraid of the feelings and thoughts that arise from pretending to be ill.
I despise the version of myself during the depressive phase, but now I find myself wanting to revert to that state for the sake of obtaining a disability certificate.
I am in counseling, but I am mostly deceiving my therapist.
I cannot express these thoughts without anonymity, let alone be honest.
I understand that the best treatment for Munchausen syndrome is counseling, but I cannot trust the therapist (it's not a personal issue).
I also do not dare to confess to my family or doctors because I fear they will look down on me or mock me.
I am at a loss for what to do, and I am very afraid of engaging in more self-harming behaviors.
Could you please share any cases you have encountered or any personal thoughts or suggestions that I could consider? I apologize for the lengthy message, and I appreciate you taking the time to read it! Thank you!

Evonne, 20~29 year old female. Ask Date: 2021/03/14

Dr. Wang Yaoting reply Psychiatry

Hello: After reading your description, it seems that you have been living in a state of emotional conflict for the past few years.
You genuinely want to improve your condition, but your symptoms do not align with typical Munchausen syndrome, as you are aware that your symptoms are fabricated.
Moreover, these symptoms may actually be beneficial to you in the long run.
What is concerning is that you have suicidal thoughts.
I recommend seeking evaluation at a hospital with a psychiatric ward as soon as possible to assess whether there are indications for hospitalization.
I hope this provides you with some direction for treatment.

Reply Date: 2021/03/14

More Info

Understanding Munchausen Syndrome and Seeking Help for Mental Health Struggles
Munchausen Syndrome, now more commonly referred to as Factitious Disorder, is a complex mental health condition where individuals deliberately fabricate or exaggerate symptoms of illness to gain attention, sympathy, or reassurance from others. This behavior can stem from a deep-seated need for emotional support or a desire to fulfill a psychological need, often rooted in past trauma or neglect. It is important to recognize that individuals with this disorder are not consciously trying to deceive others for personal gain; rather, they are often struggling with significant emotional pain and may not fully understand their motivations.

In your case, it appears that your journey through severe depression has led you to adopt behaviors associated with Munchausen Syndrome as a means of coping with your emotional struggles. The desire for a lifelong safety net, such as a disability certificate, reflects a profound fear of abandonment and a need for security. It is not uncommon for individuals who have experienced mental health issues to seek validation through their symptoms, especially when they feel their struggles are not adequately acknowledged or understood by those around them.

The fact that you have been able to articulate these feelings and behaviors is a significant step towards healing. Acknowledging the complexity of your situation is crucial, and it’s commendable that you are seeking help, even if it feels challenging to be completely honest with your therapist. Here are some suggestions that may help you navigate this difficult period:
1. Building Trust with Your Therapist: It’s understandable to feel hesitant about being completely open with your therapist. However, building a trusting relationship is essential for effective treatment. Consider discussing your fears about being judged or misunderstood. A good therapist will create a safe space for you to express your thoughts without fear of ridicule.

2. Exploring Underlying Issues: Your behaviors may be a manifestation of deeper emotional struggles. Engaging in therapy that focuses on understanding the root causes of your feelings—such as past trauma, feelings of inadequacy, or fears of abandonment—can be beneficial. Cognitive Behavioral Therapy (CBT) or Dialectical Behavior Therapy (DBT) may be particularly helpful in addressing these issues.

3. Developing Coping Strategies: Instead of resorting to self-harm or fabricating symptoms, it’s important to develop healthier coping mechanisms. This could include mindfulness practices, journaling, or engaging in creative outlets that allow you to express your emotions constructively.

4. Support Groups: Sometimes, sharing your experiences with others who have faced similar struggles can provide comfort and validation. Consider seeking out support groups, either in-person or online, where you can connect with individuals who understand what you’re going through.

5. Open Communication with Loved Ones: While it may be daunting, consider finding a trusted friend or family member to confide in about your feelings. Having someone who understands your struggles can provide a sense of support and reduce feelings of isolation.

6. Emergency Support: If you ever feel overwhelmed by thoughts of self-harm or suicide, it’s crucial to seek immediate help. Contact a crisis hotline, reach out to a trusted friend, or visit an emergency room. Your safety is the top priority.

7. Gradual Honesty: If you find it difficult to be completely honest with your therapist, start small. Share one aspect of your experience that feels manageable. Gradually increasing your openness can help build your confidence in the therapeutic process.

In conclusion, while Munchausen Syndrome presents unique challenges, it is essential to approach your situation with compassion for yourself. Healing is a journey, and it’s okay to take it one step at a time. Remember that you are not alone in this struggle, and there are resources and support available to help you navigate your mental health challenges. Seeking help is a sign of strength, and with time and the right support, you can find a path toward healing and stability.

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