“Munchausen by Proxy may be the single most complex and lethal form of maltreatment known today.”

-Julie Gregory, Sickened: The True Story of a Lost Childhood 

Light the charcoal. Sprinkle the sage. Negative energy go away. Today, I want to talk to you about a serious mental health disorder known as Munchausen Syndrome. I know that this is a topic that a lot of people like to sweep under the rug because it just seems too grotesque and unimaginable to talk about. However, the fact is that the disorder remains alive and well in some individuals. And the signs and symptoms are hidden in plain sight.

Munchausen and Munchausen by Proxy fit under the diagnostic criteria for Factitious Disorder. A Factitious disorder is a conscious and intentional feigning or production of symptoms due to a psychological need to take on the sick role in order to obtain an emotional gain. This is not to be mistaken with Hypochondriasis. Which is an obsession with fears that one has a serious, undiagnosed disease. The symptoms are not created consciously (nih.gov, 2006).

Munchausen Syndrome is still considered to  be the most extreme form of factitious disorder. They intentionally deceive others by pretending to be sick. They fake symptoms or make symptoms seem worse than they actually are. And speaking to them you would think that they are an endless pit of medical knowledge. What they do is produce some medical or psychological problems and study everything they can find on it until they’re comfortably able to construct an ongoing story.

Munchausen by Proxy is where the behavior is imposed onto another person. The biggest factor in keeping their narratives alive is manipulation. And they are exceptionally good at it. My exposure to Munchausen by Proxy has left me with a lot of shame, guilt, regret and suicidal ideations. I have tried to extend myself “grace” about this situation knowing that had I understood the harsh reality sooner, I could’ve done something about it.

When we moved to Albuquerque, NM we found us a lesbian group that became our home for a short while. Mel and I had dreams and aspirations of being parents one day which eventually distanced us from them. But not before we met Lisa, Landri and Kathleen. “Two moms and a child? We’ve totally got to meet them!” I told Mel. It didn’t take us long to realize that we had more in common with this family than realized. Lisa, who was clearly a “top” and the strong family leader, told us that they were from Laurel, MS. Very surprise I said, “Wait What?! You mean to tell us that we just met people from Laurel, MS  that are a lesbian family?” She confirmed again. I thought, “Holy Crap, this is what we’ve been needing. Someone from the south that understands our frustrations.” Our relationship was soon off to the races.

Their daughter was a truly compassionate being who appeared reserved but loved our son, Marshall. And Marshall loved them all. And Kathleen definitely danced to the beat of her own drum. The connection was so close that it appeared that this was a friendship that would last a lifetime. Lisa told us that she was a retired military colonel. She was always dressed in some type of military get-up. And she had also been an EMT and worked on an ambulance. I was happy that I now had someone to exchange “trauma junkie” stories with. She seemed to deal with it better than I was doing and was interested in how she did it. Her partner, Landri, was very frail looking but spicy in her own sense. She quit working due to her chronic health issues regarding cardiac problems. They told us that their daughter, Kathleen, had been diagnosed as a child with a terminal heart condition. And that she likely would not make it to adulthood. They warned that there were very frequent hospital visits sometimes close to being fatal. But we loved all of them and they loved us.

 We were prepared to love and accept them right where they presented themselves. We never knew that we needed to have someone prove their medical conditions or a traumatic past. We were on the “therapy” side of life which fit comfortably with our level of empathy. And for the first time while living in Albuquerque there were people who understood what it was like to grow up and come out in the south.

Since we lived on a guarded military base, when she would come through the gate dressed in some type of military attire she accepted the salutes as a proud retired colonel. We planned to celebrate the next Thanksgiving together in grand southern style. Mel and I spent several hours in the kitchen cooking our favorite southern dishes. The finished product was a full spread that would make our ancestors smile. But right before they came over Lisa called to ask us if we could make Kathleen some macaroni and cheese because she didn’t eat regular Thanksgiving foods. We both thought that was strange. But we didn’t question anything due to possible nutritional needs. 

When they arrived, Kathleen came running into our house. She grabbed the freezer door and swung it open while asking, “What have you got to eat?” I looked at Mel like, “Are you watching this?” Shocked and completely bewildered I very clearly remember thinking, “For someone who was raised in the south, that behavior was considered very disrespectful.” We gave the cooked macaroni to her after she also went to the pantry looking for something to eat. Her behavior was startling. She grabbed the macaroni and went and ate like she hadn’t eaten before. Mel and I spoke about it later and we felt half angry and half in utter disbelief. But I also noticed that Lisa was trying to ignore the “elephant in the room.” Almost as though the behavior was unexpected. That evening went on without any other noticeable issues.

Being a preemie, Mashall had  different nutritional needs than a normal baby. He drank pediasure to supplement his much-needed calories. Lisa stated that Landi was supposed to be on supplemental drinks like that for adults, but they couldn’t afford it. We gave them a few drinks which they greatly appreciated. But soon they wanted the majority of what we were receiving for Marshall through the CHIPS program. So, we had to put a stop to that. Again, the whole situation wasn’t sitting right with us. However, there were no alarm bells just a “that’s odd” moment.

Kathleen was  admitted many times to the hospital for injuries that were sustained by passing out. She would literally break bones when she fell. Lisa always explained that it was due to her congenital heart problem. And honestly, we have been close friends for a while now while these medical issues continued. We were also told that they were in a support group for kids and families with the same diagnosis. And they would tell us when Kathleen’s friends from the group passed away. 

She was given all kinds of recognition and special treatment because different organizations were aware that she would not be living the fullest life that everyone else would. We were even invited to go to the state fair free as guests of Kathleen’s. We also attended a rodeo there complete with a special meet and greet with members of a band that was to be singing that night. She always traveled by wheelchair or golf cart because of how weak she could become.

Lisa came to us one day to tell us that Kathleen was self-harming. And they knew that we had some basic knowledge about what causes the behavior. I asked Lisa,” Is she being abused by anyone that you know of?” Lisa of course answered, “No.” But she did tell us that she had suffered a breakup and that because she was getting older, she also began to fear dying. And she would also tell us that prior to moving to New Mexico that Kathleen’s biological father passed away from terminal cancer. We agreed that due to the extreme situation that was occurring in their family that this behavior was possible. We advised her to seek out a therapist before it got out of control and caused severe scarring or possibly escalating to suicide. No matter what we tried to do to help our friends, we always felt helpless.

Landri still seemed to become progressively worse. And soon we were told that Landri would also have heart failure. I remember Mel and I were thinking how horrible it was for a family to go through all of that at one time. And how helpless we felt, not being able to do anything. What we did know was how to be friends with someone and support them emotionally the best that we could.

They supposedly decided as a family to go to California to get married legally. At the time New Mexico was considered a neutral state regarding marriage equality. That meant that you could not legally have a same sex marriage performed in the state. However, they would honor marriages from other states. Lisa told us that, “Kathleen wanted that wish to come true.” I thought, “well maybe that’s what they all needed.” However, there was a very dark and sinister part of that family that would not become known for several more months. It began in the shadows so it won’t survive in the light. This story has one more part. Keep reading!

“Munchausen By Proxy is a desire to have attention and pity at the same time. So maybe all narcissists have Munchausen By Proxy.”

-Unknown

Affirmation: “I am resilient, and I can overcome challenges.”

***Don’t forget to watch the video!***

#Thispuzzledlife