Factitious Disorder By Proxy: The Role of Child Mental Health Professionals

Abstract

Factitious Disorder By Proxy (FDBP) has been gaining increasing amounts of media attention and is being diagnosed more commonly. Here we propose a wider definition to include seven other, related clinical presentations. We then go on to review ‘classic’ FDBP and the role of mental health professionals. FDBP often has grave consequences both physically and psychologically, and may result in extensive misuse of health care resources. The literature concerning FDBP has largely been written by paediatricians, but this review pays particular attention to aspects of FDBP that concern child mental health professionals. The presentation, investigation, diagnosis, and management of FDBP are discussed with reference to the role of child mental health professionals, particularly psychiatrists. What little is known of the prognostic factors is reviewed and suggestions are made for further research.