Dr. Cathy Ayoub

In four to 14, there's a 5% mortality rate. If you're born with a congenital heart condition, you have a 2% mortality rate now. It used to be seven in 1990, and now it's gone way down because we know how to treat these children.

When you think of children with chronic illnesses or even with acute, the most common illnesses that actually lead to serious injury or death in children, Munchausen by proxy is way up there. And it's primarily because of the children who are being suffocated. Although there were also several children in this study who died of chronic intestinal problems because they were just so debilitated.

When you think of children with chronic illnesses or even with acute, the most common illnesses that actually lead to serious injury or death in children, Munchausen by proxy is way up there. And it's primarily because of the children who are being suffocated. Although there were also several children in this study who died of chronic intestinal problems because they were just so debilitated.

When you think of children with chronic illnesses or even with acute, the most common illnesses that actually lead to serious injury or death in children, Munchausen by proxy is way up there. And it's primarily because of the children who are being suffocated. Although there were also several children in this study who died of chronic intestinal problems because they were just so debilitated.

And I've also seen, sadly, I've seen young adults, 21, 22 year olds, I get a call from their internist, what can you do? I think this mother's making this young woman sick or this young man. And at that point, there are no protections. Anyway, I haven't gotten off the topic there.

And I've also seen, sadly, I've seen young adults, 21, 22 year olds, I get a call from their internist, what can you do? I think this mother's making this young woman sick or this young man. And at that point, there are no protections. Anyway, I haven't gotten off the topic there.

And I've also seen, sadly, I've seen young adults, 21, 22 year olds, I get a call from their internist, what can you do? I think this mother's making this young woman sick or this young man. And at that point, there are no protections. Anyway, I haven't gotten off the topic there.

They had a variety of different kinds of problems, GI disorders, asthma. myocondrial disorders, seizures. I mean, I have a list. I could even read it off for you. I think we saw a little bit of everything. Poisoning. We did have some apnea or suffocation cases.

They had a variety of different kinds of problems, GI disorders, asthma. myocondrial disorders, seizures. I mean, I have a list. I could even read it off for you. I think we saw a little bit of everything. Poisoning. We did have some apnea or suffocation cases.

They had a variety of different kinds of problems, GI disorders, asthma. myocondrial disorders, seizures. I mean, I have a list. I could even read it off for you. I think we saw a little bit of everything. Poisoning. We did have some apnea or suffocation cases.

And we also had 10% of the cases were cases in which the illnesses that were being fabricated, exaggerated or induced were psychological or psychoeducational. So it was either they were seen in schools or they were being seen by mental health professionals. So we were able to identify that as a form of victimization as well.

And we also had 10% of the cases were cases in which the illnesses that were being fabricated, exaggerated or induced were psychological or psychoeducational. So it was either they were seen in schools or they were being seen by mental health professionals. So we were able to identify that as a form of victimization as well.

And we also had 10% of the cases were cases in which the illnesses that were being fabricated, exaggerated or induced were psychological or psychoeducational. So it was either they were seen in schools or they were being seen by mental health professionals. So we were able to identify that as a form of victimization as well.

We tried to craft a term back in 2002. And I think it was too complicated, but it was child abuse by illness falsification. And we really said illness or condition falsification so that it wasn't just physical abuse. But I think this is still a struggle. And unfortunately, the term medical child abuse is

We tried to craft a term back in 2002. And I think it was too complicated, but it was child abuse by illness falsification. And we really said illness or condition falsification so that it wasn't just physical abuse. But I think this is still a struggle. And unfortunately, the term medical child abuse is

We tried to craft a term back in 2002. And I think it was too complicated, but it was child abuse by illness falsification. And we really said illness or condition falsification so that it wasn't just physical abuse. But I think this is still a struggle. And unfortunately, the term medical child abuse is

is a great one for pediatricians, but it doesn't differentiate the dyadic nature of Munchausen by proxy, which there's a diagnosis for the parent, there's a diagnosis for the child and you put them together and that's Munchausen by proxy. And unfortunately in our healthcare system, you can't have a dyadic diagnosis.

is a great one for pediatricians, but it doesn't differentiate the dyadic nature of Munchausen by proxy, which there's a diagnosis for the parent, there's a diagnosis for the child and you put them together and that's Munchausen by proxy. And unfortunately in our healthcare system, you can't have a dyadic diagnosis.

is a great one for pediatricians, but it doesn't differentiate the dyadic nature of Munchausen by proxy, which there's a diagnosis for the parent, there's a diagnosis for the child and you put them together and that's Munchausen by proxy. And unfortunately in our healthcare system, you can't have a dyadic diagnosis.

Anyway, lots of Ds here. We also talk about Munchausen by proxy as being one of a number of disorders of deception. And getting back to these three groups of women and some other things you can think about, disorders of deception as a more global term are people who fabricate or exaggerate or change their reality. Or some of them are what we commonly know as pathological liars.