"They sort of go from place to place and even hospital to hospital. But diagnosing someone with Munchausen by proxy is challenging since patients tend to doctor shop. This disorder is still mysterious to clinicians, in part because of its rarity. But it doesn’t reach the level of a severe case where the parent is inducing illness or making the proxy change their behavior or change the way that they dress or look." "That’s still disruptive to the life of the child. On the less extreme end, parents may worry excessively about their child's health and drag them from doctor to doctor for unnecessary tests. "There's a spectrum of illness," Ackerman says. However, not every case of Munchausen syndrome by proxy is as extreme as seen in The Act, says Ackerman. In Gypsy's case, Dee Dee garnered a free trip to Disneyland, services, and even her house from various charities. Of course, there are people who may be doing it to get money or attention, she says. Some parents may think the only way to get medical care is by concocting severe sometimes in their child. The behavior has horrifying effects on people in Gypsy's position, but Ackerman says it's not always done maliciously.
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