AbstractWe describe the case of a young woman presenting with deaf mutism and self-damaging behaviour. We emphasize the active investigation of psychological and physical symptoms, combined with gradual and gentle confrontation in a supportive setting.References1. Asher R . Münchausen's syndrome. Lancet 1951; 1:339–3412. Vanji A Denegri F . Factitious illness and syndromes à la Münchausen. Annals of the Royal College of Physicians & Surgeons of Canada 1983; 16: 3–363. Folks D Freeman A . Münchausen's syndrome and other factitious illnesses. Psychiatric Clinics of North America 1985; 3: 263–278