Most physicians were trained to believe Munchausen by proxy is vanishingly rare. Andrea Dunlop has spent years talking to the clinicians, survivors, and researchers who know otherwise. In this conversation with Dr. Aditi Nerurkar, she makes the case that the condition is far more common than the medical community recognizes, and that the structural reasons physicians miss it are themselves a form of institutional blind spot.

Dunlop, creator of the award-winning podcast "Nobody Should Believe Me" and founder of the nation's only nonprofit dedicated to survivors of this abuse, walks through how the pattern actually appears in a chart, why clinicians are uniquely vulnerable to manipulation by perpetrators, and why a child aging out of pediatric care does not mean they are out of danger. The conversation keeps returning to a single orienting principle: the child is the patient, not the parent. When that distinction gets blurred, the consequences can be fatal.

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