Munchausen by Proxy, Manipulation & Criminal Investigations – Ep 33

In Episode 33 of Cases & Cocktails, Bryan and Janice Eggleston are joined by Mike Weber, retired Arlington Police Department officer and co-author of The Mother Next Door: Medicine, Deception, and Munchausen by Proxy. This eye-opening conversation takes listeners deep into the disturbing world of fabricated child illnesses, a criminal form of abuse that is often misunderstood, even by professionals tasked with protecting children.

To accompany the intense topic, this week’s cocktail is a Lime Green Tea Highball, made with gin, green tea, and lime. While guest Mike Weber sips coffee, Bryan and Janice raise their glasses to a conversation that is both unsettling and critically important.

What Is Munchausen by Proxy?

Mike Weber, one of the country’s leading investigators of this abuse, breaks it down: Munchausen by Proxy (now clinically termed “factitious disorder imposed on another”) involves a caregiver—most often the mother—who intentionally exaggerates, fabricates, or induces illness in a child to gain attention or control.

From feeding children unnecessary medications to faking coma reports and forcing invasive surgeries, these cases are rarely about confusion or concern. As Weber explains: “They know what they’re doing is wrong. That’s why they lie and cover their tracks.”

Criminal Cases, System Failures & the Role of Law Enforcement

After retiring from Arlington PD, Weber began working in a district attorney’s office, where he handled over a dozen Munchausen cases between 2009 and 2015. Despite clear evidence and expert collaboration, many cases fell through the cracks due to jurisdictional confusion or prosecutorial reluctance.

From 2019 through early 2025, Weber investigated 13 additional cases as part of a Texas sheriff’s office. What he discovered is alarming: this form of abuse happens far more often than people think—and it’s often ignored by child welfare systems ill-equipped to recognize or act on it.

Key takeaways from Weber’s investigative experience:

✔ These offenders often present extremely well and are skilled manipulators
 ✔ Most CPS departments lack training, protocol, or proper classifications for this abuse
 ✔ Social media and search history often reveal the most damning evidence
 ✔ Offenders rarely, if ever, stop on their own—they escalate
 ✔ Family courts often unknowingly return children to dangerous homes due to lack of understanding

A Legal System Not Built for This

One of the most powerful moments in the episode is Weber’s discussion of how family courts handle (or mishandle) these cases. Because hearings are often short and the system favors quick resolutions, judges frequently dismiss these cases or return children without fully understanding the severity.

Weber recalls a tragic case where a mother caught on video abusing her child received just six months in jail—and was later awarded custody of three children, including one who would later die under her care.

He urges attorneys, judges, and investigators to treat these cases with the gravity they deserve, reminding listeners: “These offenders don’t stop. It’s a compulsion—just like a sex offender.”

What Families and Professionals Can Do

For parents who suspect this form of abuse, Weber recommends reporting to both CPS and law enforcement. “Report, report, report—and document everything,” he advises. While the system may not respond quickly, building a paper trail is critical.

Weber offers professional trainings and encourages family law professionals to listen to Season 6 of the podcast Nobody Should Believe Me, which documents one of the most devastating Munchausen cases he investigated.