This article discusses the Munchausen syndrome by proxy (MSBP), also known as "factitious disorder by proxy" (FDBP) and fabricated and/or induced illness, which is a mental illness in which a person lies about the physical or mental well-being of a person he/she is responsible for. Most often the dynamic transpires between a mother and her child. The motivation behind MSBP is that the adult seeks the attention typically given to those who are sick, and attempts to get the attention by causing or lying about illness in his/her child. MSBP is a type of child abuse often called pediatric condition falsification and can result in long-term physical and psychological effects or even death. MSBP is an issue that interrupts and permanently alters the lives of children. Even though this is a disorder that is diagnosed in adults, it severely affects the psychological and physical functioning of children. Thus, it is helpful for school psychologists to be aware of the warning signs and potential impact of this disorder on children.