Another week at home starting

Mum had a fall

An overcast morning

Not feeling good

In a lot of pain

A wet afternoon

Still in pain

Mum’s in a state about her phone bill

Good Friday

Wet day

Tim working outside

Pavers laid for my scooter.

Shaking a lot

Went to post letter

May flowers of love

Around thee be ‘twined,

And the sunshine pf peace

Shed its joy o’er thy mind

MUM AND HER BABY BROTHER

Still home, still wet

Tim off to the doctors

Thompson’s pies arrived at 6.15am

Tim has a split shift

A new month

Dawson’s birthday

Leo here

Leo super excited to see Papa

Friday and not going out

Leo doing school work

Tim off today

A warm day

A cold start to the day

Groceries came at 5.15pm

Risk factors and precipitating events

Based upon limited and inconsistent data, potential risk factors or precipitating events for FMD include previous injury, infection, surgery, higher rates of childhood trauma, a history of sexual abuse, and major stressful life events. In an uncontrolled retrospective study of 50 patients with FMD, a physical event occurring within three months of the onset of the FMD was reported by 80 percent.

The physical events involved an injury in 11, infection in 9, a neurological disorder (ie, severe migraine, brachial neuritis, Bell’s palsy, carpal tunnel syndrome, restless legs syndrome, and pituitary hemorrhage) in 8, pain in 4, a drug reaction in 3, surgery in 3, and vasovagal syncope in 2 subjects. Symptoms fulfilling diagnostic criteria for panic attack during the physical event were present in 36 percent. These findings suggest that FMDs are commonly triggered by physical events, sometimes in association with symptoms of panic.

The nature and timing of stressful life events may influence their role as risk factors for FMD in adulthood. In a case control study that included 322 adults with FMD and over 600 controls with other psychiatric diagnoses, childhood physical or sexual abuse was reported with similar frequency between groups, but childhood bullying and drug use before age 18 years were more common among those with FMD.

In adulthood, patients with FMD were more likely to have workplace, school, or university problems compared with psychiatric controls (23 versus 7 percent), more likely to have sexual relationship problems (32 versus 23 percent), and more likely to be involved in legal disputes (7 versus 1 percent). Thus, adult relational and occupational disruption appears to be an important risk factor for FMD.

The flowers appear on the earth; the

time of the singing of birds is come

The Song of Solomon

❌🦠 IMPORTANT ANNOUNCEMENT! ❌🦠

NSW IS OFFICIALLY Stage 3 *LOCKDOWN*, as of 12am on 31 March 2020 until 29 June 2020 (90 days) unless the order is revoked earlier.

This means it is ILLEGAL to leave your home without a *reasonable excuse*, unless you:

No aqua pool is closed

Leo saw Dr about his ear

Jess has no work

Leo at school

Blain is home

Sydney-May & Summer at schoolc

Leo at school

I am worried about Tim

Leo has finished school for the term

Had a bad day

A cold wet day

Leo here all day

Tim did shopping

Mum is sick.

Tim is off work

Tim’s foot still sore

Underlying psychiatric disorders

—Conversion disorder is probably the most common psychiatric diagnosis among patients with a FMD. Coexisting personality disorders may predispose to FMD. Other psychiatric disorders and diagnoses among patients with FMD may include factitious disorder, anxiety disorders, and depression [43]. Malingering, though not a psychiatric disorder, is probably an uncommon cause of FMD. An awareness of these conditions is important for the clinician caring for a patient with suspected FMD.

●Conversion disorder (functional neurologic symptom disorder) is characterized by neurologic symptoms (eg, weakness, abnormal movements, or nonepileptic seizures) that are inconsistent with a neurologic disease, but nevertheless cause distress and/or psychosocial impairment (table 1). While a psychological factor is often associated with conversion disorder, it is not necessary; a psychological factor is not always readily apparent in patients with nonphysiologic neurologic symptoms. There is no age restriction for onset.

●The commonly used terms “somatization,” “multiple somatizations,” or “somatoform disorders” are used to describe a syndrome of physical symptoms that cannot be explained by a known medical disease and are associated with substantial psychosocial impairment. However, the term “somatization” is not used in the Diagnostic and Statistical Manual, Fifth Edition (DSM-5) [43]. For patients with prominent somatic symptoms that cause distress and impair psychosocial functioning, DSM-5 has replaced the category of somatoform disorders with a category called somatic symptom and related disorders. The different terms and diagnoses used to describe somatization can be confusing (table 2), a problem discussed in detail separately.

●While factitious disorder and malingering are both intentionally feigned or deliberately induced, they are distinguished by motivation.

•Factitious disorder (also known as Munchausen syndrome) refers to intentionally feigned or deliberately induced physical or psychological symptoms in order to assume the sick role in the absence of external rewards. That is, the motivation for factitious disorders is attention for illness.