ETIOLOGY

FMDs require attention to generate the movements, given that distraction leads to decreased movement of the affected body part, while observation or examination leads to increased movement of the affected body part . However, affected individuals lack a sense that the abnormal movements are under voluntary control. While the mechanisms that cause or contribute to FMDs are an area of uncertainty and controversy , an evolving hypothesis is that FMDs result from a combination of predisposing factors including:

●Abnormal self-directed attention

●Abnormal beliefs and expectations

●Abnormal sense of agency (ie, a subjective sense of control) for self-generated movements

●Alexithymia (impaired emotional processing with difficulty identifying and verbalizing internal emotional states)

These processes may lead to an FMD when abnormal predictions regarding movement are triggered by abnormal self-directed attention, leading to movement produced without a subjective, normal sense of voluntary control. In patients with alexithymia, emotional or autonomic symptoms that occur with a triggering event may be misinterpreted as being caused by a physical illness. FMDs represent the complex interaction of psychological and physical expression.

Subtle structural and functional differences between individuals with FMD and controls have been demonstrated using advanced imaging techniques. For example, a voxel-based morphometry analysis showed increased gray matter volume in left amygdala, left striatum, left cerebellum, left fusiform gyrus, and bilateral thalamus among patients with FMD and decreased volume of left sensorimotor cortex. Similar work demonstrated impaired self-agency using functional magnetic resonance imaging (MRI).

In Australia door- to- door salespeople must give you a 10 day “cooling off” period to cancel the contract if you vhange your mind.

If you do not want salespeople visiting your  house you can display a Do Not Knock sticker next to the door or on the front gatepost of your  house. Salespeople can be fined if they refuse to leave you home if you aske them to, or if they ifnore the Do Not Knock sticker.

To f ind out how you can get a sticker or to make a complaint go to.

www.donotknock.org.au

No alarm this morning so it was around 7ish when I got up and dressed. After a slice off banana bread I threw in a load of laundry and vacuumed out.

Watched Leo while Jess went to get Blain and after they got back Jess hung around to 2.30pm.

It has been another hot day, needed the air con on.

Up and dressed at 6.15 as per usual, a cool start to the day.

Jess rang at 8.47am to let me know she would be late as there had been an accident, she was not in an accident, someone else was.

Jess arrived at 9.30 and we went to Kmart and I was able to get 4 new tops 3 for home and a nice black on for going out.

It is another stinking hot day, temp around 37 degrees.

Will finish Mutiny on the Bounty tonight.

Up and dressed at 6.15 when the alarm went off. A much cooler day.

Tasha had to get me some more chocolate milk as Tim drank it all also asked her to get normal milk.

I downloaded another book to listen to as I finished Mutiny on the Bounty last night.

Some rain today.

Up and dressed at 6.15, it is raining and very cool.

I felt so tired at 9.30 that I had to go back to bed for 2hrs.

Stopped raining around 10ish but still cool.

Mum told me Michelle asked if her and Landon could stay with her & Dawson and both Dawson and Dave told her no.

Michelle also asked if she could leave her dogs at mum’s and she said no.

She also said that the DoH rang and said they had a place for her at Edgeworth of course mum said nope not interested but for the lady rang and spoke to Sandy at mum’s request and they said that they had another place at Windale which mum and Sandy checked out but mum still said no not interested. Mum said the bathroom wasn’t big enough.

I got dressed in the bath room this morning I then had a fright, I couldn’t find Leo looked everywhere only to realise he isn’t here because he spent last night at his house. I felt like a dill.

A wet day had to get Tasha to take Leo to meet Brian (his driver). She will have to get him this afternoon if it is raining.

Brian drove Leo down, he didn’t see Tasha standing under a carport out of the rain. So she said what was the point of being there in pissing rain.

Awake and up before my alarm this morning, as Leo came in at 5.30 because he had a bad dream about one of his bunnies “Oppie”

This morning I had to ring Leo’s driver as it was 8.30am and he hadn’t turned up when I spoke to him he said he thought I had rang and said Leo was sick and not going. He had already dropped kids off at the school. He did come back to get Leo and apologised saying it is the first time in 6yrs he has forgot a student.

I was annoyed but what’s the point didn’t change anything.

Mum rang to let me know that Dad’s headstone is now in place.

Wasn’t able to get toilet paper anywhere. Dave said if some comes in he will put some aside for us. I hope he can get some.

Dave was able to get me & Jess some toilet paper, I am relieved.

Jess helping me get ready for bed tonight.

I woke at 7.45am at 7.46 I received a text to tell me my grocery delivery would be arriving next. I went to the loo and then into get dressed and could see the delivery truck pull up. I said so and Tim jumped up saying what all ready. He wanted a sleep in but he didn’t go back to bed.

I was short 3 items so will have to get Tasha to get them for me today or tomorrow.

Jess & Leo have gone to the show they took Katja with them. Tasha also went with some friends. Mum said Dawson went as well.

I had to ring mum at 4pm she forgot about me, that is a good thing as it means she was preoccupied and not feeling lonely.

Tim bought a security camera for inside the house, I don’t know why. He has set it up in the lounge-room.

I haven’t posted since Tuesday for different reasons such as my body being in pain and my concentration being bloody awful and then there is the internet dropping out.

I hope things go better this week

Awake at 7am, but didn’t get up till 7.30am when Tim got up for work, got dressed and opened the house up. I also put the clean clothes away I also put the clean clothes away

I then tidy the lounge-room and kitchen before putting the dishwasher on and throwing a load in to the washing machine. I then vacuumed out.

After blogging for a bit I hung the washing up to dry then mum rang and we talked for an hour which is normal.

I was up when the rooster crowed, not a real one but the sound of one on my phone waking me up.

Had a quick shower and got ready for aqua, Tasha doesn’t like me going she worries it is too much for me.

Tim is on afternoons this week.

Walking down the drive for some unknown reason Leo’s thumb started hurting.

Laminated a bunch of birth certificates and filled away.

His thumb hurt for about half a hour till he got distracted.

Up with the alarm, opened the house up then went and got dressed for the day.

Leo arrived around 7am he was in a good mood, however, he has misplaced his ipad charger.’

Had the injection in my knee, hope it works well, only time will tell.

Leo had a bad day at school, saying he isn’t sure if he wants to go back tomorrow. Jess rang and spoke to Leo. He ended up hanging up on her. She will email the school.

Tasha has written about it in his communication book.

I hope he is better tomorrow

It has turned out hot,

I am so fed up with my right arm aching,

Up and dressed as usual with the roosters crow found myself drenched in sweat as I got dressed. So the air con went on early.

Woke at 3am for the loo but when I went back to bed I could not sleep, I laid there till 4.30am which was the last time before I dropped off. I also a a very bad headache.

Tim put scooter on to charge so I had to ask Tasha to get Leo this afternoon.

Started pissing down at 3pm, so I am glad Tasha is getting Leo.

Had to go and lay down with a Kool & Soothe on my forehead, after Tim left for work. I laid down for 2hrs

Mum told me that Ed was bitten four times by a snake, mum said it was a red belly brown snake which I have never heard of, he is home and ok. Sandy had to ring the ambos and he was taken to the hospital.

Up and dressed at 6.15, I was still opening the house when Jess & Leo arrived at 6.30.

A much cooler start to the day, hope it stays cool

Did 2 loads of laundry and vacuumed out twice and looks like it needs it again.

This afternoons after I was laying down listening to my book Tasha & Leo got into a spat. All she wanted was for Leo to open his door and speak to her, he didn’t want to and this cause a conflict and when he did open it he had his hoody on hiding his face and couldn’t understand when he had to show his face.

I really enjoy listening to a book before I go to sleep.

Up with my alarm and got dressed in the lounge-room so not to disturb Tim.

Had a good morning shopping with Jessica and I didn’t run into anything or over anyone.

It has been a warm day with a nice breeze through the house.

Mum was telling me that Ed was told by his dad that he has another brother named Mick who he wants Ed to meet, which he is suppose to do this weekend.

Told Jessica that I would be ok tonight and she didn’t need to stay so she got me changed and left at 4.45pm.

Up at 9.30am, I didn’t settled down till 8.30pm last night but slept well although my left shoulder is sore this morning got Tasha to rub ice gel into it.

Bought a couple of pizza’s for lunch. I paid for them.

Been very tired this afternoon, fell asleep while I was talking to mum. So an early night for me.

Up and dressed by 6.45, Tim up at the same time and off to work..

Kathy & Michael came and borrowed the trailer, and Kathy brought it back on her own.

Jess picked Leo up at midday she was in a mood as Tasha wasn’t able to pick her up at Lakelands. Kathy was here getting the trailer so I asked her if she would do it and she snapped that she had too much to do.

Tasha helped me with the washing..

Been another warm day

Up and dressed for aqua, when I went up to wait for Brian it started raining thankfully it was only light until I got back inside.

By the time it was time to leave for aqua it was pissing down rain and I was sneezing and coughing, so didn’t go.

Been raining a lot, spoke to Tasha about her getting Leo this afternoon and she said not to stress she will deal with him

Leo was dropped at the door as no one was there to meet him.

Up and dressed before the alarm again, took Leo to meet his driver. I then had to go to the Dr’s got scripts and form for blood tests, also form for injection into my knee.

Been a hot day had to have the air con on, I went up and waited for Leo this afternoon.

Leo here tonight,

Up and dressed as soon as my alarm went off, found Leo asleep on the loungeroom floor. I tried to remain quiet till he woke up which he did at 7.15am.

Another hot day.

Leo was late arriving this afternoon it was 3.55 when he arrived. Jess arrived at 4.30 got Leo and left.

Up and dressed before the alarm again this morning. Printed up 2 name and address info and laminated them, I gave 1 to Leo’s driver.

Running late getting to up the to of the driveway.

Had to reschedule appointment for knee injection as Tasha couldn’t take me.

I now go on Tuesday at 1pm.

Had a hypo attack this afternoon.

Up at 6.15 got my bra and shorts on before doing anything else.

Summer’s seventh birthday.

I had a horrible morning at Charlie, I ran over Jess’s feet while on the scooter. Her feet are sore and one is bruised. I feel so bad but there is bugger all I can do.

Jess finished early and was able to meet Leo when he is dropped off. She hung around and helped me get ready for bed.

Up at 7.45 and dressed, Tim took me to have blood tests done.

Wrapped Summer’s birthday gift

Summer seemed to like her present.

I turned the air con on around midday had it on till 4.30pm

Every gift of bears,

the signature of love

BY: Janet L Weaver

Up at 7am, woke to rain beautiful rain, heavy rain as well just like yesterday. Had a text from Jess saying that Leo is really sick it came through at 3.22am I replied this morning saying if he is no better to ring Dr to your door.

Received a text from Jess at 11.08 letting me that Leo is still coughing but says he feels better.

She took him to a Dr and he has a chest infection and will have tomorrow of school. She rang his driver and let him know.

Up and dressed by 6.30, Leo here for the day the antibiotics are working and he feels much better, he is still coughing a bit.

Stopped raining around 10ish and got really warm.

Had to turn the air con at 3pm as I am dripping sweat. Only had it on for 30 minutes

Leo asked to stay the night and of course we said he could.

Had a quick shower before bed

Up and dressed before my alarm went off a cool start to the day.

I went with Leo to meet his driver

Has warmed up nicely not hot enough for air con. Blain came home from school said he was throwing up.

Just as I was leaving to go up and get Leo the car with him in it turned up.

Leo here again tonight, at 5pm Tasha rang Jess to see why she hadn’t picked up Leo as I didn’t know he was staying the night.

Up and dressed before the alarm again, dry and warm.

Jess and Tasha came down and Jess took the scooter for a spin out the front.

Sandy asked me to order a photo of dad which I did straight away.

Mum rang early, to tell me what’s going on with Michelle & Landon.

I left at 3.20 to wait for Leo so I wouldn’t be late again, I would rather wait for 10 minutes then be late,

I have taken to listening to an audio book of an evening before going to sleep now I am up to chapter 5 of Mutiny on the Bounty.

Up and dressed as soon as the alarm went off Leo was dropped of at 7am.

I took Leo up to meet his driver and just after I got back it started to rain but only rained for a short while.

A very warm day.

I took my audio book to listen to it while waiting for Leo.

Tasha’s birthday she is 33 now, I sent her a text this morning wishing her Happy Birthday.

When I took Leo up to meet Brian I also took my bags and left them at Tasha’s.

Tasha & I picked up Mum & Dawson and drove them to Charlie.

Blain had the day off school as it is the swimming carnival.

Jessica got me ready for bed before her and Leo left.

Had a sleep in got up at 8am, felt good to have a sleep in.

Jess dropped Leo off at 9.15am and Tim drove her to pick up the van she has to use today.

Another warm day.

I managed to wet myself because I was too slow getting to the toilet.

Kathy came over and helped Tim change the sheets and vacuumed she also got the clothes of the line for me, she wasn’t in the best of moods.

Leo here tonight.

Some people come

into our lives and

quickly leave, while

some stay awhile

leaving footprints

on our hearts, and

we are never the

same again.

Yet another stinking hot day, turned the air con on at 7.30am as soon as I got up.

Tim is replacing the air con in the kitchen, Jason Brown came and helped him took around 3hrs to do it.

He also finished the ramp for the front door.

Been extremely hot again around 41 degrees today.

Mum rang me around 10 and she was near tears, Michelle was being Michelle nagging and demanding. She wants to buy Dawson a TV and have him give the one he has which Mum bought him for Christmas to his Dad so she can have the old set which he gave to his Dad to have in his shed. She thinks because gave Dawson the old set 4yr ago that it’s hers so she should get it. When you give a gift it is no longer yours.

Tasha looks really drained today.

Up at 6.15 am, coolish enough to have the doors open.

Leo & Jess arrived around 6.40.

Leo is making a mess with the Styrofoam packing from the new air con.

I went to aqua and enjoyed it came home and had a shower.

Around 1pm the scooter arrived so I rang and told Tim, he is happy.

Leo walked in at 2.45pm didn’t realised it was his early day

Tim has assembled the scooter when he got home from work.

I love it……………………………..

Up at 6.15 and dressed by 6.25 when Jess & Leo arrived. Vacuumed the lounge room before doing anything else.

I rode the scooter when Leo went to meet his driver, I had no trouble getting in and out of the house.

Leo forgot to take his medication this morning, so I rang the school this morning.

I rode the scooter up to meet Leo this afternoon.

Up at 6.15 opened the house and got dressed, Jess & Leo arrived at 6.50 she was running late.

I took Leo to meet his “taxi” it is a good feeling to be able to do this.

Been a coolish day so no air con needed.

I have been unwell this afternoon low BGL Leo made me a ham & cheese toastie and I started to feel better.

Tasha had to meet the taxi as I was not good

Awake at 6am so I got up and dressed before alarm went off. Still cool this morning, I have opened the house up.

Leo’s school photos being taken today I had to find cash and put it in the envelope for him.

Tim home at 10 for a few hours.’

Mum rang late and she was annoyed that I had Blain & Leo around trying to talk to me.

Had a restless night, got up when the alarm went off and had a shower before getting ready.

Leo sounds terrible, he also had a bad night.

It is raining this morning and very humid.

Tasha walked Leo up and spoke to his driver and asked him if it is raining this afternoon would he be able to drive Leo down the driveway as I would have trouble getting up the driveway.

It has been raining all day so I was glad that I didn’t have to go and get him.

Tasha rang at 5.30 to say she wasn’t able to help me get ready for bed, as she was just leaving Kurri Kurri and to ring Jess. I am not ringing Jess, I will cope on my own.

Awake and up at 6.30 after a bad nights sleep I woke feeling sick mostly it’s a headache. I am suppose to be going to Dave’s for Mum’s birthday, but if I continue to feel like this I may not go.

Just had some banana bread and feel like I am going to throw up and the headache is getting worse.

Went back to bed for 1.5hrs after I got up I got dressed to go to Dave’s but Kathy & Tim thought I didn’t look well enough to go and talked me out of going.

It has been wet on & off all day.

I am up going back to bed as I am still not good.