Short Takes

Had a lay in this morning

Had a melt down

Going to post office

Great to get out of the house

Pie order came

A bad day for me

Shopping done

Mum rang late

Slept in

Leo here

Cool morning

Saw Jessica

Leo sleeping late

Mum stressed over Dawson

This Week’s Short Takes

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

Short Takes

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

More on FMD

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.