These cases are illustrative compilations and are not based on specific individuals. Later she told the GP, among other things, that she had not breastfed her children because of the sexual connotations. About 1 week later, she presented again and disclosed a history of significant sexual abuse by a neighbour when she was young. ![]() On being asked whether she had experienced any physical or emotional stress that could have precipitated the problem, she said no. Accompanied by her two young children, she presented with a long history of headaches, which seemed to be classic tension headaches. He also always felt uncomfortable when his friend’s young children were around. He said that one result of this was that he never felt comfortable with the idea of having children in case he did the same to them. One day, after the GP had known him for a while, he disclosed a history of sexual abuse by his grandfather when he was a young boy. Rhys, a big and slightly intimidating man of about 50 years, attended clinic for management of hypertension. At the end of this consultation, she admitted that her back pain sometimes mirrored her emotional state. What unfolded was a childhood spent in an extremely dysfunctional family and years of sexual abuse from an older brother. The general practitioner (GP) had always felt they were playing ‘catch up’ with Roseanne, so decided to get her in for a long appointment at the end of a session. Emotionally, she was very fragile and often angry. ![]() Although the intent was to slowly wean her off opioids, her symptom complex seemed to progressively worsen. Her scans showed disc bulges at two levels in her lumbar spine. Rosanne, 40 years of age, had a history of chronic back pain, and attended clinic for prescriptions.
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