@jamesmerrellofficial1: Replying to @sophie POTS, fainting, BPD & PIP, it’s about the FUNCTION, not just the diagnosis. 👇 One of the biggest mistakes with PIP is looking at each medical condition separately. Symptoms can overlap, and several conditions may combine to create the same functional difficulty. For example, someone may experience dizziness, fatigue, brain fog, anxiety, dissociation, poor concentration, palpitations or episodes of fainting. The important question for PIP is: what does all of this mean when you actually try to complete a PIP activity? With POTS or recurrent fainting, the assessment shouldn’t simply stop at “Do you get a warning before you faint?” An aura or warning sign can absolutely be relevant , but so is how much warning you get and what you can realistically do with it. If you only have seconds to react, consider the consequences. Can you safely stop cooking and move away from a hot hob? Can you get yourself somewhere safe? Could you fall while washing or getting out of the bath? Could an episode occur while walking outdoors? Have you suffered falls, burns or other injuries? Do you require someone nearby because of the risk? And don’t forget pre-syncope. You don’t necessarily have to completely lose consciousness for symptoms such as severe dizziness, visual disturbance, weakness or feeling close to fainting to affect function. Evidence should therefore link the symptom → the activity → the help/risk → the real-world consequence. PIP isn’t simply about proving that you have POTS, simple fainting syndrome or BPD. It’s about demonstrating how your combined symptoms affect the relevant daily-living and mobility activities, including whether you can complete them safely. #pip #PIPAssessment #pots #fainting #bpd

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Tuesday 11 August 2026 14:17:25 GMT