Kathie, yes, I looked into other diseases (rather obsessively, as I'm prone to do), but nothing remotely fits. Also, I noticed that the collapsing spells always came when my typical myasthenic symptoms were worse. If the collapsing is a psychogenic response to the myastheic symptoms--and I'm not saying I'm sure it is--this makes sense.

Before I got this idea (from a really smart friend), I thought that any psychogenic element would indicate that the whole shebang is psychogenic--and it is very hard for me to believe that. But it makes sense to me that such a devastating disease could trigger psychogenic reactions in addition to its own symptoms. It took a year an a half for me to get a diagnosis. For that whole time, I was very anxious, and every noticeable symptom was a reminder that I had some mysterious disease, and that I didn't know what was going to happen to me next. You don't have to be mentally ill for an experience like that to mess with your mind.

Abby