I can tell you my pn is not stress or mentally caused, it would only be acute. They started on the same day few months ago when i took the anticholingernic drug, with other mixtures. i prefer not to see her again. I had doctor when i was originally at Kaiser permanente before i turned 26, in 2012, i went to see him (ENT), about what was the cause of nosebleeds, and if my septum needs fixing. I went there and waited for him, and before he came into the room, i noticed he was outside arguing with the nurse that i made an appt with him, and not a phone consultation first, he was ******. So he came in the room with that attitude. After he finished the examination(he only look in one nose and only the bottom part. He basically laughed me out of the office, that made me extremely angry. I had to nag my pcp to refer me to another ent, which actually found the reason behind my nosebleeds that i had been having for 4 years. allergies and a leaky blood vessel, So you see. i really dont want to go through another delay of diagnosis, when it can be easily found out. to this date my pn and loss of sensation never went away once(the pn only subsides alittle, but never goes away). i think she makes a habit to choose the easiest diagnosis, mental problems, one other doctors also had bad reviews on yelp, they complained about his ignorace to thier problems. hopefully i can use the specialist to refer me, if he or she says, i have to go to pcp to refer to a specialist, i am going to switch providers within the welfare system.