Online High School

Online High School. An Experiment. Please Wish Us Well.

My son struggles with multiple health issues: migraines, cyclic vomiting, weak immune system, allergies, eczema, depression, and anxiety. The newly defined spectrum syndrome ALPIM (Anxiety-Laxity-Pain-Immune-Mood) describes his constellation of symptoms, but does not yet give us answers as to how to cure or treat the underlying genetic disorder.

Monday, August 31st would have been my son’s first day back to high school after summer vacation. Unfortunately, he was unable to get out of bed to start the school year. He spent last Sunday night and early Monday morning vomiting. No doubt he is stressed out. He said he was worried about throwing up at school. He was probably stressed out about making up his incompletes from last semester. At the end of the school year he was sick and missed taking his finals and completing missed assignments.

I gave my son the option of enrolling in an online high school program, which he chose to do Monday morning as I tried to wake him for school. So last Monday I enrolled him in a k12.com school, California Prep Academy San Diego. My new job is to be his “learning coach,” supervising his progress. We’ll see how that goes. It’s an ongoing process for the two of us.

ALPIM (Anxiety-Laxity-Pain-Immune-Mood)

FIGURE 7. The ALPIM Syndrome: A Neuropsychosomatic Spectrum Disorder. Schematic Venn diagram showing the hypothesized spectrum of comorbidity in patients having a core anxiety disorder with laxity, pain, immune, and mood disorders. The overlapping circles demonstrate that comorbidities exist along a spectrum, in which a patient might have anywhere from just one disorder under one domain to multiple disorders under multiple overlapping domains. ALPIM, anxiety, laxity, pain, immune, mood.
J Neuropsychiatry Clin Neurosci. 2015 Spring;27(2):93-103. doi: 10.1176/appi.neuropsych.14060132

Thank you, Blahpolar Diaries, for informing me about ALPIM in her blog post nudge nudge link link. I tracked down the original SUNY press release, which I quote here.

In the study, published in the Journal of Neuropsychiatry and Clinical Neurosciences, the researchers proposed the existence of a spectrum syndrome comprising a core anxiety disorder and four related domains, for which they have coined the term ALPIM:

A = Anxiety disorder (mostly panic disorder);

L = Ligamentous laxity (joint hypermobility syndrome, scoliosis, double-jointedness, mitral valve prolapse, easy bruising);

P = Pain (fibromyalgia, migraine and chronic daily headache, irritable bowel syndrome, prostatitis/cystitis);

I = Immune disorders (hypothyroidism, asthma, nasal allergies, chronic fatigue syndrome); and

M = Mood disorders (major depression, Bipolar II and Bipolar III disorder, tachyphylaxis. Two thirds of patients in the study with mood disorder had diagnosable bipolar disorder and most of those patients had lost response to antidepressants).

Bipolar III is cyclothymia, a “milder” form of bipolar than bipolar II.

Should you want to read the journal article, I purchased the pdf version: A Novel Anxiety and Affective Spectrum Disorder of Mind and Body—The ALPIM (Anxiety-Laxity-Pain-Immune-Mood) Syndrome: A Preliminary Report (J Neuropsychiatry Clin Neurosci. 2015 Spring;27(2):93-103. doi: 10.1176/appi.neuropsych.14060132). No copyright infringement intended.