This bit here will give you the confidence to believe that it is most likely TMS when SS happens
quote: When we see this kind of symptom substitution, we can usually easily confirm that the cause of this is truly MBS/TMS. There are very few medical diseases that have this type of pattern and therefore when we see this we are confident that the correct diagnosis is MBS/TMS, once serious medical conditions are ruled out.
Mala
"It is more important to know what sort of person has a disease than to know what sort of disease a person has." ~ Hippocrates (460-377 B.C.)