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Most of us will know that nausea and vomiting are common in pregnancy, affecting up to 70% of pregnant women. Less well known is hyperemesis gravidarum, or HG, in which nausea and vomiting reach a severity such that women struggle to eat or drink, often losing weight or becoming dehydrated, sometimes to the extent that they require intravenous fluids. As a neuropsychiatric doctor and researcher at King’s College London, I have a particular interest in the overlap of physical

After my early studies in engineering, where I learnt how to build systems, make them work, or fix them, I returned to my books in my forties to study psychiatry, psychology, and neuroscience. I came to appreciate that, while some of these disciplines are also “technical” (an issue or illness is identified, categorised, and addressed through problem-solving), others are much closer to the human dimension.

I am 66 years old. I have had bipolar since the age of 21. (Bipolar is a condition where a person’s mood may go high or low). I have written three times before on this platform: about diagnostic overshadowing, about mixed affective states, and about living with a serious mental health condition. As well as bipolar, I have developed several physical health conditions. I have ulcerative colitis (an inflammatory bowel disease). I have also experienced two lymphomas.