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Understand

UNDERSTAND

What might be happening?

Start with what you are noticing. Then look at the different pieces.

When symptoms, sensory needs, energy, emotions, pain, daily life and stress overlap, it can be difficult to know what is causing what. ALPIMS helps you explore the picture without assuming everything has one cause.

A DIFFERENT WAY TO START

You don’t have to find one explanation.

People can have several things happening at once. The same symptom may also be affected by more than one factor — including illness, sleep, sensory load, pain, stress, medication, environment, activity, nutrition, hormones, emotions or everyday demands.

The aim is not to diagnose yourself. It is to make the picture easier to notice, describe and respond to.

Understanding Symptoms →
1 — NOTICE

What am I noticing?

Start with the experience rather than trying to work out the explanation immediately.

My energy has dropped
Pain has increased
I’m dizzy or shaky
My heart feels fast or noticeable
Sound, light or touch feels like too much
I can’t think clearly
Starting things feels impossible
I’m anxious or activated
I’m flat or shut down
My stomach or bladder is unsettled
I have a headache or migraine
I just know something feels different
How do I feel right now? →
2 — CHECK THE BASICS

Could my body need something?

Before trying to solve a complicated problem, it can help to check whether something fairly basic is adding to the difficulty.

Food
Fluids
Rest
Sleep
Medication
Temperature
Comfort or positioning
Less sensory input
Bathroom needs
A quieter environment
Check what my body may need →
3 — LOOK AT THE WHOLE LOAD

What is using capacity?

Sometimes symptoms become harder not because one new thing has gone wrong, but because several demands have accumulated at the same time. Looking at the whole load can reveal things that are easy to miss.

Physical Movement, pain, illness, standing, exertion and physical tasks.
Cognitive Thinking, concentrating, learning, decisions and information.
Sensory Noise, light, smell, touch, movement and busy environments.
Emotional Worry, conflict, grief, uncertainty and strong emotions.
Social Conversation, people, expectations and social processing.
Executive Function Planning, starting, switching, remembering and organising.
Body / Autonomic Illness, digestion, temperature, hormones and body regulation.
Environmental Heat, clutter, fragrance, noise, access barriers and surroundings.
5 — GO DEEPER IF USEFUL

Conditions & experiences

Sometimes you already have a diagnosis. Sometimes you are exploring a possibility. Sometimes an experience — such as sensory overload, fatigue or executive dysfunction — is more useful to explore than a diagnostic label.

Energy & Autonomic

ME/CFS Long COVID Post-viral illness Dysautonomia POTS Fatigue

Pain & Sensitivity

Migraine Chronic Pain Fibromyalgia Neuropathic Pain Pelvic / Bladder Pain TMJ

Immune & Body

MCAS Histamine Intolerance IBS Environmental Sensitivity Hypermobility

Sensory

Sensory Sensitivity Misophonia Hyperacusis Visual Snow Overload

Neurodevelopmental

Autism ADHD Executive Function Giftedness Burnout

Mental Health & Trauma

Anxiety Panic Depression PTSD & Trauma Emotional Regulation FND
Explore Conditions & Experiences — Coming soon
6 — LOOK FOR PATTERNS

What changes it?

Patterns can sometimes be more informative than a single bad day. You don’t need to track everything. A few observations may be enough.

Is it worse after physical or mental effort?
Is there a delayed effect later that day or the next day?
Does poor sleep change it?
Does sensory overload make other symptoms worse?
Does standing, heat or showering affect it?
Does eating — or not eating — change it?
Does conflict, uncertainty or emotional load affect capacity?
Does reducing demands make a noticeable difference?
Has something recently changed — illness, medication, environment or routine?
Find check-ins & practical tools →
A USEFUL DISTINCTION

Cause, contributor and trigger are not always the same thing.

Something that makes symptoms worse is not necessarily the original cause of the condition. And something that contributes to your total load may still matter even when it does not explain the whole problem.

Cause What is responsible for a condition or symptom may require professional assessment and may not always be known.
Contributor Something that adds to symptoms, load or difficulty without necessarily being the underlying cause.
Trigger Something associated with symptoms starting or becoming worse at a particular time.
7 — PROFESSIONAL CARE

When you need help making sense of it.

ALPIMS can help you notice and describe patterns, but it cannot tell you whether a symptom is caused by a particular medical or psychological condition.

Professional care may be useful for:

  • new or unexplained symptoms
  • significant changes from your usual pattern
  • assessment and diagnosis
  • reviewing medication or treatment
  • investigating possible medical contributors
  • developing a management plan
  • deciding what requires treatment and what may need adaptation
  • coordinating several overlapping concerns
Explore Professional Care → ALPIMS Q&A →
8 — RESPOND

What might I need now?

Understanding can help, but you do not have to completely explain everything before responding to what is happening.

Instead of only asking:

“How do I fix this?”

you might also ask:

“What response fits my capacity and circumstances right now?”

REST REDUCE PACE EXPAND
Go to the ALPIMS Care Cycle →
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UNDERSTAND

What might be happening?

Start with what you are noticing. Then look at the different pieces.

When symptoms, sensory needs, energy, emotions, pain, daily life and stress overlap, it can be difficult to know what is causing what. ALPIMS helps you explore the picture without assuming that everything has one cause.

A DIFFERENT WAY TO START

You don’t have to identify one explanation.

People can have several things happening at once. A symptom can also be affected by more than one factor — including illness, sleep, sensory load, pain, stress, medication, environment, activity, nutrition, hormones, emotions or everyday demands.

The aim is not to diagnose yourself. It is to make the picture easier to notice, describe and respond to.

Understanding Symptoms →
1 — NOTICE

What am I noticing?

Start with the experience rather than trying to work out the explanation immediately.

My energy has dropped
Pain has increased
I’m dizzy or shaky
My heart feels fast or noticeable
Sound, light or touch feels like too much
I can’t think clearly
Starting things feels impossible
I’m anxious or activated
I’m flat or shut down
My stomach or bladder is unsettled
I have a headache or migraine
I just know something feels different
How do I feel right now? →
2 — CHECK THE BASICS

Could my body need something?

Before trying to solve a complicated problem, it can help to check whether something fairly basic is adding to the difficulty.

Food
Fluids
Rest
Sleep
Medication
Temperature
Comfort or positioning
Less sensory input
Bathroom needs
A quieter environment
Check what my body may need →
3 — LOOK AT THE WHOLE LOAD

What is using capacity?

Sometimes symptoms become harder not because one new thing has gone wrong, but because several demands have accumulated at the same time. Looking at the whole load can reveal things that are easy to miss.

Physical Movement, pain, illness, standing, exertion and physical tasks.
Cognitive Thinking, concentrating, learning, decisions and information.
Sensory Noise, light, smell, touch, movement and busy environments.
Emotional Worry, conflict, grief, uncertainty and strong emotions.
Social Conversation, people, expectations and social processing.
Executive Function Planning, starting, switching, remembering and organising.
Body / Autonomic Illness, digestion, temperature, hormones and body regulation.
Environmental Heat, clutter, fragrance, noise, access barriers and surroundings.
5 — GO DEEPER IF USEFUL

Conditions & experiences

Sometimes you already have a diagnosis. Sometimes you are exploring a possibility. Sometimes a particular experience — such as sensory overload, fatigue or executive dysfunction — is more useful to explore than a diagnostic label.

Energy & Autonomic

ME/CFS Long COVID Post-viral illness Dysautonomia POTS Fatigue

Pain & Sensitivity

Migraine Chronic Pain Fibromyalgia Neuropathic Pain Pelvic / Bladder Pain TMJ

Immune & Body

MCAS Histamine Intolerance IBS Environmental Sensitivity Hypermobility

Sensory

Sensory Sensitivity Misophonia Hyperacusis Visual Snow Overload

Neurodevelopmental

Autism ADHD Executive Function Giftedness Burnout

Mental Health & Trauma

Anxiety Panic Depression PTSD & Trauma Emotional Regulation FND
Explore Conditions & Experiences — Coming soon
6 — LOOK FOR PATTERNS

What changes it?

Patterns can sometimes be more informative than a single bad day. You don’t need to track everything. A few observations may be enough.

Is it worse after physical or mental effort?
Is there a delayed effect later that day or the next day?
Does poor sleep change it?
Does sensory overload make other symptoms worse?
Does standing, heat or showering affect it?
Does eating — or not eating — change it?
Does conflict, uncertainty or emotional load affect capacity?
Does reducing demands make a noticeable difference?
Has something recently changed — illness, medication, environment or routine?
Find check-ins & practical tools →
IF THE ANSWER IS STILL “I DON’T KNOW”

You can still do something useful.

Understanding can help, but you don’t always need a complete explanation before responding to what is happening.

7 — PROFESSIONAL CARE

When you need help making sense of it.

ALPIMS can help you notice and describe patterns, but it cannot tell you whether a symptom is caused by a particular medical or psychological condition.

Professional care may be useful for:

  • new or unexplained symptoms
  • significant changes from your usual pattern
  • assessment and diagnosis
  • reviewing medication or treatment
  • investigating possible medical contributors
  • developing a management plan
  • deciding what requires treatment and what may need adaptation
  • help coordinating several overlapping concerns
Explore Professional Care → ALPIMS Q&A →
UNDERSTANDING ISN’T THE END POINT

What might I need now?

Once you have a little more sense of what is happening, the next question is not necessarily:

“How do I fix all of this?”

A more useful question may be:

“What response fits my capacity and circumstances right now?”

REST REDUCE PACE EXPAND
Go to the ALPIMS Care Cycle →
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