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This article originally appeared on ProPublica. You can read it here.

Once it was called "hysterical" movement disorder, or simply "hysteria." Later it was labeled "psychogenic." Now it's a "functional disorder."

By any name, it's one of the most puzzling afflictions — and problematic diagnoses — in medicine. It often has the same symptoms, like uncontrollable shaking and difficulty walking, that characterize brain diseases like Parkinson's.

But the condition is caused by stress or trauma and often treated by psychotherapy. And, in a disparity that is drawing increased scrutiny, most of those deemed to suffer from it — as high as 80% in some studies — are women.

Whether someone has Parkinson's or a functional disorder can be difficult to determine. But the two labels result not only in different treatments but in different perceptions of the patient. A diagnosis of Parkinson's is likely to create sympathy, but a functional diagnosis can stigmatize patients and cast doubt on the legitimacy of their illness.

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Shkoryah Carthen has spent half of her life working in the service industry. While the 32-year old restaurant worker quickly sensed that Covid-19 would bring real change to her daily life, Carthen hardly knew just how strongly it would impact her livelihood.

"The biggest challenge for me during this time, honestly is just to stay afloat," Carthen said.

Upon learning the Dallas restaurant she worked for would close indefinitely, Carthen feared its doors may never reopen.

Soon after, Carthen learned that The Wilkinson Center was desperately looking for workers to create and distribute meals for those in need in their community. The next day, Carthen was at the food pantry restocking shelves and creating relief boxes filled with essentials like canned foods, baby formula and cleaning products. In addition to feeding families throughout the area, this work ensured Carthen the opportunity to provide food for her own.

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