Chief Complaint: Uncontrollable Laughter
Medical History: This patient is a 24-year old woman who has periods of uncontrollable laughter for two years. She was in a very bad car accident two years ago, and since that time has been easily startles or “jumpy” and had laughing spells that she is unable to stop. The laughter is worse when she feels overwhelmed. She describes the laughter as a sensation of stress in her chest which moves to her throat and then comes out as laughter. The patient reports that she can partially control the laughter by thinking peaceful thoughts.