After suffering from a stroke, Dyanna Hurley began to experience episodes of sudden, frequent and uncontrollable crying and laughing that did not match how she was feeling. Dyanna had already stopped working as a traditional nurse due to struggles with the right side of her body following the stroke, and because of the crying and laughing episodes, she began to notice changes in aspects of her personal life as well.
She began to enjoy her weekly dinners with her friend less because she felt like everyone was looking at her when she was having a PBA episode, and it made her feel uncomfortable and embarrassed.