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Good evening and thanks for your question. Potentially, you could vary the periodical payment if you had a confirmed diagnosis. It would be what's known as a 'novus actus' (an intervening new situation), however, you would almost certainly have to cost it to show where the extra costs would lie and provide proof of those costs. Once costed, you'd need to return to your ex and invite him to voluntarily agree to an increased amount. If he refused to do so, you'd have to make an application for variation to court. Kind regards, J