only consider a mental health problem if a skilled doctor has not
found any physical disease like moderate or severe anemia (lack of
iron), diabetes, chronic disease (including kidney diseases, rheumatoid
arthritis), chronic pain, severe chronic infections (e.g. hepatitis,
tuberculosis, HIV) or cancer.
than half of the patients suffering chronic fatigue syndrome suffer
also from depression.
fatigue syndrome) is a state of chronic fatigue, exhaustion and tiredness
during the day that lasts more than six months and that cannot be
explained by a physical pathogenic cause.
common to see depression symptoms and anxiety disorders. Due to the
number and non-specific nature of these symptoms, it can be difficult
to develop a differential diagnosis.
can be directed toward the most problematic symptoms as prioritized
by the patient.
aquatic therapy, gentle massage, meditation, deep breathing, biofeedback
-the technique of making unconscious or involuntary bodily processes
(as heartbeats or brain waves) perceptible to the senses (as by the
use of an oscilloscope) in order to manipulate them by conscious mental
control -, yoga, tai chi and massage therapy have been found to help
some patients and are often prescribed for CFS symptom management.
shows that CFS is not a form of psychiatric illness or depression.
many people with chronic illnesses, including those with CFS, may
suffer from secondary depression as the patient makes the multiple
adjustments to having a debilitating, chronic illness.
treating depression can reduce anxiety and stress, it's not a cure
symptom management is critical to the care of patients with chronic
fatigue syndrome, it is also important for clinicians to address the
emotional and psychosocial consequences of CFS.
other debilitating chronic illnesses, CFS can have a profound impact
on daily life, requiring patients to make therapeutic lifestyle changes
including adaptation to prevent life-altering limitations.
treatment plan should acknowledge the limitations of this illness,
and the patients emotional reactions to them.
patients are justified in their emotional response to such a devastating
illness, educating them about the link between stress and symptom
exacerbation is an important adjunct to validating their feelings
and subsequent clinical improvement.
can you actually do to help yourself? If you cannot do all the steps
below at once, then begin with one activity, then when this works,
continue with another activity (one or some days later).
out the causes behind your stress by keeping a diary. If you see connections
between the situations causing stress, try to avoid those situations.
about what is important for you in your life in the long run. Compare
your life situation today with how you wish it would be and see if
there is something you can change immediately.
to create a normal life style: eat and sleep at regular times.
to stimulate your social life (even outside work) and try to be in
environments or groups where you feel appreciated.
some time on your hobbies.
to relax through meditation or yoga.
more than a couple of days a week. Try to find a sport that suits