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Chronic Fatigue Syndrome falls under the category of Syndromes of Unknown Origin. It was examined and dismissed by the CDC and I have to tell you that there are some incredibly smart folks working at the CDC. When reviewing the symptomatology, it smacks of the very symptoms associated with mood disorders such as depression and anxiety. Let's take a look:
At least 4 of the following for ≥6 mo*:
Impaired short-term memory severe enough to substantially reduce occupational, educational, social, or personal activities
Sore throat
Low-grade fever
Tender, enlarged, painful cervical or axillary lymph nodes
Muscle pain
Abdominal pain
Multijoint pain without joint swelling or tenderness
Headaches that are new in type, pattern, or severity
Unrefreshing sleep
Postexertional malaise lasting >24 h
Cognitive difficulties (especially with concentrating and sleeping
So there is a fairly exhaustive list of symptoms that aren't targeted at all, but extremely nebulous in nature, covering every aspect of discomfort humans charactiristically experience. I also will add here that in experience, patients tend to steer themselves toward this diagnosis because they absolutely refuse to accept that the body can demonstrate physical symptoms in the absence of physical disease. They want and need a label to reduce anxiety associated with not knowing. Holistic practitioners, chiropractors and herbal practitioners have leaped head-first upon the opportunities or opportunism that a diagnosis like this can bring their way in terms of clientele. Because the symptoms are so broad, the pathway to a cure is wide open for experimentation and speculation. If you care to test the hypothesis, try calling a host of folks in any of the quasi-professions mentioned and they'll readily tell you that they can help. They'll also come around to telling you that since it's a syndrome, it can only be treated and never cured. This equates to the statement, "you will need my services for the rest of your life."
I've heard and seen it all, from chiropractic adjustments to supplements and vitamins, self-help guides, psychological therapy, and even in one case, a holistic practioner who had strapped nickels to a patient's stomach and told to wear them to restore a heavy metal deficiency. Whenever a "syndrome" appears on the horizon, these folks come out of the woodwork as though they've possessed the cure all along.
It's important to note here that people undergoing stress from divorce, loss of a spouse or loved one, loss of income or a job, all report experiencing the very same symptoms. Certainly we can't suggest that these people are suffering from short-term chronic fatigue syndrome. We do know, however, that emotional mood and imbalances in neurochemistry can definitely produce physical symptoms.
By example, it's well-documented that in the case of depression alone, short-term memory is one of the hallmark features that often frightens the average patient who begins to speculate that something such as Alzheimer's may be at issue. In fact, short-term memory interference is so prevalent with depression, that it's also known as psuedo-dementia. The actual cause for memory problems in people with depression is due to simple inattention because they are fixated on ruminating thoughts and worries that distract them from attending to, and processing, information being presented to them. I would certainly never consider their memory problem to be chronic fatigue syndrome, even when it is often paired with aches and pains and lack of quality sleep that most people suffering from depression experience.
Let's briefly examine your fatigue. Like anyone else, I feel certain that you can recall earlier periods in your life where no task was too tall and it seemed as though energy was plentiful. If you'll work to pair these memories with their characteristic surroundings, I believe you'll also find that it occurred during "good" rather than "bad" or unfortunate circumstances. Even so, some people are known to thrive on challenging circumstances and find boundless energy to run headlong at problems. The point here is that your relative state of mind can have a tremendous impact on how you feel and whether you have the energy to take on life in certain instances. So what do you think happens to a person who is constantly under stress and getting less and less quality sleep? On this aspect alone, these individuals feel drained throughout their day. And if we add worries and rumination about long-term outlook on life? Where's there's no will, there's no energy to thrive because it all seems pointless. Now let's add the constant tension that devlops and translates to muscle aches and pains.
It's no small wonder that when the treatment alternatives for CFS are reviewed in the standard healthcare arena, anti-depressants and psychological support are at the top of the list.
If you were to tell me that your life has been a constant joy, with no regrets and full of the very zest of life that most people only dream of achieving and yet you suffer, I might be more receptive to the premise of something like CFS. Even without knowing, I suspect something different to be the case, certainly enough to bring the issue to question. If something in your life changes or effects you and you subsequently become ill, it suggests the presence of something other than a strange syndrome.
We'll talk more
Best regards and Good Health
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