Tag: Chronic Fatigue

The Evaluation and Treatment of Chronic Fatigue Syndrome

The Whole Psychiatry evaluation of chronic fatigue syndrome will involve a careful history, physical and a wide variety of tests, (determined by the history and physical exam), ranging from genetic tests (to determine for example susceptibility to biotoxins, methylation pathways, detoxification pathways), tests of immune function and infection (e.g., NK cell activity, cytokines, CBC, tick borne diseases, viruses), tests of the environment (e.g., mold, chemical exposure), tests of digestive, liver, nutritional and hormonal status, tests of mitochondrial function, neurological tests (e.g., MRI, SPECT, sleep studies,…


Understanding Chronic Fatigue Syndrome

First it is important to understand the meaning of the word ‘syndrome’. A syndrome is a group or set of symptoms that cluster together. A syndrome (e.g., pneumonia) can look the same clinically (with pneumonia, you cough, have a fever, produce sputum, have shortness of breath, fatigue and perhaps chest pain), but have different causes (pneumonia can be caused by tuberculosis, pneumococcal pneumonia, mycoplasma, fungal infections, toxic exposures, etc.) and therefore different treatments, depending on the cause. Additionally there are predisposing antecedents (vulnerability factors) for…