Is chronic fatigue syndrome a useful diagnosis

Should the clinician ever diagnose CFS? We would say yes, but with four important caveats.

• CFS should be explicitly regarded as a presenting clinical syndrome, rather than a specific disease process. Whilst this is not to deny the possibility that there are specific pathophysiological processes underlying the symptoms, a balance must be struck between acceptance of this possibility and unjustified enthusiasm for each newly discovered aetiological agent.

• Psychiatric syndromes that have important clinical utility such as major depressive disorder should be sought, and, if present, should be included in the diagnostic statement.

• While the current case definition of CFS specifies only symptoms, patients' beliefs and behaviours (as described in Tabled) are often a prominent part of the clinical presentation and also need to be included in any useful summary of the case.

• Rather than becoming side-tracked by the question of whether CFS is 'medical' or 'psychiatric' in nature, management is likely to be more effective if both the physician and the patient adopt an open-minded and pragmatic approach.

Invisible Viagara

Invisible Viagara

You are about to discover the "little-known" techniques, tricks and "mind tools" that will show you how to easily "program" your body and mind to produce an instant, rock-hard erection. Learn how to enjoy all of the control, confidence and satisfaction that comes from knowing you can always "rise to the challenge" ... and never have to deal with embarrassment, apologies, shyness or performance anxiety in the bedroom, ever again.

Get My Free Ebook

Post a comment