ProHealth health Vitamin and Natural Supplement Store and Health
Home  |  Log In  |  My Account  |  View Cart  View Your ProHealth Vitamin and Supplement Shopping Cart
800-366-6056  |  Contact Us  |  Help
Facebook Google Plus
Fibromyalgia  Chronic Fatigue Syndrome & M.E.  Lyme Disease  Natural Wellness  Supplement News  Forums  Our Story
Store     Brands   |   A-Z Index   |   Best Sellers   |   New Products   |   Deals & Specials   |   Under $10   |   SmartSavings Club

Trending News

Fighting Heartburn and Gerd Naturally – And Safely!

Vital Molecule Increases Cellular Energy and Improves Cognitive Function

Top Vitamin and Mineral Deficiencies — Are You at Risk?

Trimming the spare tire: Canola oil may cut belly fat

How Pomegranate May Protect Against Cancer

Omega Fix for Obesity: How the Right Fats Fight Fat

Curcumin Reverses the Cellular Damage of Chronic Stress

Probiotics improve cognition in Alzheimer's patients

The Onion: Cancer Fighter and Food Preserver

SURVEY RESULTS: Cognitive Impairment II

 
Print Page
Email Article

Chronic Fatigue Syndrome (CFS). A practical guide to assessment & management

  [ 80 votes ]   [ Discuss This Article ]
By Sharpe M, Chalder T, Palmer I, Wessely S • www.ProHealth.com • May 10, 1997


Chronic fatigue and chronic fatigue syndrome (CFS) have become
increasingly recognized as a common clinical problem, yet one
that physicians often find difficult to manage. In this review
we suggest a practical, pragmatic, evidence-based approach to
the assessment and initial management of the patient whose
presentation suggests this diagnosis. The basic principles are
simple and for each aspect of management we point out both
potential pitfalls and strategies to overcome them.

The first, and most important task is to develop mutual trust and
collaboration. The second is to complete an adequate
assessment, the aim of which is either to make a diagnosis of
CFS or to identify an alternative cause for the patient's
symptoms. The history is most important and should include a
detailed account of the symptoms, the associated disability,
the choice of coping strategies, and importantly, the
patient's own understanding of his/her illness. The assessment
of possible comorbid psychiatric disorders such as depression
or anxiety is mandatory. When the physician is satisfied that
no alternative physical or psychiatric disorder can be found
to explain symptoms, we suggest that a firm and positive
diagnosis of CFS be made.

The treatment of CFS requires that the patient is given a positive
explanation of the cause of his symptoms, emphasizing the distinction
among factors that may have predisposed them to develop the illness
(lifestyle, work stress, personality), triggered the illness (viral
infection, life events) and perpetuated the illness (cerebral
dysfunction, sleep disorder, depression, inconsistent
activity, and misunderstanding of the illness and fear of
making it worse). Interventions are then aimed to overcoming
these illness-perpetuating factors.

The role of antidepressants remains uncertain but may be tried on a
pragmatic basis. Other medications should be avoided. The only
treatment strategies of proven efficacy are cognitive
behavioral ones. The most important starting point is to
promote a consistent pattern of activity, rest, and sleep,
followed by a gradual return to normal activity; ongoing
review of any 'catastrophic' misinterpretation of symptoms and
the problem solving of current life difficulties. We regard
chronic fatigue syndrome as important not only because it
represents potentially treatable disability and suffering but
also because it provides an example for the positive
management of medically unexplained illness in general.




Post a Comment

Featured Products From the ProHealth Store
Optimized Curcumin Longvida® FibroSleep™ Energy NADH™ 12.5mg


Article Comments



Be the first to comment on this article!

Post a Comment


 
Natural Pain Relief Supplements

Featured Products

Optimized Curcumin Longvida® Optimized Curcumin Longvida®
Supports Cognition, Memory & Overall Health
Ultra ATP+, Double Strength Ultra ATP+, Double Strength
Get energized with malic acid & magnesium
Mitochondria Ignite™ with NT Factor® Mitochondria Ignite™ with NT Factor®
Reduce Fatigue up to 45%
Ultra EPA  - Fish Oil Ultra EPA - Fish Oil
Ultra concentrated source of essential fish oils
Energy NADH™ 12.5mg Energy NADH™ 12.5mg
Improve Energy & Cognitive Function

Natural Remedies

Red Yeast Rice - Natural Option for Supporting Healthy Cholesterol Red Yeast Rice - Natural Option for Supporting Healthy Cholesterol
Reversing Neurodegeneration with a New Magnesium Compound Reversing Neurodegeneration with a New Magnesium Compound
The Brain Boosting and Fatigue Fighting B-12 The Brain Boosting and Fatigue Fighting B-12
The Crucial Role CoQ10 Plays in Fibromyalgia and ME/CFS The Crucial Role CoQ10 Plays in Fibromyalgia and ME/CFS
Eating Fat is Good... Maybe... Could Be... Sometimes Eating Fat is Good... Maybe... Could Be... Sometimes

CONTACT US
ProHealth, Inc.
555 Maple Ave
Carpinteria, CA 93013
(800) 366-6056  |  Email

· Become a Wholesaler
· Vendor Inquiries
· Affiliate Program
SHOP WITH CONFIDENCE
Credit Card Processing
SUBSCRIBE TO OUR NEWSLETTERS
Get the latest news about Fibromyalgia, M.E/Chronic Fatigue Syndrome, Lyme Disease and Natural Wellness

CONNECT WITH US ProHealth on Facebook  ProHealth on Twitter  ProHealth on Pinterest  ProHealth on Google Plus

© 2016 ProHealth, Inc. All rights reserved. Pain Tracker App  |  Store  |  Customer Service  |  Guarantee  |  Privacy  |  Contact Us  |  Library  |  RSS  |  Site Map