Chronic Fatigue Syndrome (CFS) is not a single diagnostic entity. It
is a symptom complex which can be reached by many different
routes. The conceptual model of CFS needs to be changed from
one determined by asingle cause/agent to one in which
dysfunction is the end stage of a multifactorial process.
Although it is important to recognise the role of factors
that precipitate the condition, greater understanding is
required of factors that predispose individuals to develop
the illness, and those that perpetuate disability.
MCM: Emphasis is on "biopsychsocial" approach. Routine testing
does not include serum ANA – "perform the minimum number of
investigations". Get the patients exercising, try
cognitive-behavioral therapy, keep them with GPs where
possible. Rest is contraindicated in CFS [!]…This report
is decidedly biased in favor of a psychiatric interpretation
of this disorder.