[Unexplained fatigue and irritability - differential diagnosis and practical procedures for signs of exhaustion].

Praxis (Bern 1994)

Psychiatrische Privatpraxis (Psychosomatik), Binningen.

Published: September 2014

AI Article Synopsis

  • Chronic fatigue often arises from chronic stress rather than physical illnesses, but people seek help primarily when it impacts their sleep and productivity.
  • Many patients fear serious health issues, leading to an underestimation of their stressors and conflicts.
  • Medical evaluations are useful to rule out physical causes, but it's crucial for patients to be ready for psychosocial counseling to address underlying stress.

Article Abstract

Chronic fatigue is a frequent complaint, but only leads to a medical consultation when consequences like sleep disturbance and reduced productivity become debilitating. Fear of a somatic disorder is usually prominent. However, the symptoms are usually physical and psychological signs of chronic stress. There is often a lack of awareness of stressors or conflicts, which would allow such a conclusion. Therefore, a few somatic investigations are recommended, since the list of possible somatic causes is long. Otherwise the patient should be prepared and motivated for a psychosocial counselling.

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Source
http://dx.doi.org/10.1024/1661-8157/a001781DOI Listing

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