Chronic Fatigue in the Context of Pediatric Physical and Mental Illness, 2020, Loades and Chalder

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Dolphin

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https://link.springer.com/referenceworkentry/10.1007/978-981-10-0753-8_33-1

Mental Health and Illness of Children and Adolescents pp 1-8 | Cite as

Chronic Fatigue in the Context of Pediatric Physical and Mental Illness
  1. 1.Department of PsychologyUniversity of BathBathUK
  2. 2.Bristol Medical SchoolUniversity of BristolBristolUK
  3. 3.King’s College LondonLondonUK
  4. 4.South London & Maudsley NHS Foundation TrustLondonUK
Living reference work entry
First Online: 17 March 2020
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Abstract
“Fatigue” describes an overwhelming sense of exhaustion or extreme tiredness, and a lack of energy or depletion of reserves. Fatigue is inherently subjective; this means that one person may experience fatigue in a different way to the next. Fatigue can be thought of as being on a continuum from normal fatigue, which arises after exertion and remits with rest, to problematic fatigue, which does not necessarily arise from exertion, does not remit with rest, and interferes significantly with functioning.

At the extreme end of the continuum is chronic fatigue syndrome (CFS), which is diagnosed in a child or adolescent who has experienced substantial and disabling fatigue for at least 3 months, for which there is no alternative medical explanation (NICE 2007).

Fatigue is often associated with chronic diseases. Nevertheless management strategies which regularise activity and sleep can help reduce fatigue and improve quality of life.

Keywords
Chronic fatigue Children and adolescents Management
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At the extreme end of the continuum is chronic fatigue syndrome (CFS), which is diagnosed in a child or adolescent who has experienced substantial and disabling fatigue for at least 3 months, for which there is no alternative medical explanation (NICE 2007).
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Wrong! That's idiopathic chronic fatigue. Even by the NICE description, there have to be other symptoms. How do they get away with this stuff?

Nevertheless management strategies which regularise activity and sleep can help reduce fatigue and improve quality of life.
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As a conclusion to a research paper, that comes under the heading of making stuff up to suit preconceptions, not science.
 
“Fatigue” describes an overwhelming sense of exhaustion or extreme tiredness, and a lack of energy or depletion of reserves. Fatigue is inherently subjective; this means that one person may experience fatigue in a different way to the next. Fatigue can be thought of as being on a continuum from normal fatigue, which arises after exertion and remits with rest, to problematic fatigue, which does not necessarily arise from exertion, does not remit with rest, and interferes significantly with functioning.
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This is completely incompetent. They have no idea what they're talking about and still they're getting funding in the millions doing the same 3 things over and over in a loop, what is this madness?

Can't even get the most basic things right. After decades as self-proclaimed experts. Don't even get THE FIRST THING right. By this illogic MS is on a paralysis continuum with paraplegia and MND, how are completely incompetent people like that even allowed to operate with a medical license?!

https://sci-hub.tw/https://link.springer.com/referenceworkentry/10.1007/978-981-10-0753-8_33-1
 
OK I'm dumbfounded by the incompetence here. They are incapable of learning it's just incredible. It took 3 years for my dog to learn how to use the stairs and, 30 years later, these people still can't learn the first damn thing about this.
Cognitive behavior therapy (CBT) – CBT for fatigue includes targeting unhelpful thoughts about fatigue (for example, “I must do everything I can today as I might be too tired tomorrow”),
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I must do everything I can today as I might be too tired tomorrow
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I must do everything I can today as I might be too tired tomorrow
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THIS IS COMPLETELY BACKWARDS! AAAAAAAAAAAAAAAAAAAAAAARGH!!!!!!!!!!!!!!!!!!!

No wonder they harp on the boom-and-bust cycle when they completely distorted everything. These are self-proclaimed experts in the behavior of fatigue and they actually manage to get the behavior even more wrong than literally everyone else. AAAAAAAAAAAAAAAAAAAAAAAARGH!
 
"Fatigue is often associated with chronic diseases. Nevertheless management strategies which regularise activity and sleep can help reduce fatigue and improve quality of life."

Biomedical treatment not mentioned? For example, the chronic disease hypothyroidism, includes fatigue that can be very debilitating. Appropriate thyroid meds would do much more to regularize activity, and improve quality of life, than urging increased exercise and sleep hygiene. Without a doubt, most chronic physical diseases are best served by biomedical therapies.
 
The ignorance is staggering. Many of the people with ME DO NOT EXPERIENCE FATIGUE!!!

I had paediatric ME but my first presentation to the medical system was an inability to pass urine (a common symptom in the Royal Free epidemic) I did not volunteer to then that I also had episodes of paralysis, double vision, vertigo and disabling episodes of cognitive deficits. I also had faulty temperature control, bulbar palsy and other strange things. But I never missed school.

They just have to ask, but that might prove them wrong.
 
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