Neurasthenia: Unexplained Tiredness: Exploring your mind blog: Spain based.

Sly Saint

Senior Member (Voting Rights)
Horrendous site; Exploring your mind blog: Spain based.
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Neurasthenia: definition, symptoms, and causes
Neurasthenia is an obsolete concept. Consequently, it isn’t included in the Diagnostic and Statistical Manual of Mental Disorders (DSM-V). However, the World Health Organization continues to recognize it, as well as the ICD-10 and countries such as China. To understand the complexity of this disorder, it’s worth taking a closer look at certain aspects.

Throughout the nineteenth century, psychiatrists became extremely interested in neurasthenia. George Miller Beard was the neurologist who popularized this term in 1869. He defined it as an unusual and irritating weakness manifesting as chronic idiopathic fatigue (with an unknown cause).

Associated symptoms
Neurasthenia appears after exertion. It’s then that the body enters a state of excessive physical and psychological exhaustion. Nevertheless, the task performed isn’t intense enough for this excessive tiredness.

The condition occurs with the following manifestations:

  • Severe headaches that sometimes lead to migraines.
  • Muscle pain.
  • Extreme exhaustion. However, the person feels unable to lie down and fall asleep. Therefore, insomnia can be a constant.
  • Stomach aches and intestinal disturbances (flatulence, diarrhea ) appear.
  • Fainting or vomiting may occur.
  • Hypersomnia (excessive sleep) in some cases.
  • Irritability.
  • Panic disorders.
  • Trouble thinking clearly.
  • Memory failures.
All of these symptoms have a minimum duration of six months. Some occur with greater or lesser intensity. Also, some symptoms may appear and not others.
The causes
Neurasthenia, epidemic neuromyasthenia, Akureyri disease, Royal Free Hospital outbreak, atypical poliomyelitis, Da Costa syndrome, and irritable heart syndrome. This condition has many names and, although it’s true that it doesn’t appear in the diagnostic manuals of mental disorders, many countries recognize it.
As a rule, two clinical conditions are usually diagnosed in this disorder: depression and chronic fatigue. In 2015, the National Academy of Sciences of the United States of America (Institute of Medicine) defined neurasthenia as a disease of effort intolerance. In other words, there are people who, when carrying out any activity, no matter how insignificant, exhibit adverse physical and psychological symptoms.

https://exploringyourmind.com/neurasthenia-unexplained-tiredness/


there is also a section on chronic fatigue syndrome:
The characteristics of chronic fatigue syndrome
You can identify that you might be going through it by identifying some of its characteristics:

  • Impatience.
  • Strong competitiveness.
  • Mental exhaustion.
  • Excessive commitment to work.
  • Thinking too much about the future.
  • The feeling that everything has to be perfect.
  • Little flexibility or tolerance to frustration.
  • The feeling of being overloaded.
  • Progressive decline in energy when it comes to doing things.
  • Insomnia.
  • Physical exhaustion.
  • Lack of motivation to participate in activities you used to enjoy.
  • Changes in mood. This is mainly associated with aggressiveness, irritability, and indifference to others.
  • Muscle and joint pain.
  • Psychosomatic alterations.

https://exploringyourmind.com/description-and-characteristics-of-chronic-fatigue-syndrome/
 
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They don't even seem to get a basic list of symptoms for CFS right. There are many red flags here. The mood changes in particular seem to be from some other disorder. I wonder if they have been treating some patients badly and so get these responses, or if they simply have not been treating CFS (and in particular ME) at all? Or do they get it from some other source that makes these mistakes? It looks like its largely psychobabble to me.
 
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It certainly seems to be a strange group they purport to study.

They are strongly competitive but only in activities which they did not not previously enjoy, yet they adopt a perfectionist attitude to this competition.

Why would they bother?
 

Oh boy...type A again. And sprinkled with some physical symptoms for flavour. What a salad!

So these are obnoxious, dreadful people who have made themselves sick. That's convenient for research, BPS treatment, and saving governments and disability insurance payments.
 
Concerning if they are substituting the terms "ME/CFS" for "neurasthenia" in reference to the 2015 IOM ME report. It does look like that's what they've done. The IOM reputation then lends credibility to this soup/salad.

ETA: should say substituting the term "neursathenia" for "ME/CFS".
 
As a rule, two clinical conditions are usually diagnosed in this disorder: depression and chronic fatigue. In 2015, the National Academy of Sciences of the United States of America (Institute of Medicine) defined neurasthenia as a disease of effort intolerance

Indeed, what an odious lie at their convenience ! Here is what the IOM explicitly says, for exemple in the summary and then on p.222:

Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome stresses that SEID is a medical - not a psychiatric or psychological - illness.

Recommendation 1: Physicians should diagnose myalgic encephalomyelitis/chronic fatigue syndrome if diagnostic criteria are met following an appropriate history, physical examination, and medical work-up. A new code should be assigned to this disorder in the International Classification of Diseases, Tenth Revision (ICD-10), that is not linked to “chronic fatigue” or “neurasthenia.
 
I think the IOM/NAM should be notified of this misinterpretation of its Report.

Perhaps someone in the Forum with some medical "street cred", would be better positioned to do this than me.

I highly doubt they'd care that a random small website misinterpreted one of their books. Even if they did, there's no way they could compel them to change it.
 
They don't even seem to get a basic list of symptoms for CFS right. There are many red flags here. The mood changes in particular seem to be from some other disorder. I wonder if they have been treating some patients badly and so get these responses, or if they simply have not been treating CFS (and in particular ME) at all? Or do they get it from some other source that makes these mistakes? It looks like its largely psychobabble to me.

I think there is something to be said for needing to clear down or allow for clear down of inaccurate medical records.

Surely even those in the medical profession must admit that we've had years of people going to GP and being told its some sort of mood disorder as a first presumption for decades - often highly inaccurately, and probably made worse by it being on the list of 'paid if you meet the target of handing a card for IAPTs to 90% of anyone you categorise as this' incentive.

So of course most people with CFS have something like this on there - but it's a sign of the GP problem, not the patients having this. I find it a scandal that it happened to begin with, nevermind that scandal being used to justify such claims that basically create stigma - and I use that word because anything that is inaccurate is that - and further inaccurate detail being provided on a condition and probably justify funding being out of proportion to need/demand.
 
I think there is something to be said for needing to clear down or allow for clear down of inaccurate medical records.
Definitely. I've been misdiagnosed with 3 mental disorders as a result of my ME. But I also have 3-4 actual mental disorders. How can anybody adequately care for my physical or mental health with such a tangled mess on my chart?
 
After looking at a few other pages, I see that this is a spammy site. You know, the type that hosts tons of poorly written content cluttered by clickbait ads, whose focus appears to be driving traffic without regard to whether their pages are informative or even readable. The site's maintainers can be contacted, but who knows whether they care. I bet each of these pages was slapped together in 30 minutes, tops.
 
Oh boy...type A again. And sprinkled with some physical symptoms for flavour. What a salad! So these are obnoxious, dreadful people who have made themselves sick.

With a little more work, they may determine that it's a kind of metaphorical "flu" experienced by "yuppies."

HTSIB2.jpg
 
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