Poor coping plus personality traits which lead individuals to push themselves rather than rest when tired. Patients may fulfil criteria for Generalized Anxiety Disorder if anxiety is major symptom. Many will meet criteria for neurasthenia. Management Psychotherapy or counselling to identify stressors. Sufficient rest with graded activities.
Excessive rest leads to deconditioning and feelings of weakness and faintness on standing.
Characteristics Fatigue, normal headaches, indigestion, sleep disturbances, pains and other symptoms which can be linked to lack of physical fitness, stress and mood disorders. Neurological symptoms are generally limited to dizziness, fainting, trembling hands or tingling sensations in hands and feet. Associations Misinformation Fear Hyperventilation Onset may be any time of year and affect any age group. This subgroup is generally not clustered. Patients tend to meet criteria for neurasthenia.