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.
Maladaptive avoidance can complicate and perpetuate many post-viral states.
Management CBT plus graded activity. Characteristics Unexplained fatigue, pain, and various other symptoms. Associations Depends on primary diagnosis, e.g. fibromyalgia patients will report more pain than other CFS patients. Individuals with SD or their relatives may admit to 'gains' associated with ill health. Management Depends on primary diagnosis.