First, he wonders whether the exercise is a placebo effect based on the anticipation of improvement. The second question is the acceptability of this treatment. Many CFS patients actively avoid exercise and many healthcare providers in fact recommend rest at all costs rather than a concern of relapse. However, the positive aspect of the CBT and the exercise is that it has the patients question their fears. In both cases, there is a psychotherapeutic affect that may be beneficial.
The use of antidepressants is another approach that has been suggested and studied. However, the results on this have also been mixed. As Demitrack (1996, p. 282) states, "At the present time, it is unrealistic to present medication as a sole treatment for this disease." It may be that medications could work in the short-term and provide enough symptomatic relief to allow other more lasting nonpharmaceutical therapeutic interventions to help. Future studies should look at combined pharmaceutical and nonpharmaceutical approaches used together.
Abbey (1996, p. 206), who has studied the results of much of the research done thus far in CFS treatment. She sees that in many cases that psychotherapy can be of positive help. For example, group therapy can offer hope, universality, sharing of information, altruism, socialization, catharsis and group cohesiveness. She also recognizes the benefit of cognitive behavioral therapy that can produce better illness adjustment and significant reduction in disability. She notes, "An illness such as chronic fatigue syndrome, for which psychopharmacological treatments may confer substantial benefits in terms of symptom relief, particularly highlights the importance of successfully integrating psychotherapy and pharmacotherapy."
Wessley (1998, p. 395) sees that healthcare providers will continue to be challenged in the future by this condition. Chronic fatigue, he says, is just one example of the large range of medically unexplained syndromes...
Chronic Fatigue in the Aviation Industry Chronic Fatigue Fatigue is the mental and/or physical state of being weak and tired. Mental and physical fatigue is different, but the two will often exist together. A person becomes mentally tired if they are physically exhausted for a long period. A person being unable to function physically at their normal levels manifests physical fatigue Jackson & Earl, 2006. Mental fatigue will manifest itself by a sleepy
Furthermore, subjective feelings of fatigue can be inconsistent with performance (Holding, 1983), sometimes exhibiting a greater sensitivity to sleep loss than the performance measures (Haslam, 1981). While different studies have produced variable results about the effects of fatigue inducing elements in flight performance and aviation errors, yet there is on the whole general agreement among researchers that fatigue is negative factor in aviation, particularly when it comes to military operations.
COPD Chronic obstructive pulmonary disease (COPD) year-old male -- pt known to me -- recently admitted to the ward with Non-STEMI & LVF. Discharged five days ago. Was found collapsed in his house by his niece. Duration not known. Could not get up from the floor, no chest pain/SOB. No dysuria/constipation -- ? Incontinence Pt was discharged with a package of care last week. Detailed history not available as the pt is confused and not answering any
The process of neuroadaptation There are two main processes that do contribute to the development of addiction as well as the reinforcement and the process of neuroadaptation. The process of reinforcement occurs when a rewarding stimulus such as alcohol or other drugs such as AOD causes induced euphoria. This could also be a relief from an unpleasant condition or state such as anxiety which usually increases the chances of a behavioral
Chronic Fatigue Syndrome -- A Case Study Case study 'Monique.' Case presentation and history Monique, a female aged 30, possesses a history of depression and chronic fatigue syndrome, starting at the age of 16 to 17, together with suicide attempts (entailing overdosing), in addition to a long record of anxiety. During baseline evaluation, she reported continuous constant fatigue as well as anhedonia. She also expressed dense retrograde amnesia following a 12-week program of
Hypertension, Hypercholesterolemia, Depression Hypertension, Hypercholesterolemia, and Depression: A Case Scenario Mr. P is a 65-year-old Hispanic male who presents to the clinic with a symptomatology that leads to three broad closely associated diagnoses: hypertension, hypercholesterolemia and depression. A review of the clinical presentation, history, physical examination and lab values indicate the following primary concerns: Total cholesterol of 280mg/dL, high-density lipoprotein (HDL) of 25mg/dL, low-density lipoprotein (LDL) of 189mg/dL, a blood pressure of
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