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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Fatigue Syndrome?

MY DAUGHTER IS NOW 34. AT 9, SHE WAS DIAGONSED WITH CHRONIC FATIGUE AND ADD (WITHOUT HYPERACTIVITY). THERE WERE NO SSRIs available ( her brain seems to think it was Celexa - which didn t exist back them. I m trying to remember - something like cloromipramine or something like that , but I could be way way. her doctor wanted to start her on Celexa and she s freaked out because she overdosed on the older meds.......well, she didn t take it one AM when I asked her....she hid it....then doubled up the next day just to see spiders all over the wall and hallucinating them! It WAS SCARY, But I reassured her it could not be Celexa. Do you have some older meds she might have been placed on for chronic fatigue/ADD?
Wed, 19 Jun 2019
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General Surgeon,  's  Response
Hi,

The fatigue should not be due to: -Medical conditions like chronic illness, thyroid imbalance, anemia etc -Psychological conditions like anxiety, depression or stress. Many people do not fully recover from CFS even with treatment. Usual treatment response is 20-50%. Following steps will help you in treatment: -Examination of a general physician to rule out medical causes or medicine side effects for fatigue. -Cognitive behavioural therapy (CBT): from the nearby psychologist. -Graded exercise therapy (GET): Start with a daily morning walk. -Activity scheduling: Fix time meals, sleep and wake up.. assign time for some leisure activities. -Treatment with antidepressants like fluoxetine I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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What Causes Chronic Fatigue Syndrome?

Hi, The fatigue should not be due to: -Medical conditions like chronic illness, thyroid imbalance, anemia etc -Psychological conditions like anxiety, depression or stress. Many people do not fully recover from CFS even with treatment. Usual treatment response is 20-50%. Following steps will help you in treatment: -Examination of a general physician to rule out medical causes or medicine side effects for fatigue. -Cognitive behavioural therapy (CBT): from the nearby psychologist. -Graded exercise therapy (GET): Start with a daily morning walk. -Activity scheduling: Fix time meals, sleep and wake up.. assign time for some leisure activities. -Treatment with antidepressants like fluoxetine I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon