$Unique_ID{BRK00817} $Pretitle{} $Title{Is Always Feeling Tired Just All in One's Head?} $Subject{fatigue causes Ill Defined Symptom symptoms behavior behaviors emotional problems Stress unresolved conflicts depression} $Volume{N-23} $Log{} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Is Always Feeling Tired Just All in One's Head? ------------------------------------------------------------------------------ QUESTION: A close friend is always complaining about how tired she is, even though she never seems to actually get sick. Other friends of mine know people just like her. Are these people lazy, are they actually suffering from something, or is it just all in their heads? ------------------------------------------------------------------------------ ANSWER: "Fatigue" is an elusive condition that in the absence of any other symptoms may be the physical expression of a variety of emotional problems. Stress, unresolved conflicts, anxiety or depression may all manifest themselves as fatigue in individuals who are unaware or incapable of facing their problems directly. In such cases, the doctor can enlighten the patient as to the emotional component of his or her condition, and, if necessary, recommend psychological counselling. On the other hand, it is estimated that 20 to 40 percent of fatigue cases result from a physiological condition. Here, fatigue is accompanied by other symptoms which are usually uncovered during the patient interview or physical exam (a cough, fever or weight loss for example), and help pinpoint the underlying condition. It would seem that your friend could really profit from a visit with her doctor, and obtain the answers necessary to correct a life style that must be frustrating and painful. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.