The Chronic Fatigue Syndrome
 

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Article #33: Chronic Fatigue Syndrome, Fibromyalgia and the Stress Spiral

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Stress and anxiety are an unfortunate, the labeling that was common with
but sometimes necessary and inevitable previous generations which took the basic
feature of modern life. premise that "stress, depression and
As with diet, obesity, alcohol and anxiety are all in the mind and are a
smoking I am afraid that the news is sign of weakness"
simple. They have to be addressed. How stress can maintain and exacerbate
Learning to deal with stress is something CFS and Fibromyalgia
that can be consciously learned and Stress, depression and anxiety are known
practiced and new techniques have proven to slow down and in severe cases prevent
very effective. recovery from infectious illnesses, and
A higher than average percentage of this is partly where the confusion and
patients undergoing Fibromyalgia and malpractice surrounding the CFS
Chronic Fatigue treatment are, or were, depression arena was instigated and fed
engaged in high stress environments. by general practice and psychologists
This may be or have been at home, as over the last few decades.
carers of relatives or young children. It The dividing line between the two
may have been in work detail or during a conditions can appear very close to the
divorce or home move. untrained eye, but on closer inspection
Whatever the cause a significant increase CFS and Fibromyalgia do in fact have a
in stress is frequently cited at the time totally unique subset of features when
of onset of the sufferers Fibromyalgia or compared to depression of any type.
Chronic Fatigue Syndrome symptoms. To further muddy the waters both CFS and
As well as being implicated pre-onset, depression cause physical symptoms which
stress reactions are involved in the can be similar to each other on initial
maintenance and exacerbation of the presentation and also there is crossover
Syndrome post-onset. with the symptoms of various infectious
Blood pressure, heart rate, the entire illnesses of the rheumatic and
endocrine system which controls hormone auto-immune spectrum.
production are all implicated and As I have mentioned several times in my
involved during stress reactions. text, establishment apathy and
Unfortunately, the system that directly nonchalance about the true nature of CFS
controls all these systems, the Autonomic and Fibromyalgia have lead to it being
Nervous System, in particular the sidelined as a subdivision of psychology
Sympathetic Nervous System or "day nerve" and particularly depression.
remains malfunctional post-onset. Historically, when help is sought,
The result, unfortunately, will be an sufferers are left feeling isolated and
exacerbated negative reaction of your misunderstood to the extent that they
Fatigue and Fibromyalgia symptoms to will begin to hide their symptoms, live
stress and anxiety producing situations. in denial worried about other peoples
To make matters worse there is evidence reactions, and press on regardless while
that once activated the stress reaction understating their illness.
lasts abnormally longer in patients Unfortunately, these typical reactions
afflicted with Fibromyalgia and Chronic only serve to heighten overall stress
Fatigue Syndrome. levels which is precisely the opposite of
Is CFS more common in stressed people? the reaction needed for recuperation and
Let me first give a very broad outline of so leads to a further exacerbation and
how general medical advice is presented worsening of symptoms.
to Healthcare providers in diagnosing A lot of sufferers understandably avoid
Fibromyalgia and CFS patients: further professional help.
"frequently seen characteristics of CFS Some work very hard to find a cure and
and Fibromyalgia patients convince people that CFS/ME/Fibromyalgia
* People who through their own personal is a real illness. This leads to
attitudes and anxieties tend to make sufferers experiencing a desperate
their own lives mores stressful. urgency to recover which is met and fed
* People who are highly ambitious, they by a cynical and irresponsible health
appear to be always active physically and industry full of fake cures, miracle
mentally. pills and treatments.
* People whose lives are fully absorbed All this while sufferers are feeling
coping with the needs and requirements of threatened, scared, angry, stigmatized
others. and generally ill.
* People who avoid taking the time they The stress cycle goes even higher, and
need for themselves to rest, relax and the result, sufferers sink even lower.
recuperate and build supportive There are times in a person life when it
relationships that are entirely their may become particularly difficult to
own. actually be ill at all.
*People who have difficulty finding For example as a carer of an ill
others to confide in, so bottling up relative, or a baby or young children,
years of emotions and pain at times of during a period of house renovation or
bereavement or loss. " construction, the demands of work as
In itself this is not an inaccurate primary source of income.
description of frequently seen In the absence of people that can help
characteristics of Fibromyalgia and CFS practically and emotionally in these life
sufferers. However it is so broad that it scenarios it can be very difficult to
can describe patients with a multitude of actually say "STOP".
other conditions. Traditional medicine understood the
As I have said many times the human body importance of recuperation, rest,
is a remarkably resilient organism, able relaxation and contemplation as an
to accommodate fantastic pressures and important therapeutical facet of
stresses, but as with all machines and overcoming serious illnesses and
organisms there comes a breaking point. infections.
Stress appears to be a very large In the presence of a frightening array of
facilitating factor for people who become diseases which are now largely purged
the unfortunate ones to develop CFS and from modern society, and the absence of
Fibromyalgia post "trigger" infection or powerful antibiotics and antivirals,
trauma. painkillers and analgesics, the body was
A lesser, but still analogous example of largely left to its own devices.
stress related conditions is frequently In Traditional medicine patients were
referred to as "burnout", or simply often treated with herbal tonics and
"stress" and I quote. natural cures, a lot of these were
"A series of personal life circumstances incidentally quite effective but have now
combine to create a "breaking point", for been largely forgotten, dismissed or
example; death of a close family member, dismantled and reproduced in synthetic
chronic pain, moving house, bullying at form to provide the basis of 75% of
work, divorce, separation, financial modern pharmaceuticals.
loss or redundancy have all been linked However the primary strategy of the era
to detrimental changes in health " involved long periods of rest and
How stress can become a causal factor in recuperation.
Fibromyalgia and CFS By contrast, modern medicine and society
The initial trauma that was the notable place more importance on masking the
"trigger" of your CFS or Fibromyalgia is symptoms, " keeping a stiff upper lip",
usually cited as a bacterial/viral or "knocking it on the head" and "getting
chemically invasive attack of some kind, back on the job" as quickly as possible.
but it has been noted that in some A "get well quick" protocol which
sufferers extreme acute stress, such as unfortunately is completely at odds with
bereavement, divorce, bullying, extremes a recuperative strategy for illnesses
of overwork may also be a trigger for CFS such as CFS and fibromyalgia.
symptoms in the absence of a notable Learning to control and reduce stress is
infection or exposure. an important and essential adjunct to any
This makes sense in that scientific CFS and Fibromyalgia recovery strategy.
evidence has shown conclusively that You will need to learn how to recognize
stress lowers our immune defenses against stress and how to short circuit the
infection as witnessed by white blood sequence of events that leads to a
cell and lymphocyte counts. "stress spiral".
Also, stress has been shown to directly Techniques of physical and psychological
affect the body in the short to medium relaxation are essential and very
term causing extreme fatigue and more effective.
disabling problems such as migraine, Learning when to say NO is essential and
impairment of concentration and memory avoiding all events and activities that
and interrupted sleep patterns. place you under unnecessary stress or
Fortunately, as a society we have been anxiety are essential in the short to
woken up to the negative effects of medium term.
stress. In my next article on this subject I will
As is often the case it has taken the be talking about techniques that can be
negative economic implications of stress used effectively to short circuit and
to spur employers and healthcare alleviate stress and anxiety at home, in
providers into action. the car and at the workplace.
Sufferers no longer have to fight against






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