DSM 5 - I wish to comment on the proposals for DSM-5 and particularly on
the newly created category for “Complex Somatic Symptom Disorder” (CSSD)
and the category “Simple Somatic Symptom Disorder” (SSSD).
In panic disorder and generalised anxiety, fatigue is not a core feature.
In DSM IV, fatigue is not even mentioned in the diagnosis of panic disorder.
In Generalised Anxiety Disorder (GAD) "being easily fatigued" is only one
of many possible symptoms and does not have the same quality as the chronic
relentless nature of the fatigue in CFS. The issue of
somatoform illness has been discussed earlier.
De classificatie van CVS als een psychiatrische stoornis
in de DSM-5 negeert het opstapelend bewijs van een biomedische onderbouwing
voor CVS op vlak van immunologie, virologie, genetica en neuro-endocrinologie.
