Fatigue Scholarly Review:

 Fatigue has an emotional dimension. A patient who is anxious may be more tired due to the stress of chronic anxiety. After a panic attack, patients feel exhausted. Anticipatory anxiety and the tendency to avoid a stressful encohttps://www.omicsonline.org/about.phpunter may be explained in words that sound like a complaint of fatigue, for instance, “I am too tired to go to the party.” The fear of embarrassment, fear of going outside (agoraphobia), or fear of going back to locations of previous panic attacks can appear to be related to lack of energy rather than to avoidance. When the patient has a conflict about whether to go forward, the inability to make a decision or the ambivalence about what to do may be described as fatigue. Major depressive disorder itself, as well as grief, loss, and sadness, is associated with feelings of fatigue. To chronically suppress anger takes effort and also tires. Depressive disorder includes anhedonia, the inability to sense pleasure. The opportunity for pleasurable activities to add energy is eliminated. When there is no libido or interest, there is no inclination to initiate action. Dread fills the morning, and the patient tends to delay getting out of bed. Movement is effortful. Insomnia or the tendency to sleep too much comes with the syndrome and leads to another layer of fatigue related to sleep deprivation

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