title: [Unexplained fatigue and irritability - differential diagnosis and practical procedures for signs of exhaustion].
abstract: Chronic fatigue is a frequent complaint, but only leads to a medical consultation when consequences like sleep disturbance and reduced productivity become debilitating. Fear of a somatic disorder is usually prominent. However, the symptoms are usually physical and psychological signs of chronic stress. There is often a lack of awareness of stressors or conflicts, which would allow such a conclusion. Therefore, a few somatic investigations are recommended, since the list of possible somatic causes is long. Otherwise the patient should be prepared and motivated for a psychosocial counselling.
authors.affiliation: Psychiatrische Privatpraxis (Psychosomatik), Binningen.
authors.forename: Peter
authors.initials: P
authors.lastname: Keel
mesh_terms: D002055:Burnout, Professional / Q000175:diagnosis* / Q000523:psychology; D057189:Checklist; D003376:Counseling; D003866:Depressive Disorder / Q000175:diagnosis* / Q000523:psychology; D003937:Diagnosis, Differential; D005221:Fatigue / Q000209:etiology* / Q000523:psychology; D007508:Irritable Mood; D009440:Neurasthenia / Q000175:diagnosis / Q000523:psychology; D013001:Somatoform Disorders / Q000175:diagnosis* / Q000523:psychology; D013315:Stress, Psychological / Q000150:complications
keywords: Burnout; Depression; Müdigkeit; Reizbarkeit; burnout; depression; dépression; fatigue; irritability; irritabilité; somatoform disorders; somatoforme Störungen; troubles somatiformes