Psychiatric Comorbidities

Borderline Personality Disorder • Psychogenic Movement Disorders • Myalgic Encephalomyelitis • Migraine

March 4, 2013

CANADIAN CONSENSUS CRITERIA FOR
MYALGIC ENCEPHALOMYELITIS

All of the following are required for a diagnosis of myalgic encephalomyelitis

Persistent and recurrent postexertional malaise and fatigue^a

Sleep disorder—unrefreshing sleep or altered sleep pattern

Pain—arthralgia or mylagia without inflammatory signs^a

Neurological/cognitive manifestations (eg, memory, information processing, disorientation, overload phenomena)

At least 2 of the following^a:

Autonomic symptoms: orthostatic intolerance, tachycardia, bowel or bladder dysfunction

Neuroendocrine symptoms: loss of thermostatic stability, hypoglycemia, loss of adaptability to stress

Immune symptoms: tender lymph nodes, flu like symptoms, hypersensitivity to medications and chemicals

^aDenotes criteria that differentiate myalgic encephalomyelitis from psychiatric conditions.

See: Identifying and Treating Common Psychiatric Conditions Comorbid With Myalgic Encephalomyelitis and/or Fibromyalgia

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Psychiatric Comorbidities

Borderline Personality Disorder • Psychogenic Movement Disorders • Myalgic Encephalomyelitis • Migraine

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