Tuesday, July 14, 2009

Constant Fatigue: At Last, Understand the Causes of Being Tired, Fatigue, and Burnout

By Dr. Gregory Ellis

Constant fatigue and job burnout are bedfellows. Mental and physical ailments are both involved in job burnout. Chronic fatigue resulting from multiple factors that reduce one's ability to cope with stress are reasons that lead to job burnout. Continuing stress in a person's job is another causative agent leading to chronic fatigue and job burnout.

Many workers experiencing burnout suffer from mental withdrawal due to:

* job strain

* work demands

* dissatisfaction at work

The main symptoms are:

* loss of energy

* lack of energy

* drawing away from contact with people

* declining attitude

Studies of burnout in the workplace indicate that about 25-35% of workers suffer from it. Research has looked at the function of the stress response system to understand its role but these results have been inconsistent. Tests of this nature are not good at detecting shades of gray and, as a result, cannot discriminate differing degrees of system function.

In other words, the dysfunction must reach a certain threshold of having broken down before conclusive decisions can be made. But our bodies function over a continuum from optimal to sub-optimal.

The feelings and sensations that the individual experiences are real, but tests most often cannot detect why. The failure of the tests to find anything, leads to a poor outcome in patient care.

What confounds the situation even further is that most diseases arise because of multiple causes. This is clearly the case in constant fatigue. In burnout, there is often decreased immune system functioning.

Further studies are needed to define the contribution of other issues to burnout such as post-viral syndrome, cellular toxicity, depression, muscle weakness, inadequate diet, and the lack of exercise.

As in all fatigue syndromes, such as chronic fatigue syndrome, fibromyalgia, multiple chemical sensitivity, and all the milder, non-diagnosable fatigue complexes that millions suffer from, there are no known therapies within the framework of modern medicine.

As a result, more and more people are looking into alternative therapies. Millions of people are actually now spending more money out-of-pocket on alternatives than on conventional medical care.

People are finding solutions to their health problems from the use of alternative therapies. They rarely mention this fact to their physicians for fear of a "dressing down" since doctors are generally against any treatments that they don't control. Most doctors believe that nothing in the alternative treatments of health problems are of any value.

Medicine does not support the use of nutritional supplements even though it knows little about it. This fact doesn't matter and it ridicules the use of supplements as untested. The medical community still supports the low-fat diet even though it's well-known that it's useless and even dangerous. It puts down supplements as a waste of money. Medicine does not research these topics, yet is uninhibited in condemning alternative approaches to the programs it supports.

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