A 13-year-old girl who has been bed-bound for a week was brought by her parents to the emergency department. The parents were worried because she had not been speaking or moving at all for the last two days. She had not eaten anything for two days, although she drank from a baby cup regularly. Medical history She was admitted and investigated after a 6-month history of fatigue and occasional muscle and body aches. After 6 days in the hospital, she was discharged with a diagnosis of chronic fatigue syndrome (CFS) and referred to a child clinical psychologist.
The management involved a diary to record baseline activities, movements, and sleep-wake cycles, but the situation continued to relentlessly deteriorate. Prior to this, she had not complained of headaches or loss of speech, vision, power, or sensations. The history taken shows that she was not low in mood. Mental state examination…
