James Blake Jones, MD in Washington, DC, US (United States)

Depression is common. It affects nearly one in 10 adults each year nearly twice as many women as men. It's also important to note that depression can strike at any time, but on average, first appears during the late teens to mid-20s. Depression is also common in older adults. 

Gloom that never seems to lift. Overwhelming feelings of dread. Thoughts of suicide. "Voices" whispering strange and confusing commands. Out-of-control drinking or drug use. The reasons to seek psychiatric help are many. 

I'm just freaking out and I feel like my body's freaking out. I mean the shaking and the breathing and the sweats, and the heart pounding and the pain in the chest—I feel like I'm going to have a heart attack or something. Except I never do . . ." The Attack 

Each recommendation is identified as falling into one of three categories of endorsement, by a bracketed Roman numeral following the statement. The three categories represent varying levels of clinical confidence in the recommendation. 

Chronic fatigue syndrome is a serious, often disabling illness characterized by persistent, unrelenting, and severe exhaustion, as well as muscle pain and cognitive disorders that are sometimes referred to as "brain fog.