Clinical manifestations of neurasthenia

  ICD-10 places neurasthenia under other neurological disorders.  Neurosis is a condition of prolonged tension and stress, with easy mental arousal and brain fatigue, often accompanied by emotional distress, irritability, sleep disturbance, and muscle tension pain. These symptoms cannot be attributed to cerebral somatic diseases or other psychiatric disorders, and the symptoms are sometimes mild and severe, fluctuating in relation to psychosocial factors, and the course of the disease is mostly prolonged.  In ICD-10, the diagnosis of neurasthenia requires the following: 1) persistent and painful complaints of “tiredness after using the brain”; or persistent and painful complaints of “weakness and extreme fatigue after light exertion”; 2) the presence of at least two of the following At least two of the following: (1) muscle pain; (2) dizziness; (3) tension headache; (4) sleep disturbance; (5) inability to relax; (6) irritability; (7) indigestion.  3. Any co-existing autonomic symptoms or depressive symptoms do not meet the criteria for more specific disorders in this classification system in terms of severity and duration.  Due to the poor specificity of neurological symptoms, they are seen in almost all psychiatric and somatic disorders. According to the principle of hierarchical diagnosis, the disorder can be diagnosed only if other psychiatric disorders are excluded.