Earlier quoted context omitted.
Yes, CFS has a psychological component… In the way that, if X happens the same to you and me, and you don't care, but I do, then my adrenals/thyroid go into overdrive, yours don't; I get sick, you don't. Some people get CFS because of minor stress, some people don't get it until their life is a living hell. That's the psychological aspect of it. But that doesn't make it a psychological disorder in any way, shape or f…
I'm more interested in understanding what is going on in the brain/body rather than arguing over terminology. Both psychological and other factors seem to cause burnout/CFS, although psychological factors do seem to be the most important. Depression is a resulting symptom, not a cause. Stress and burnout affect different people in different ways: some people get depressed, others develop chronic pain (fibromyalgia, M…
There's little point in saying "Splats are primarily psychological" if accidents and mistaken facts seem to be at play often enough. Or if people splat other ways (e.g. in car crashes, tightrope accidents). The result is the same. Splatty splat splat. The outcome only tells you so much.
I can tell you one thing: Totally overhauling my "motivation, goals, and emotions" did absolutely diddlysquat in making me better because while I started off with a combination of routine infection and "psychological" stress (which, of course, is a kind of misnomer because you can measure it with blood tests)... it did permanent damage to my mechanicals. Splat.
Also, a lot of doctors think FM/ME/CFS are the same thing. And a lot think adrenal fatigue/hypothyroid and CFS are the same thing. Maybe they are separate but cause each other.
Genetics certainly play a part; hypothyroid is incredibly heritable, for example. It causes lots of the same symptoms and may be a symptom/cause (or both) itself.
But nobody claims that hypothyroidism is psychological, not even slightly, much less primarily.
But the cause for an individual almost doesn't matter. You have to cut stress no matter whether it was a primary cause for you or not.