Differential diagnosis of premenstrual tension includes all of the following except:

Ans. is 'd' i.e. chronic fatigue syndrome Premenstrual Syndrome - It denotes a group of distressing psychological and physical symptoms starting few days before and ending shortly after the onset of menstrual period. Its clinical features are Psychological symptoms - anxiety * irritability depression. Psvsicalsvmptome - breast tenderness abdominal discomfort The differential diagnosis of premenstrual disorder includes - Mood disorders - Depression Mania Anxiety disorders - Generalized anxiety disorder Panic disorder Personality disorders - Somatoform disorders - Chronic fatigue syndrome is not included in the differential diagnosis of premenstrual disorder. In chronic fatigue syndrome Patient presents with symptoms of excessive lethargy and fatigue at rest. These symptoms are present for many years. The important differentiating feature between chronic fatigue syndrome and premenstrual disorder is that - - while in premenstrual syndrome the onset is usually acute and the symptoms occur cyclically, in chronic fatigue disorder the symptoms are present throughout and are chronic in nature.