Neurasthenia is a collection of complaints. These may include weakness or fatigue and sometimes chest pain.


Stress and anxiety are thought to cause this. It may occur along with or after:

  • Depression.

  • Other psychological disorders.


Symptoms with no obvious cause may include:

  • Weakness.

  • Fatigue.

  • Chest pain.

  • Rapid heartbeat (tachycardia).

  • Extra heartbeats (palpitations).

  • Anxiety.

  • Over-breathing (hyperventilation).

  • Clammy hands and feet.

  • Dizziness.

  • Periodic sighing.

  • Sweating.

  • You may actually feel pain even though no physical cause may be found.


Tests and a history will be takento make sure there is not a physical cause for your problems.


Counseling can help you learn how to control stress and anxiety. Your caregiver may give you medications if it continues. Biofeedback and mental imagery are other relaxation techniques that may be used.

This is a condition where it is often difficult for you to believe there is not some physical thing wrong that is causing this. It is OK to think this. Once you are satisfied there is nothing wrong, try not to bounce from caregiver to caregiver hoping to find someone who will find something wrong. Keep working with someone with whom you feel comfortable. This problem will eventually go away.