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Medically unexplained physical symptoms
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==Absence of evidence of a physical cause== Medically unexplained symptoms are often referred to as lacking evidence of any organic pathology (physical cause) - but have been criticized as '''overly inclusive''' for including patients with symptoms judged to be ''out of proportion'' to the illness or injury; this is problematic because it relies not on medical or psychological tests for MUS but on a doctor's current knowledge of a diagnosed illness or injury, and on medical science's current expectation of particularly severe cases of the each diagnosis.<ref name="Desai2018" /> A patient with a serious medical illness can find themselves also diagnosed with a "medically unexplained physical symptoms" label such as Somatic symptom disorder because of their help-seeking behavior, worry over their health or reporting a disproportionate degree of symptoms.<ref name="Wolfe2013" /> For example, a doctor or psychiatrist assessing a person with [[Severe_and_very_severe_ME#verysevere|very severe ME]] may be unaware that [[paralysis]], [[seizure]]s and speech problems can occur,<ref name="Mihelicova" /> and the illness can, in some cases, [[Causes of death|kill]], so this lack of knowledge may lead to an incorrect diagnosis of MUS, with cognitive or behavioral treatments that may cause significant harm, and a denial of specialist treatment.<ref name="Sophia-Collusion">{{Cite web|url=http://www.sophiaandme.org.uk/collusion.html | title = PSYCHIATRISTS PAID BY OUTSIDE INTERESTS | website = sophiaandme.org.uk|access-date=2019-07-14}}</ref><ref name="continue" /><ref name="Geraghtyharm" />
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