Cognitive behavioral therapy and fasting therapy for a patient with chronic fatigue syndrome

Cognitive behavioral therapy temporarily alleviated symptoms of a chronic f atigue syndrome patient but the anxiety about rehabilitation into work beca me stronger and his symptoms worsened. This patient was successfully rehabi litated by fasting therapy. Natural killer cell activity and serum acylcarn itine levels recovered after fasting therapy. Though fasting therapy transi ently increased physical and mental subjective symptoms, the patient gained self-confidence by overcoming difficulties after fasting therapy. A combin ation of cognitive behavioral therapy and fasting therapy is promising as a treatment for chronic fatigue syndrome.