Expert ReplyCondition analysis:
In your case, all investigations like MRI scan is normal. What ever changes MRI has shown, is age related and is normal. There is nothing to worry about them. I think, you have one main symptoms, that is, tiredness. If you have continuous tiredness for last many years, it would go in favor of neurasthenia. It is a psychological disorder marked especially by easy fatigability and often by lack of motivation, feelings of inadequacy. In that case, you can try higher dose of stimulant like provigil (modafinil) or armodafinil along with antidepressant. Rest, you are a psychologist, so how could you motivate yourself, that you can decide. In supplement, any supplement like Swanson Premium triple Magnesium Complex etc could be tried.
Instructions:
Adopt fruit diet for 5 days, followed by a fruit and milk diet for 10 days. Begin with 1 liter of milk a day and increase by 250 milliliters daily till you have reached up to 2 liters. Finally embark upon a well-balanced diet comprising of vegetable oil, milk and honey.
Avoid smoking.
Drink lots of water.
Worry, anxiety, sexual excess and mental exertion should be avoided.
Increase nervous energy and vitality with dry friction and sponge in the morning. Neutral immersion bath for 1 hour before retiring is also advised.
Epsom salt bath once or twice a week is beneficial. Dissolve 1 kilogram of Epsom salt in a bath of hot water and remain immersed for 10 to 20 minutes. Avoid using soap during the bath.