Interesting you brought this up, I was going to mention that since my endo's at Kaiser have basically shut me out and told me to go back to my PCP and ask him why I am feeling fatigued since it is not
hormonal in nature I feel like this is heading down the path of anti-depressants. I had a conversation with my surgeon yesterday who is a great guy and expressed my frustration and he was emphatic "don't let them put you on anti-depressents" your not depressed. So at least I have one doctor in my corner, unfortunately all he can do is cut, stitch and prescribe pain pills.
Regarding depression and symptoms, if you are not Bi-Polar, Clinically Depressed or some other classification of mental disorder, it seems like a Dysthymia is possible catch all, but to your point if you look at the symptoms and May Clinic Criteria for Diagnosis it is incredibly similar to low T.
Diagnostic criteria for dysthymia
To be diagnosed with dysthymia, you must meet the symptom criteria in the Diagnostic and Statistical Manual of Mental Disorders (DSM) published by the American Psychiatric Association. This manual is used by mental health providers to diagnose mental conditions and by insurance companies to reimburse for treatment.
For a diagnosis of dysthymia, the main indication for an adult differs somewhat from that of a child:
•For an adult, depressed mood most of the day for two or more years
•For a child, depressed mood or irritability most of the day for at least one year
In addition to that, you must have at least two of these symptoms, and they must cause distress or interfere with your ability to function in your daily life:
•Poor appetite or overeating
•Tiredness or lack of energy
•Trouble making decisionshttp://www.mayoclinic.com/health/dysthymia/DS01111/METHOD=print
Recognize this is off topic from Blades original post, but I figure Peak will Split this out anyway:-)