My 56 year old daughter suffers from a combination of depression/anxiety on the one hand and simultaneous pronounced muscle weakness and fatigue. These seem to be coupled together, but she is not sure. She is a practicing physical therapist and has lead a very active and energetic life until recently, when the combined effect has proven to be very debilitating. The psychiatrists, psychologists and neurologists she has consulted have not been able to help. Any suggestions about where to turn would be most welcome. In particular, does Mayo offer expertise in what appears to be a neuromuscular problem ? Would it be worth a visit to the clinic for its advice ? (She lives in Portland Oregon, but is getting desparate for relief and would seriously consider making the trip. Many Thanks, Carl Shiffman YYYY@YYYY