ME/CFS is a real disease with a defined etiology, and the lack of a specific test is very annoying because a diagnosis by exclusion unfortunately leads to many false positives. Once we have a proven test then we can say for "sure" Carla does not have it with a test. Perhaps she did have it and the recovery was spontaneous but coincidental, not common but possible.
Many diseases mimic other diseases, which also makes none of the above diagnosis more fraught, i know people who have been diagnosed with the wrong thing and taken many doctors and years to get to the right diagnosis (including myself), the symptoms weren't clear, the doc made a mistake, had no experience with the actual condition, it took time to delineate, or cross symptomology (i've been around the block many times).
If we deny other conditions with fatigue exist then we are lying to protect ourselves, but we don't need to do so at all, since our condition is real. Whether Carla exists or not matters because we hope the case study isn't a lie, but even if she is fake people do get severe depression and not want to go out. Its a real condition too (though its not actually a "biochemical imbalance", but thats another discussion entirely)
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