Patients regard themselves as having serious physical problems, which have unknown physical causes and which require physical examination.
This is the problem is it not? "Well trained clinicians" have identified CFS not as organic but as functional. Just look at a book titled The Psychopathology of Functional Somatic Syndromes: Neurobiology and Illness Behavior in Chronic Fatigue Syndrome, Fibromyalgia, Gulf War Illness, Irritable Bowel, and Premenstrual Dysphoria by Peter Manu. This book is full of peer reviewed studies "proving" that CFS is functional. It sort of made me "typically" depressed.A well trained clinician will have lots of tools to identify organic vs functional illness.
So I have no problem with the psychiatric profession. What I have a problem with is a psychiatric professional who has an ace to grind, an agenda to push, and most of all, cynical bias due to a profit motive for favored therapies like CBT/GET that bypass the important steps my doc took to do a diagnosis of exclusion.