I recently had a "specialized" spect scan done (By Dr. Amen, if anyone has read some of his books)...just at the end of my rope with all this fatigue and poor concentration. Results showed a number of very interesting things...was worth every penny. Now they can target my meds to the specific areas of my brain that I am having trouble with. One of the findings showed I have ADD!! (along with severe depression...who wouldn't with chronic pain!) The areas involved are very specific and very interesting. Gets much more involved, but if anyone feels this relates to them I suggest taking the online neuro test at the amenclinic website (edited to remove URL)it is very professional and helpful. I really beleive there may be a connection between chronic fatigue, FM and ADD. I wonder how many of us would show up with ADD???? Look at the cognative problems we all have, exactly the same as ADD....dunno, just guessing. I asked Dr. Amen this question and he said he sees alot of this corralation (Add, CFS, FM) he feels being stressed or sick just makes the ADD symptoms worse. The books I am reading say you can have very low energy and a host of symptoms with ADD (including depression...)we all have many of the same cognative problems to begin with and were high energy people before getting sick. Now the question is.... Which comes first, the chicken or the egg??? Just a thought. Susan B.