学校での人間関係悪化から、体調が崩れて昼夜が逆転。約3年間な病院を点々とした後、松井病院入院後は２週間で症状が劇的に改善
Due to the deterioration of relationships at school, her health deteriorated and her day and night cycle was reversed. After visiting various hospitals for about three years, she was admitted to Matsui Hospital and her condition improved dramatically within two weeks
Followed by English translation
症例 NO.083 13歳 女性
小学5年生（秋、冬）
仲の良かった信用していた友達との関係が悪くなり。学校では元気なように振る舞うが、限界だった。徐々に体調がくずれていき、休んでいるうちに昼夜逆転してしまったのと、体調不良が長く続き（主に腹痛、頭痛など）親にも先生にも仮病と思われてしまい、五年生が終わってしまった。
小学6年生（春、夏）
小学生最後の学年になり、また心機一転し頑張ろうと思い、体調不良も徐々に治っていき行けるようになりました。仲の良い友達を新しく作り、最初は警戒していたが、優しいこともあり、また信用してしまった。
小学6年生（秋、冬）
過去のことを色々思い出し、また元気なふりをし、疲れる日々が続き、体調不良になってしまい、やはり仮病と思われてしまい、少したった頃副校長先生が私の部屋まで来て連れていかれるようになり、「逆らっても意味ないな・・」となり、休む時は絶対来るようになり、ほぼ毎日つかれて余計体調が悪くなって熱が出てしまい、少しの間休んだけどやっぱり熱が引いたら連れて行かれて、その繰り返しでした。ある時お母さんに「何かの病気かもだから先生が精神科すすめられたから、行って検査してみてよ?」と言われてゆくと結果は”ADHD”と。実際あてはまっていたが、自分の想像とは違う症状だった。その後も学校には行けず、卒業式だけ行って終わってしまった。
中学1年生（春、夏）
昼夜逆転を治すために寮に入ったけど、途中から体調不良になってしまって、迎えにきてもらうことが増えてしまいました。
中学1年生（秋、冬）
お母さんに頼んで、家から通わせてもらう事にしました。でも片道3時間かかること、起きる時間が早いこともあり、長続きしませんでした。そしてそのあともずっと行けなく、1年生が終わってしまいました。
中学2年生（春～現在）
おばあちゃんの家の方が学校に近いので、おばあちゃんの家から通わせてもらうことになりました。でもあまり変わらなく、行けても週1、2回でした。
ある時、学校で尿検査が出来なかったので、小児科で検査してもらうのと同時におばあちゃんが、「この子朝起きられなくて、睡眠薬を飲んでも寝られないんです。」というと、先生が「松井病院って所治る人は1週間で治ったりするから紹介状書きましょうか?」と言って紹介してくれました。
中学2年生（6月～現在）
松井病院に行ってみて、検査すると「自律神経失調症」と「起立性調節障害」と診断されて、入院した方が良いと言われたけど、ホームシックもあったから、したくないと言い、2週間ほど通ったけど、症状は全然変わらなくて、入院することにして、入院するとみるみる症状は楽になり、もっと早くこの病院を知っておけば良かったなあ、と思うぐらい楽になりました。しんどい時もあったけど治ったので良かったし、予想よりも早く治れたので良かったです。看護師さんも物療の先生方もみなさん優しくしてくれて、ありがとうございました。
症状経過
Due to the deterioration of relationships at school, her health deteriorated and her day and night cycle was reversed. After visiting various hospitals for about three years, she was admitted to Matsui Hospital and her condition improved dramatically within two weeks
No. 083 13-year-old female
Fifth grade (Autumn, Winter)
My relationship with a close and trusted friend started to deteriorate. I acted fine at school, but I was at my limit. My health gradually deteriorated, and while I was resting, my day and night cycle was reversed. My poor health continued for a long time (mainly stomachaches, headaches, etc.), and my parents and teachers thought I was faking it, and my fifth grade year ended.
6th grade (spring, summer)
My last year of elementary school, I decided to start afresh and do my best, and my health condition gradually improved and I was able to go to school. I made some good new friends, and although I was wary of them at first, I started to trust them again because they were kind.
6th grade (Autumn, Winter)
I remembered a lot of things from the past, pretended to be fine again, and the tiring days continued, and I started to feel unwell, and they thought I was faking it, and after a while the vice principal came to my room and took me to school, and I thought, "There's no point in resisting..." and I started coming to school whenever I needed to take a day off, and I got tired almost every day, and I felt even worse, and I got a fever, so I took a little time off, but when the fever went down I was taken to school again, and it was a cycle that continued.
One day, my mother said to me, "You might have some kind of illness, so the doctor recommended that you go to a psychiatrist and get tested." When I went, the result was "ADHD." It actually applied to me, but the symptoms were different from what I had imagined. After that, I was unable to go to school, and only attended the graduation ceremony.
Year 1 of Junior High School (Spring, Summer)
I moved into the dorms to correct my reversed day and night cycle, but partway through I started feeling unwell and had to ask someone to pick me up more often.
First year of junior high school (Autumn, Winter) I asked my mom if I could go to school from home. But it took three hours to get there, and I had to get up early, so I didn't last long. I wasn't able to go for a long time after that, and I finished first year.
Second year of junior high school (spring to present)
My grandmother's house is closer to school, so I started going to school from her house. But it didn't make much difference, and I could only go once or twice a week.
One time, they couldn't do a urine test at school, so we went to the pediatrician's office to get one, and at the same time, my grandmother said, "My child can't wake up in the morning, and she can't sleep even if she takes sleeping pills." The doctor said, "Matsui Hospital is a good place, and some people get better in a week, so should I write you a referral?" and introduced us.
Second year of junior high school (June to present)
I went to Matsui Hospital and was diagnosed with "autonomic nervous system disorder" and "Orthostatic Dysregulation(" and was told that I should be hospitalized, but I was also homesick, so I said I didn't want to. I went there for about two weeks, but my symptoms didn't change at all, so I decided to be hospitalized, and once I was hospitalized, my symptoms improved rapidly. I wished I had known about this hospital sooner.
There were some tough times, but I'm glad I got better, and I'm glad I got better sooner than expected. Thank you to the nurses and physical therapists for being so kind to me.
Course of symptoms
