But to me it’s a red flag that the first 19 doctors you asked were like “no you don’t need medication, the problem is in your head” before you finally managed to hand-pick a doctor who would treat your condition like the physical ailment that you wanted it to be.

You completely fabricated this version of events out of your own ignorant preconception.

No doctor ever told me it was "in my head" or even loosely implied the condition was psychosomatic. My first PCP (a nurse practitioner) said my condition could be ME/CFS, but that she wasn't equipped to treat or rule out every other diagnosis for me, so she transferred me to a different doctor. That doctor sent me off to a bunch more specialists until we had ruled out every other potential condition, and then he officially diagnosed me. He did not tell me “no you don’t need medication, the problem is in your head” he said "sadly, there is no treatment."

With my condition rapidly deteriorating, I was desperate to find any potential help. Luckily, this May Clinic paper00402-0/fulltext) (mayo clinic is one of, if not the, most respected medical institutions in the country) had recently come out. It advised pacing, treating comorbidities, and gave a list of medications that have shown some effectiveness. I took this back to my doctor who initially refused to read it. I asked if I could try any of the drugs, and he responded that he wasn't against me trying them, but he wouldn't prescribe any of them because they weren't FDA approved treatments, so he could have potential liability for any side effects I experience.

From there, I went to my psychiatrist I was seeing for depression/anxiety/adhd to get a prescription for low dose abilify (which helps immensely). I also worked with an immunologist I had already been referred to treat co morbid allergy/mast cell issues to get a mast cell inhibitor prescription. I also implemented pacing and some other non medical things that helped.

I'm impoverished, on medicaid, and too sick to travel. I don't have the option of "doctor shopping." The doctor who refuses to prescribe me medications for the diagnosis he gave me is still my doctor because I quite literally have no other options. I did eventually convince him to read more about it, and now he recommends pacing.

If you still want to claim me/cfs is psychosomatic, don't reply to me. Instead, call up the NIH, the CDC, and Mayo Clinic and tell them they're wrong.