From the ME-ICC paper: "Primary psychiatric disorders, somatoform disorder and substance abuse are excluded" Can someone explain me what they mean by that? Does it mean that if you're diagnosed with somatoform disorder or primary depression you don't get ME diagnosis? If that's the case, it sounds like a terrible idea. Diseases can coexist, and ME is commonly misdiagnosed as depression or somatoform/somatization. Am I missing something?