Treatment of Chronic Fatigue in NW Portland

Energy, good health and vitality have many facets. Five pillars of it include relationship to food/nutrition, exercise/movement, rest/sleep, stress reduction, and connectedness to self and others.

As a naturopathic doctor who is sensitive to listening to my patients, I have found that besides a history and workup of various medical conditions, it is important to do a holistic assessment of these five pillars and potential areas where someone's energy is getting drained. Chronic fatigue can contribute to brain fog, affect proper decision making and interfere with the ability to have a fulfilling livelihood and social life.

The field of psychoneuroimmunology has found that our stress state, nervous system and immune systems are inextricably combined.

Through counseling, we will discuss the situations/ people where you feel particularly drained including work, relationships, and your own psychological issues or blocks that may be addressed with acupuncture or referrals to the right psychotherapist for you.

In a medical workup, it is important to rule out:

  • Anemia
  • Autoimmune issues such as lupus or Hashimoto's autoimmune hypothyroid
  • Celiac disease
  • Hypothyroid
  • Mononucleosis
  • Chronic Fatigue Syndrome from Epstein Barr Virus infection
  • Depression and PTSD
  • Other Undiagnosed medical conditions
  • Nutritional deficiencies
  • Pain
  • Food allergies
  • Adrenal Deficiency
  • Lymphoma
  • Improper diet-too much sugar and refined food
  • Sugar Addiction




As a naturopath in Portland, Dr. Rubiales usually starts the journey of a patient's chronic fatigue with a comprehensive workup, and assessment. She finds that acupuncture helps to create better health care choices and encourage the five pillars of health. The journey back to health and vitality is a process.

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Portland Holistic Medicine | 1435 NW 23rd Ave, STE 100, Portland, OR 97210 | (503) 241-5094

Naturopath Portland

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Dr. Rubiales has been a licensed Naturopath specializing in the integration of Chinese Medicine, Acupuncture, Naturopathic and Mind-Body medicines in Portland, Oregon since 2001