I was diagnosed with CFS through civilian doctors (three to be exact). First started in 2000. I was already rated for migraines and depression through the VA. When I tried to get treated at the VA, I found that since I was not a "wartime" vet - they wouldn't let me into the CFS program (Newark). I was sent from one doc to another and then back to Mental Health. No one was knowledable about this condition. When I talked to my primary doc about my prognosis, she sent me to get evaluated by a shrink (not the one that I had been seeing through the VA for over a year though) and this doc actually wrote in his report that I appeared to have gotten the list of symptoms online and memorized them. I was so upset. When someone who has been dealing with CFS for almost 5 years is accused of "faking it" - my response was: of course I know the symptoms, after dealing with these symptoms for 1/2 a decade and trying to get myself better, well why shouldn't I know them. Fortunately now I am only dealing with minor symptoms.
Anyway, I've about had it with the VAMC's. Be careful when you are dealing with doctors who don't understand CFS. That's my experience. And to be rated on this disability - well, look over the physical sheet and take notes before you go for a C&P. Also, if you are being treated by a civilian doc, have them look over the sheet and write a report including all of your symptoms and how they determined that you met the VA's requirements for CFS.
Sorry if this is off-topic regarding P&T.
Jenn