Chronic fatigue, chronic fatigue
syndrome, and M.E. (myalagic
enechalomyelitis) can all be
defined as unexplained persistent
exhaustion which is not relieved
If you click on the questionnaire
you can identify CFS/M.E.
symptoms. If you suffer from at
least four of the starred symptoms
for six months or more you should
consider a professional medical
These are some of the symptoms of
poor concentration & short
IBS (irritable bowel syndrome)
These Symptoms can either
fluctuate in intensity or even
disappear for periods of time, but
then return CFS/ME greatly limits
clients ability to function
optimally in their professional,
home, school and family lives.
The targets between CFS/M.E.
clients and therapists begin with
a programme to ameliorate fear and
anxiety about physical and/or
mental activities. All the
symptoms listed in the CFS/M.E.
checklist are measured
before/after treatment and targets
are set to reduce these to more
Success in working CFS/M.E.
clients has been in examining the
Type A/B qualities in the client
before the onset of the illness.
Psychological type seems to play a
large part maintaining clinical
symptoms of anxiety and
A complete programme has been
developed looking at the self
concept the person had before the
illness, and using a battery of
coping techniques, to challenge
negative thoughts, and
self-defeating patterns. These
include relaxation techniques,
progressive muscle relaxation,
breathing and visualisation.
A course of fifteen CBT sessions
is usually recommended as weekly
or fortnightly intervals. Clients
are asked to use a voice activated
dictaphone to record sessions.
This is used reflectively and
reinforces the work done in the
session. Homework is given in the
form of reading (bibliotherapy),
daily thought records to monitor
your negative automatic thoughts
and a daily activity schedule to
monitor mood, as well as behaviour
experiments to test strongly held
Depending on the level of severity
of the illness your week to week
progress is monitored at the
beginning of each session. CBT
greatly helps clients to readjust
to their present condition.