chronic fatigue (ME/CFS)

Chronic Fatigue Syndrome (CFS), also known as Myalgic Encephalomyelitis (ME), is a debilitating and complex disorder characterized by extreme fatigue that is not alleviated by rest and worsens with physical or mental exertion. Living with ME/CFS can be challenging, as the condition significantly impacts daily life, work, and social interactions. Despite its severity, ME/CFS remains poorly understood and often undiagnosed. Patients often face stigmatization and misunderstanding due to the invisible nature of the illness.

The exact cause of ME/CFS is unknown, and it affects people of all ages, but is most common in adults aged 40 to 60 years. Some factors that may contribute to its development include genetics, infections, hormonal imbalances, immune system changes, and physical or emotional trauma.

The primary symptom of ME/CFS is persistent fatigue that significantly reduces the ability to carry out daily activities. Other symptoms include:

  • Post-exertional malaise (PEM): A worsening of symptoms following physical or mental exertion that can last for more than 24 hours.

  • Sleep problems: Unrefreshing sleep, insomnia, or other sleep disturbances.

  • Cognitive difficulties: Problems with memory, concentration, and information processing, often referred to as "brain fog."

  • Muscle and joint pain: Widespread pain that can vary in intensity and location.

  • Sore throat and swollen lymph nodes: Frequent sore throats and tender lymph nodes in the neck or armpits.

  • Headaches: Severe or frequent headaches of a new type, pattern, or severity.

  • Orthostatic intolerance: Dizziness, lightheadedness, or fainting upon standing or sitting up.

There is currently no cure for ME/CFS, and treatment focuses on symptom management and improving quality of life. Treatment is usually multifaceted, including psychological treatment, lifestyle management, medication, and social support.

Cognitive-behavioural therapy (CBT) and acceptance and commitment therapy (ACT) help individuals cope with the emotional impact of ME/CFS, find flexible ways to engage in meaningful activities, and develop strategies to manage energy, sleep, and other symptoms.

There are a number of things people can do to improve their quality of life when living with ME/CFS, including learning about the illness, advocating for better research and treatment, prioritizing self-care, and adjusting activity schedules to accommodate energy limitations.

Chronic Fatigue Syndrome (ME/CFS) is a complex and debilitating condition that poses significant challenges for patients and healthcare providers alike. At ClearStream Psychology, we perform a thorough assessment to explore your history and symptoms, and help you make sense of what you’re dealing with. Then we collaborate with you to develop a customized treatment plan that meets your unique needs and treatment goals using effective therapeutic strategies supported by research. With the right support and strategies, you can learn to cope with chronic fatigue and make meaningful improvements to your well-being. Let us help you get back into the flow of life!