What therapies are available?
Cognitive Behavioural Therapy (CBT)
The Cognitive Behavioural model of illness concludes that the
patient's "Interpretation of symptoms plays an important role in
perpetuating the illness".
CBT is designed to help CFS patients regain a sense of control.
The primary goals of CBT are to change any distorted perceptions
that individuals have of the world and of themselves and to change
their behaviour accordingly. For a CFS patient that means learning
to think differently about their fatigue, improving their ability
to deal with stressful situations and managing their condition. CBT
can also help people manage their sleep problems by identifying
unhelpful negative thoughts about their ability to go to sleep or
Patients are given homework, which usually includes keeping a
diary and attempting tasks that they have avoided because of
previous negative worries.
Using both self-observation and specific tasks, patients
gradually shift their fixed ideas that they are helpless against
the fatigue that dominates their lives. They move to the perception
that fatigue is only one negative experience among many positive
"The Therapist was a great help in reprogramming my
mind to help me with day to day living with the illness " June
" I felt ......... was very helpful, she
has a very constructive approach to improving my lifestyle and
thought processes. She deals with things practicaly which helps my
mental approach" July 2018
"I could not of had a better therapist, she was
fantastic and I would not be where I am now without all her help
and understanding. I can now manage CFS much better and have
the tools to go back to" October 2017
Occupational Therapy (O.T)
Occupational therapy enables people to achieve health,
well-being and life satisfaction through participation in
occupation (College of Occupational Therapists 2004).
"Occupation" refers to practical and purposeful activities that
allow us to live independently and give us a sense of identity.
This could be anything from essential day-to-day tasks, such as
dressing or cooking, to the things that make us who we are - our
job, interests, hobbies and relationships. Occupational Therapy
provides practical support to enable people to overcome any
barriers that prevent them from doing the activities that matter to
them, and helps to increase people's independence and satisfaction
in all aspects of life.
Occupational therapists are trained to analyse how tasks are
comprised of mental, physical and emotional components and they
help people with CFS to set and attain realistic goals for graded
activity. Within the Chronic Fatigue Syndrome Service you will
address issues such as those listed below:
- Restoring the balance between rest and activity.
- Lifestyle management - addressing sleep, relaxation and diet
which may affect your CFS.
- Support with 'Return to Work' programmes using the principles
of grading and adaptation - to enable illness management strategies
to be adapted to meet the demands of work situations. We may
be able to liaise with your employers/HR/Occupational Health or
school/college regarding reasonable adjustments and or support with
exams. The team uses guidance from the Equality Act 2010 to assist
with help regarding work, school and college.
- Problem-solving and practise of techniques to attain leisure
and social goals.
We first establish how much activity you can achieve without
making you feel more fatigued. We may use activity diaries and
pedometer logs to gather this information.
This involves regulating and gradually increasing physical
activity. This will help manage your fatigue, improve physical
fitness and your ability to carry out day to day tasks. These
strategies aim to measure physical exercise by establishing your
achievable baseline then gradually increasing the amount over a
period of time.
Your program is tailored to your specific needs and goals, which
will be discussed during your therapy sessions and set before
commencing any activity or exercise.
"I had a very patient Occupational Therapist who
helped me feel heard. I'm very pleased with the treatment
recommended." May 2018
" Put things into perspective, set achievable goals
, gave ideas to aid improvement ie. exercise weight loss. Helped me
to realise everyone has different problems and that mine are not
all bad! Thank you for all your help and patience" July
" All very helpful, understanding and caring " June
Access to :-
TENS Machine - We
have four TENS machines available for short term
Relaxation CD'S - We have Relaxation CD's
Pedometers - We have Pedometers available which
can be a helpful monitoring tool for Graded Exercise Therapy.