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 stay asleep.

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 ones. 

"The Therapist was a great help in reprogramming my mind to help me with day to day living with the illness " June 2018

" 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 2018

" All very helpful, understanding and caring " June 2018

Access to :-

TENS Machine - We have four TENS machines available for short term loan.

Relaxation CD'S -  We have Relaxation CD's available.

Pedometers - We have Pedometers available which can be a helpful monitoring tool for Graded Exercise Therapy.