How is chronic fatigue syndrome treated?

Management starts by understanding how activity, rest, sleep, pain, concentration and mood affect daily life. Post-exertional worsening is a key feature for many people, so pushing through symptoms can make functioning harder. A GP may also check for other explanations, including glandular fever, anaemia or thyroid problems, using the history and suitable blood tests.

Pacing means balancing physical, mental and social activity with planned rest, then adjusting gradually according to your symptoms rather than a fixed exercise target. Keep a simple activity and symptom diary to identify delayed worsening. Treat pain, sleep disturbance, dizziness or low mood with advice tailored to you. Occupational, psychological or physiotherapy support may help with daily tasks when the approach respects your limits.

Contact a clinician if symptoms change suddenly, you develop chest pain, fainting, severe breathlessness, new weakness, confusion or thoughts of self-harm. Seek review when fatigue is worsening, sleep is persistently unrefreshing, or you cannot maintain food and fluid intake. These changes may need assessment for another or additional problem.

Ask how your diagnosis was reached, which symptoms should be treated first, how to pace safely, and when your plan should be reviewed.