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CBT For Chronic Fatigue Syndrome (CFS)

Chronic Fatigue Syndrome (CFS) / Myalgic Encephalomyelitis (ME) is characterized by extreme fatigue, post-exertional malaise, and feeling generally unwell. The causes for CFS are not fully understood and possible causes include viral infections, immune disturbances, or disturbances to the central nervous system. As with any human experience, CFS has a psychological component, which means that psychological approaches can form part of a treatment package for CFS.

The Science Media Centre states that “CFS/ME is highly controversial with longstanding disagreements between the mainstream medical community and campaigners about its cause and treatment” (Science Media Centre, 2018). Treatments currently recognized by the UK’s National Institute for Health and Care Excellence (NICE) include cognitive behavioral therapy (CBT), pacing and graded activity, and graded exercise therapy. Read more
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Problem

Therapy tool

Language

Activity Diary

Activity diaries can be used for activity monitoring during an assessment phase of therapy, symptom monitoring during therapy, correlating activity wi ... https://www.psychologytools.com/resource/activity-diary/

Worksheet

Activity Diary (No Time Slots)

Activity diaries can be used for activity monitoring during an assessment phase of therapy, symptom monitoring during therapy, correlating activity wi ... https://www.psychologytools.com/resource/activity-diary-no-times/

Worksheet

Behavioral Experiment

Behavioral experiments allow individuals to test the validity of their beliefs and assumptions. They are a core experiential technique for therapeutic ... https://www.psychologytools.com/resource/behavioral-experiment/

Worksheet

CBT Daily Activity Diary

Activity diaries can be used for activity monitoring during an assessment phase of therapy, symptom monitoring during therapy, correlating activity wi ... https://www.psychologytools.com/resource/cbt-daily-activity-diary/

Worksheet

CBT Daily Activity Diary With Enjoyment And Mastery Ratings

Activity diaries can be used for activity monitoring during an assessment phase of therapy, symptom monitoring during therapy, correlating activity wi ... https://www.psychologytools.com/resource/cbt-daily-activity-diary-e-m/

Worksheet

CBT Daily Activity Diary With No Time Slots

Activity diaries can be used for activity monitoring during an assessment phase of therapy, symptom monitoring during therapy, correlating activity wi ... https://www.psychologytools.com/resource/cbt-daily-activity-diary-no-times/

Worksheet

CBT Thought Record

The CBT Thought Record is an essential tool in cognitive behavioral therapy. Thought challenging records help people to evaluate their negative automa ... https://www.psychologytools.com/resource/cbt-thought-record/

Worksheet

Challenging Your Negative Thinking

A cornerstone of cognitive behavioral therapy is that an individual’s interpretation of an event determines how they feel and behave. We all experie ... https://www.psychologytools.com/resource/challenging-your-negative-thinking/

Guide

Fatigue Activity Diary

Activity diaries are a crucial information-gathering tool. They can be used for activity monitoring during an assessment phase of therapy, symptom mon ... https://www.psychologytools.com/resource/fatigue-activity-diary/

Worksheet

Health Anxiety Thought Monitoring Record

Individuals with health anxiety experience clinically significant distress associated with health concerns. This thought-monitoring record enables cli ... https://www.psychologytools.com/resource/health-anxiety-thought-monitoring-record/

Worksheet

Health Anxiety Thought Record

Individuals with health anxiety experience clinically significant distress associated with health concerns. This thought-challenging record enables cl ... https://www.psychologytools.com/resource/health-anxiety-thought-record/

Worksheet

Identifying The Meaning Of Body Sensations

Some anxiety disorders (including panic and health anxiety), are concerned with body sensations and symptoms. The Identifying The Meaning Of Body Sens ... https://www.psychologytools.com/resource/identifying-the-meaning-of-body-sensations/

Worksheet

Pacing For Pain And Fatigue

Pacing is an evidence-based approach to increasing activity and fitness, and in reducing overall pain and fatigue. It is designed to prevent ‘bo ... https://www.psychologytools.com/resource/pacing-for-pain-and-fatigue/

Exercise

Pain Activity Diary

Activity diaries are a crucial information-gathering tool. They can be used for activity monitoring during an assessment phase of therapy, symptom mon ... https://www.psychologytools.com/resource/pain-activity-diary/

Worksheet

Pain Diary

Self-monitoring of thoughts, feelings and symptoms is an essential skill for clients engaged in cognitive behavioral therapy (CBT). In this Pain Diary ... https://www.psychologytools.com/resource/pain-diary/

Worksheet

Progressive Muscle Relaxation

Muscle tension is one reaction to stress and anxiety. This exercise includes instructions for Progressive Muscle Relaxation, a technique for promoting ... https://www.psychologytools.com/resource/progressive-muscle-relaxation/

Exercise

Progressive Muscle Relaxation (Audio)

The Progressive Muscle Relaxation exercise guides the listener through a sequence in which muscle groups are tensed and relaxed. ... https://www.psychologytools.com/resource/progressive-muscle-relaxation-audio/

Audio

Sleep Diary

Many clients report that their sleep is disturbed, and this can be a cause or consequence of many mental health conditions. This Sleep Diary enables c ... https://www.psychologytools.com/resource/sleep-diary/

Worksheet

Therapy Blueprint

The Therapy Blueprint is an end of therapy relapse-prevention worksheet. It is useful as a prompt for reflection upon therapeutic work. It can help to ... https://www.psychologytools.com/resource/therapy-blueprint/

Exercise

Thought Challenging Record 7 Column

The thought record is an essential tool in cognitive behavioral therapy (CBT). Thought challenging records help people to evaluate their negative auto ... https://www.psychologytools.com/resource/thought-challenging-record-7-column/

Worksheet

Unhelpful Thinking Styles

Human thinking is subject to a number of characteristic biases. Cognitive restructuring is the process of helping individuals to overcome their biases ... https://www.psychologytools.com/resource/unhelpful-thinking-styles/

Information Handout

Intervention

Treatment guides

The PACE trial was a large-scale study comparing CBT, graded exercise therapy (GET), and standard medical care for CFS. It found that CBT and GET were more effective for CFS than standard care alone.

Self-Help Programmes

Recommended Reading