CFS (Chronic Fatigue Syndrome) and Mental Health

What is Chronic Fatigue Syndrome (CFS)?

CFS, or ME as it is often known, is a long-term health condition but which can also severely affect mental health.  The onset of CFS usually follows a pro-longed viral infection or periods of stress, and is characterised by extreme fatigue, muscle and joint pain, memory and sleep problems making it extremely difficult for patients to function normally and in many cases unable to work or socialise in the same way in which they did prior to the infection. Some people suffering with Long Covid-19 are finding that they are now also dealing with CFS-like symptoms.

Diagnosis and Prevalence

A diagnosis of CFS is given if the patient has suffered symptoms for six months or longer. Its effects can last many years, but it is normally at its most severe in the first one to two years of infection with symptoms gradually improving beyond this point. About 250,000 people in the UK suffer from CFS.

Physical vs Psychological Understanding

There has been much discussion whether CFS is in fact a psychological condition and the symptoms are imagined or exacerbated by the mental state of the patient. For many years sufferers of CFS have battled to convince health practitioners that they are dealing with a real physical health condition which requires treatment. The latest understanding however is that CFS is in fact a neurological condition which can in turn cause mental health conditions such as depression and anxiety to develop.

Mental Health Impact

It is important that if depression and anxiety do develop as a result of CFS that these are tackled, as they in turn can worsen the symptoms of CFS. Sufferers of CFS may feel depression from the physical symptoms and how these restrict what they are able to do in everyday life. The condition can also be isolating for some as they may fear to even leave their own homes or feel alone because others do not understand the condition or how to deal with it. This can cause both depression and anxiety.

CFS Treatment Options

Treatment for the mental health effects of CFS can include Cognitive Behavioural Therapy (CBT) which helps the patient to focus less on the negative aspects of the condition and instead to develop a more positive outlook. Graded exercise and activity programmes are helpful for some patients. Counselling or support groups for sufferers of CFS can also be beneficial, and some sufferers find mindfulness therapy and meditation helpful in coping with the symptoms of CFS. Others find that anti-depressants help to relieve some of the effects of CFS. Sometimes a combination of therapies such as CBT and anti-depressants is the best course of treatment.

CFS FAQ

What is Chronic Fatigue Syndrome (CFS)?

Chronic Fatigue Syndrome (CFS), also known as Myalgic Encephalomyelitis (ME), is a long-term health condition characterised by extreme fatigue, muscle and joint pain, memory issues, and sleep problems. It often follows a viral infection or periods of high stress and can severely impact daily functioning, work, and social life.

How is CFS diagnosed?

A diagnosis of CFS is made when a person has experienced its symptoms for six months or longer. It is typically most severe during the first one to two years, but symptoms can persist for many years, gradually improving over time.

Is CFS a psychological condition?

While there has been debate in the past, the current understanding is that CFS is a neurological condition. However, it can lead to psychological issues such as depression and anxiety, often due to the limitations and isolation the illness imposes.

What mental health issues can CFS cause?

People with CFS often experience depression and anxiety, partly due to their physical limitations and the lack of understanding from others. These mental health challenges can, in turn, worsen the physical symptoms of CFS if not properly addressed.

What treatments are available for the mental health effects of CFS?

Treatment options include Cognitive Behavioural Therapy (CBT), graded exercise therapy, counselling, support groups, mindfulness practices, and in some cases, antidepressant medication. A combination of therapies is often the most effective approach.