Treatment of Chronic fatigue syndrome (CFS)

Often, simply making the diagnosis of CFS and explaining what this means will help the person affected greatly.
It is important to be aware that the cause of CFS remains a mystery and that there is no simple cure. Recovery may take months, or even years, but most people do recover.

People with CFS need a regular review every couple of months by either a specialist or their general practitioner. If any new symptoms appear, treatment will need to be reassessed. People with CFS who do not respond to these treatments may be referred to a team including a doctor, psychiatrist, psychologist, occupational therapist, physiotherapist and liaison nurse.
With chronic fatigue syndrome, treating both physical and psychological factors is important.

To help with the physical aspects, the following may be beneficial:
Gentle exercise
Getting regular gentle exercise helps relieve and control symptoms. Most people with CFS can only tolerate light exercise, so it’s best to follow a "graded exercise programme", which means starting with an activity that can be done comfortably, and increasing the level of activity every few days. Getting too much exercise or increasing the level of exercise too quickly can make symptoms worse.
Painkillers
Pain relievers such as ibuprofen, aspirin or paracetamol may help relieve muscle and joint pain, headaches, and other physical symptoms. Some prescribed painkillers can become addictive and should only be used in the most severe cases on a short-term basis. Long-term use of any medication should be under the supervision of a doctor.
Daily routine
Adjusting the daily schedule to improve sleep habits may help.

To help with the psychological aspects, the following may help:
Cognitive behavioural therapy (CBT)
This is the most successful treatment for chronic fatigue syndrome. CBT helps people identify how their thoughts affect their behaviour. It can help people to develop ways to cope more successfully with fatigue and other symptoms of CFS. Referral to a psychiatrist for this treatment does not mean that the doctor believes it is "all in the mind".
Antidepressants

These may be beneficial for some people with CFS where depression is a significant symptom.
Complementary treatments

Complementary medicine such as relaxation therapy, acupuncture, special diets or mineral supplements may alleviate symptoms. However, although some people may find them useful, there is no scientific evidence that these are effective.

The outlook
With or without treatment, most people who have CFS find that their symptoms get better over time and that they are able to resume normal daily activity within 1 to 2 years. Some people will continue to have symptoms for many years.

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