Coping Better With Chronic Fatigue Syndrome/Myalgic Encephalomyelitis

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Format: Paperback
Pub. Date: 2009-10-31
Publisher(s): KARNAC BOOKS
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Summary

CFS/ME is a debilitating disorder which affects both physical and psychological functioning. It is also a poorly understood condition which was not widely accepted as a specific disorder until only a few years ago. Cognitive Behaviour Therapy (CBT), in conjunction with other physical and medical therapies, is now generally accepted as the treatment of choice for people who are affected by CFS/ME. This book provides the perfect companion for patients to develop and apply new insights into overcoming some of their specific symptoms as well as coping with the syndrome, both during the course of their therapy and afterwards. It provides a helpful structure and framework for understanding CFS/ME and its effects as well as practical exercises to help address some of the symptoms that patients may experience.

Author Biography

Dr Bruce Fernie is a chartered councelling psychologist at the Fatigue Service at the Royal Free Hospital. He also works as a psychologist for CASCAID, an HIV mental health service within South London and Maudsley NHS Trust. He has worked in CFS/ME for four years, in which time he has coordinated the development of, and co-facilitated, the evidence-based group programmes designed to help those diagnosed with CFS/ME. As well as CFS/ME, his research interests lie in procrastination, metacognition and Self-Regulartory Executive Function theory. Dr. Gabrille Murphy is a physician working in the Fatigue Service at the Royal Free Hospital where she is the Clinical Lead. She also works in the Department of HIV medicine. Her interests include medically unexplained symptoms. Gabrielle is actively involved in local and national organisations promoting access to CFS/ME services and ongoing research.

Table of Contents

Acknowledgementsp. xi
About The Authorsp. xiii
Dr Bruce Ferniep. xiii
Gabrielle Murphyp. xiii
Forewordp. xv
Coping Better with Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME)p. xv
Introductionp. xvii
How this book was writtenp. xvii
What is CBT?p. xviii
Depression and CFS/MEp. xix
What causes CFS/ME?p. xx
If we don't know the cause, how can we treat it?p. xx
About the design of this bookp. xx
Critical incidents, vulnerability factors and maintaining factorsp. 1
Critical incidentsp. 2
Vulnerability factorsp. 3
Maintaining factorsp. 7
Goal settingp. 11
Why set goals?p. 11
SMART goalsp. 12
Energy-efficient goalsp. 15
The cycle of goal settingp. 18
Planning to achieve your goalp. 18
Baselinesp. 19
Managing baselinesp. 20
Making progressp. 20
Bringing it all togetherp. 22
Flexibilityp. 22
Thoughts and feelingsp. 23
Negative automatic thoughtsp. 24
Alternative viewp. 25
Thoughts and feelingsp. 25
Thought and feelings diaryp. 27
Thought chainsp. 28
Sleepp. 31
Why do we sleep?p. 31
Microsleepp. 32
How much sleep do we need?p. 32
Sleep debtp. 33
The stages of sleepp. 33
Circadian rhythmsp. 34
Monitoring sleep and activityp. 34
Sleep efficiencyp. 36
Factors that may contribute to poor quality sleepp. 37
Problematic beliefs about sleepp. 39
Strategies and techniques for improving sleepp. 40
Activityp. 45
Traffic lightsp. 46
Guide for interpreting your own activity diaryp. 49
Boom and bustp. 50
Energy capsulesp. 53
Impact crossesp. 57
Challenging unhelpful patterns of thinkingp. 65
Mind the GAAAPp. 66
Identifying thinking errorsp. 67
Your own use of thinking errorsp. 70
Alternative thoughtsp. 71
Taking the iTESTp. 71
iTestp. 72
Take your thought to courtp. 73
Tally the advantages and disadvantagesp. 73
Stress and anxietyp. 79
Fight or flight responsep. 80
Stressp. 81
Worryp. 81
Techniques for dealing with worry and stressp. 82
Positive and negative beliefs about worryp. 83
Stop signalsp. 88
Refraining a worry as a goalp. 88
Example of refraining techniquep. 89
Acute anxiety or panicp. 90
Core beliefsp. 95
Rules for livingp. 97
Vulnerability factors, rules for living and core beliefsp. 98
Other ways to identify core beliefsp. 101
Looking for themes in your unhelpful thoughts diaryp. 101
The 'what does that mean if that is true?' techniquep. 102
Modifying core beliefsp. 102
New beliefsp. 107
Symptom mappingp. 109
Learning to listen and understand your bodyp. 109
What are setbacks and relapses?p. 109
Warning signs, recovery signs and natural responsesp. 110
What to do if you experience a warning sign symptomp. 113
Symptom mappingp. 113
Planning for setbacksp. 117
Distinguishing between a CFS/ME and a non-CFS/ME setbackp. 118
Possible contributing factors to a CFS/ME relapsep. 120
Changes in patterns of sleepp. 120
Changes in levels of activityp. 121
Changes in emotional statep. 121
New stressorsp. 121
Medical perspectivep. 123
Fatigue as protective mechanism?p. 124
Fatigue as a maladaptive mechanism?p. 124
Joined up Government?p. 125
Psycho-neuro-immunologyp. 127
Calling ME names?p. 129
Explaining namesp. 130
Criteriap. 131
Who gets CFS/ME?p. 133
Is CFS/ME hereditary?p. 134
To repeat the question, why CBT?p. 134
Some practicalitiesp. 134
Table of Contents provided by Ingram. All Rights Reserved.

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