Our Psychologists have availability for face-to-face and online appointments for adults, adolescents and children.

Chronic Fatigue Syndrome

Treatment for Chronic Fatigue Syndrome (CFS/ME) focuses on helping individuals manage symptoms and improve quality of life. Chronic Fatigue Syndrome, also known as Myalgic Encephalomyelitis (ME), is a complex condition marked by extreme fatigue that doesn’t improve with rest and often worsens after physical or mental exertion. This isn’t simply tiredness—it’s an overwhelming exhaustion that can affect both mental and physical health.

People with CFS/ME often experience additional symptoms such as headaches, joint and muscle pain, sore throats, dizziness, and unrefreshing sleep. Moreover, many individuals also face depression and anxiety, which can further limit daily functioning. While the exact cause remains unclear, CFS/ME may develop after infections, cancer treatments, or physical trauma. Consequently, a tailored treatment plan is essential.

Common Symptoms of Chronic Fatigue Syndrome

If these symptoms sound familiar, it might be time to explore psychological treatment for Chronic Fatigue Syndrome to regain stability and balance in daily life.

What you may not be aware of about
chronic fatigue syndrome...

1

The average onset of ME/CFS is between 30–50, but it can also affect children and adolescents

2

Around 0.4–1% of Australians (up to 250,000 people) may have ME/CFS, though many go undiagnosed

3

Women are about three times more likely than men to develop ME/CFS

4

Up to 90% of Australians with ME/CFS are undiagnosed or misdiagnosed

adult-psychology-cfs

Treatment for Chronic
Fatigue

There is currently no cure for Chronic Fatigue Syndrome (ME/CFS). Instead, treatment focuses on managing symptoms, improving day-to-day functioning, and enhancing quality of life. A personalised treatment plan may include activity pacing, sleep management, psychological support, and medical care tailored to your individual needs.

Activity Pacing

Activity pacing is one of the most important strategies for managing Chronic Fatigue Syndrome. Many people experience a “boom and bust” cycle, where doing too much on a good day can lead to a significant worsening of symptoms afterwards.

A psychologist can help you identify your personal energy limits, prioritise daily activities, plan regular rest breaks, and develop practical pacing strategies to reduce post-exertional malaise and support more consistent day-to-day functioning.

Graded Exercise Therapy

Graded Exercise Therapy, or GET, is used by some specialist fatigue services as an individually prescribed and carefully monitored approach to improving day-to-day capacity. Research has found that GET may provide some benefit for some people with chronic fatigue states, although it is not considered a cure. However, GET remains controversial, particularly for people with ME/CFS who experience post-exertional malaise. At MindBox, any discussion of activity or capacity is approached cautiously, within the person’s current energy limits, and ideally alongside medical or allied-health guidance.

Improving Sleep

Sleep disturbances are common in people with Chronic Fatigue Syndrome and can contribute to fatigue and reduced wellbeing.

A psychologist can help you establish healthy sleep habits, develop a consistent sleep routine, manage stress or worry that interferes with sleep, and learn relaxation strategies that support better quality rest.

Managing Brain Fog

Many people with Chronic Fatigue Syndrome experience difficulties with concentration, memory and mental clarity, often referred to as “brain fog”.

Psychologists can help you develop practical strategies such as breaking tasks into manageable steps, using reminders or plannes, scheduling demanding tasks during periods of higher energy, and pacing cognitive activities throughout the day.

Cognitive Behaviour Therapy (CBT) for Chronic Fatigue Syndrome

Although Chronic Fatigue Syndrome is a physical health condition, living with ongoing symptoms can take a significant emotional and psychological toll. Research suggests that Cognitive Behaviour Therapy (CBT) may help reduce fatigue-related impairment and improve symptoms of anxiety and depression for some people with Chronic Fatigue Syndrome when used as part of a broader management plan.

CBT can help you:

  • develop practical coping strategies

  • manage stress, anxiety and depression

  • adjust to changes in daily life

  • improve sleep habits

  • set realistic goals while respecting your energy limits

While CBT does not treat the underlying cause of Chronic Fatigue Syndrome, it can help improve wellbeing, confidence and quality of life by supporting people to better manage the challenges of living with a long-term condition.

Tips for managing chronic fatigue syndrome

Picture of Written by Dr Elizabeth Woodcock

Written by Dr Elizabeth Woodcock

Clinical Psychologist, Director of MindBox Psychology

Our Psychologists are highly qualified, with Masters or Doctorate degrees in Clinical Psychology. We use evidence-based approaches, including Cognitive Behaviour Therapy (CBT), Pacing Strategies, and Mindfulness, to support individuals with Chronic Fatigue Syndrome, helping them manage energy levels, reduce stress, and improve daily functioning.