Understanding and Managing CFS & ME 🧠

Chronic Fatigue Syndrome (CFS) or Myalgic Encephalomyelitis (ME) is a disabling and complex clinical condition characterised by unexplained and persistent post-exertional fatigue along with cognitive, immunological, endocrinological and autonomic dysfunction.
00:00 - Intro
01:06 - What is CFS?
05:47 - How is CFS Diagnosed?
07:33 - Canadian Consensus Criteria for CFS
11:08 - Treatment of CFS

Correction: 14:19 Graded Exercise Therapy NOT Graded Exposure Therapy. Graded exercise therapy is a term used in varying ways by different services supporting people with ME/CFS. (NICE). In this guideline, graded exercise therapy is defined as first establishing an individual's baseline of achievable exercise or physical activity, then making fixed incremental increases in the time spent being physically active. This definition of graded exercise therapy reflects the descriptions given in the evidence that was reviewed, and it is this approach that the guideline says should not be undertaken.

Correction: 14:25 Graded Exercise Therapy NOT Graded Exposure Therapy


Common symptoms include post-exertional fatigue, brain fog, dizziness (POTS), sleep disturbances, and wired fatigue, which significantly impact the quality of life.
There is an overlap of CFS with Long Covid in the context of Covid infection. Both conditions have infections as a trigger.
The pathogenesis of CFS and long covid involve abnormalities in immunological, inflammatory neuroendocrine, mitochondrial and HPA axis amongst other systems.
#longcovid #cfs #chronicfatiguesyndrome #myalgicencephalomyelitis #ME #POTS #Posturalorthostatictachycardiasyndrome #brainfog #fibromyalgia

The management of ME/CFS continues to remain a challenge in medical and psychiatric practice.  Many pathophysiological mechanisms are involved, which requires a targeted strategy targeting multiple mechanisms.

In this video, Consultant Psychiatrist Dr Sanil Rege covers everything you need to know about CFS/ME in a simplified video. Many aspects covered in this video also apply to long covid.

The following points will be covered:

• Definition

• Risk factors

• Symptoms

• Diagnosis

• Canadian Consensus Criteria

• Treatment Options:
• Lifestyle changes
• Nutritional supplements
• Psychotherapies
• Pharmacological treatments
• Complementary therapies
• Faecal microbiota transplant

Don’t forget to subscribe and hit the notification button to know when a new video is released each week.

Read more in detail:
1. https://psychscenehub.com/video/trauma-neurobiology-ptsd-phenotypes-dr-sanil-rege/
2. https://psychscenehub.com/psychinsights/covid-19-and-the-brain-pathogenesis-and-neuropsychiatric-manifestations-of-sars-cov-2-cns-involvement/
3. https://psychscenehub.com/psychinsights/the-simplified-guide-to-the-gut-brain-axis/
Long COVID and Post-Acute COVID-19 Syndrome: Pathophysiology, Clinical Features and Management - https://psychscenehub.com/psychinsights/long-covid/