Health and pain
Chronic Fatigue Syndrome (M.E.)
Adjunctive CBT for adults living with CFS / M.E. Support for sleep, pacing decisions, mood, and the cognitive and emotional load of persistent illness. Not curative; not graded exercise.
How I see this presentation
Chronic Fatigue Syndrome (CFS / M.E.) is part of the same specialist territory I trained in at Maudsley NHS. The clinical picture is rarely just exhaustion; it is the impact of sustained illness on cognitive load, mood, identity, and the relationships around the person. People often arrive after long pathways through medical investigation, with their working life and roles reshaped around the illness.
How I tend to work with it
CBT here is adjunctive, not curative. The 2021 NICE guideline on CFS / M.E. (NG206) is explicit that CBT should not be offered as a treatment for the illness itself, but it has a place in supporting adults living with the condition: working with sleep, mood, anxiety alongside the illness, the relationship to a body and a working life that have changed, and the cognitive and emotional load of persistent illness. I do not offer graded exercise therapy, and I do not treat M.E. as cognition-maintained. The work is collaborative, unhurried, and shaped by what you find useful. I do not promise outcomes.
What a course might look like
Sessions are 50 minutes, online, typically weekly. The framework is agreed in the first one or two sessions and reviewed openly every four to six sessions.
Next step
If what you have read here fits what you are experiencing, getting in touch is straightforward. I respond to all enquiries personally, typically within one working day.
Sessions are bookable directly, or you can send a brief enquiry first.
When you're ready
Book your first session with Henry.
You don't need to know what you want from therapy before you book. The first session is for getting that clear.