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Bart's Therapy: CBT but not as we know it

Dolphin

Senior Member
Messages
17,567
From:
Physiotherapy
Volume 87, Issue 11 , Page 613, November 2001
Pacing and Exercise in Chronic Fatigue Syndrome

Tamara James, MCSP

‘Graded exercise’ or functional activity is best started at a baseline set by the patients that is also manageable on days of increased symptoms. From there they build up systematically at a predetermined rate that they feel is manageable. This is preferable to a symptom-contingent pattern (only doing activities when symptoms or worries are diminished, avoiding them when they are increased) that means the symptoms control their activity. The use of relaxation, both formally and incorporated into difficult activities, is also beneficial to help manage symptoms and for its energysaving function.

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Tamara James
MCSP
CFS Service
St Bartholomew’s Hospital
London