PEM has become my worse symptom recently. I am having a very hard time dealing with the after effects of my activities. I would say that I mostly have problems with social/mental PEM which includes my part time job and any long time interaction with family-friends etc. My PEM starts during the activity and when I get home I just crash into bed with severe exhaustion. I am unable to do any thing more that day. I can't move, eat or even talk. The following day my body is just dragged down by severe physical exhaustion. I have been sick for 6 years and just within the past 2 months this has become a huge problem for me. I am beginning to be afraid to do anything. I don't have this problem with physical activity at all.. Does anyone experience PEM is this way? I feel extremely exhausted for at least a day following the activity and is to the point where I really can't do much of anything. I am very worried and frightened over the prospect of this becoming a permanent problem...only because it has become much more debilitating for me.