Friday, December 21, 2007

Chronic Fatigue, CBT, and Graded exercise therapy

According to an article in The Autralian, individuals suffering from chronic fatigue may have a poor sense of their own threhold for fatigue. This is described as the point at which their chronic fatigue symptoms are worsensed by engaging in physical activity. The result of engaging in excessive physical activity or simply physical activity at the wrong time (perhaps when chronic fatigue symptoms are already on the upswing) is often an extended period of fatigue. It can also result in a cycle of anxiety and increased susceptibility to CFS symptons.

Apparently, as of yet, there are no medications that effectively deal with chronic fatigue symptoms. However, there are other approaches that exist which are designed to mediate and hopefully reduce CFS symptoms, or at least their severity.

One approach is CBT, or cognitive behavioral therapy. CBT involves managing an individual's sleep cycle, and providing psychological input and advice, the goal being to improve a patient's tolerance to activities that have had the effect of exacerbating their fatigue and pain symptoms.

Another approach is GET, or graded exercise therapy. With GET, daily activity levels are monitored to ascertain a person's threshold point for experiencing chronic fatigue symptoms. Once that has been decided, an attempt is made to manage a person's activity habits to avoid crossing the threshold point.

Are either of these strategies proven and effective? Currently, there is an ongoing study to determine if either approach may be of benefit to cancer patients who are experiencing fatigue, presumably after chemotherapy.




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