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ME/CFS Severe → no benefit

Severe ME/CFS and on disability, still no overall improvement with pacing and rest

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill for
Not stated
Last post
Jul 2026
In their words
  • Condition: ME/CFSShe was the first provider to ask if I’ve heard of ME/CFS—it was another 18 months from then before an actual doctor diagnosed me. In context ↗
  • At worst: SevereI’m severe and my biggest PEM trigger is emotional stress. In context ↗
  • Now: No benefitI’m severe and my biggest PEM trigger is emotional stress. In context ↗
Read from 26 of their posts and comments; links to the 15 this page draws on

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Summary

They are severely ill with ME/CFS and on disability, diagnosed only after a psychologist first raised it and 18 more months passed; emotional stress was their biggest PEM trigger. They relied on pacing, radical rest and a health psychologist, and said aripiprazole helped their depression while a switch to venlafaxine mildly eased pain. An acupressure mat helped pain and sleep. They described themselves as severe in their posts.

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What they tried

Their words about each treatment
  • Health Psychologist/Pain Psychologist · HelpedI’ve been working with a Health Psychologist/Pain Psychologist for 2 years ... she has helped me with this illness more than any other provider has.
  • Pacing · Helpedlearn pacing strategies to prevent PEM In context ↗
  • Garmin watch · Helpedmy Garmin watch is a fantastic tool!!! In context ↗
  • Bearable app · HelpedI use the Bearable app for daily tracking of symptoms, activity, mood, energy, meds, food, and sleep. In context ↗
  • Radical rest · HelpedEvery time I put in those few days of REALLY resting, it brings me back to baseline so much faster than if I tried to rush the process. In context ↗
  • Weed · HelpedWeed. Klonopin. In context ↗
  • Venlafaxine (after Prozac) · HelpedI made a similar move from Prozac to Venlafaxine for the pain benefits of an SNRI over an SSRI. In context ↗
  • OTC sleep meds · HelpedI use OTC sleep meds to force naps. In context ↗
  • aripiprazole · HelpedI started aripiprazole for treatment-resistant depression ... I noticed a difference in my depression, but I’m not sure if I can point to a reduction in other symptoms. In context ↗
  • art therapy support group · HelpedI also attend an art therapy support group for people with chronic illness, and it’s restorative In context ↗
  • acupressure mat · HelpedMy acupressure mat has been crucial for falling asleep on many a night. In context ↗

Their path

Very severeSevereModerateMildNear normalRecovered

How ill they were on the ME/CFS severity scale, estimated from what they describe at each point, in the order they describe; they don’t give enough times to place each step. Hover or tap a point. 1 step says too little to place on the scale and is only in the table. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
—ME/CFS onset; trigger not statedit was another 18 months from then before an actual doctor diagnosed me. In context ↗Not stated
2025-10-10two years of work with a health psychologist on pacing, ACT and supportshe has helped me with this illness more than any other provider has. In context ↗SevereCBT and psychotherapy
2026-04-07switched from Prozac to venlafaxine; pain eased slightlyIt has the same effect on my mental health symptoms as the Prozac used to, and it mildly takes the edge off the pain. In context ↗Severe
2026-05-01aripiprazole lifted treatment-resistant depressionI noticed a difference in my depression In context ↗SevereLow-dose Abilify / aripiprazole
2026-05-24still severe; emotional stress the biggest PEM triggerI’m severe and my biggest PEM trigger is emotional stress. In context ↗Severe

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI’m severe and my biggest PEM trigger is emotional stress. In context ↗
  • Light & noise sensitivityI sometimes put on my blackout sleep mask to listen to shows that are familiar or that I don’t need to follow visually. In context ↗
  • Pain & fibromyalgiaLearning to tuck my tailbone when positioning myself ended up saving me a lot of pain. In context ↗
  • Sleep problemsmy resulting sleep is particularly non-restorative In context ↗
  • Anxiety & low moodI started aripiprazole for treatment-resistant depression In context ↗
  • POTS & dysautonomiaYup, what everyone else said, BUT I know for me that it’s very uncomfortable, if nothing else. In context ↗
  • Headaches & migraineGood for headaches and calming myself down, too. In context ↗

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