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ME/CFS Severe → relapsedIll 10 years before improving or writing

Ten years of ME/CFS, pacing to 60%, then a crash left them only between bed and couch

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill before improving or writing
10 years
Last post
Feb 2026
In their words
  • Condition: ME/CFSI've had CFS for ten years and it's the best I've ever been In context ↗
  • At worst: Severegone from a more severe level to CFS and paced into a "moderate" level of CFS In context ↗
  • Now: RelapsedI'm tapering off now and I'm so fatigued! My energy envelope has definitely shrunk. In context ↗
Read from 4 of their posts and comments; links to the 4 this page draws on

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Summary

After ten years of CFS, a year of pacing had brought the Reddit user to about 60% on the CFS rating scale, their best ever. In October 2025 they got sick twice, pushed too hard and crashed, two weeks of only moving between bed and couch; ice packs and legs up the wall eased the anxious phase, though they then felt like hibernating. Escitalopram for crash anxiety didn't seem to help, and while tapering they were very fatigued.

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What they tried

Also tried

legs up the wall and ice packs· Helpedescitalopram (Lexapro)· Worse
Their words about each treatment
  • pacing · Helped a lotFor the past year I have paced myself to about 60% on the CFS rating scale, which is huge! I've had CFS for ten years and it's the best I've ever been. In context ↗
  • legs up the wall and ice packs · Helpedputting an ice pack on your chest and forehead with your legs up the wall for about 20 minutes really helps to shift you into a more regulated state. It definitely worked for me. In context ↗
  • escitalopram (Lexapro) · WorseI didn't really feel it helping and I also felt like a sloth lol. I'm tapering off now and I'm so fatigued! My energy envelope has definitely shrunk. In context ↗

Approaches: Pacing

Their path

Very severeSevereModerateMildNear normalRecoveredonset2 y4 y6 y8 y10 y

How ill they were on the ME/CFS severity scale, estimated from what they describe at each point, with time counted from when the illness began. Hover or tap a point. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
2015CFS began at a more severe levelgone from a more severe level to CFS and paced into a "moderate" level of CFS In context ↗Severe
2025paced for a year to about 60% on the CFS rating scale, best everFor the past year I have paced myself to about 60% on the CFS rating scale, which is huge! In context ↗ModeratePacing and the energy envelope
October 2025crashed after getting sick twice and pushing hardIt's been two weeks and I've just been able to go from my bed to the couch. In context ↗Severe
2025-11-06anxious "tired but wired" crash eased into exhausted hibernation feelingI followed the advice on this sub and did legs up the wall and ice packs and the anxious feeling has subsided. ... now I feel like a bear hibernating. In context ↗Severe
2026-02-06tapered off escitalopram after ten weeks and felt more fatiguedI'm tapering off now and I'm so fatigued! My energy envelope has definitely shrunk. In context ↗Moderate

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaisepushed myself hard. I'm in a really bad crash right now In context ↗
  • Anxiety & low moodI felt anxious yet exhausted In context ↗

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