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ME/CFS Severe → relapsed

Severe ME/CFS, improved with rest and low-dose Abilify then relapsed

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill before improving or writing
Not stated
Last post
Oct 2026
In their words
  • Condition: ME/CFSi have had CFS symptoms for a good chunk of my life In context ↗
  • At worst: Severethen i dropped to a steady severe In context ↗
  • Now: Relapsedthe gains i got originally have faded and i have days where i dont leave bed much again In context ↗
  • Began after: nothing they could nameit kind of just felt as if it progressed over time?
Read from 55 of their posts and comments; links to the 26 this page draws on

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Summary

Petrel 94601, a woman in Germany, has had ME/CFS symptoms since her early teens, about 20 years, with three remissions. Stimulants in 2023 left her severe; a year of rest brought her back to moderate. Low-dose Abilify from July 2026 gave a big early boost, including a five-hour IKEA trip, but the gains faded and side effects made her consider stopping.

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What they tried

Their words about each treatment
  • iron pills · Worsemy stomach wouldn't tolerate the pills In context ↗
  • methylphenidate / ADHD stimulants · Worsethe meds didn’t help my fatigue no matter the dose and i didn’t like the “wired but tired” feeling In context ↗
  • wellbutrin (bupropion) · Helpedthe first time was when i was 17, i was prescribed wellbutrin In context ↗
  • sertraline · Helpedthe second time i was on sertraline after a stint in the inpatient ward. i did very well for a couple weeks In context ↗
  • progesterone-only pill (Slynd/Slinda) · Helpedi skip the sugar pills and have no endo symptoms anymore In context ↗
  • compression wear · Helpedit was sensory hell but it was a non negotiable for pain management In context ↗
  • inpatient group therapy · Worseit did me no good and only tired me out In context ↗
  • breathwork / meditation · Worseusing all my energy to focus on breathing makes me notice how i can’t draw a full breath ... i feel suffocated and panicky In context ↗
  • TENS machine · No changei tried it on my shoulder and knee ... it helped none of those things. In context ↗
  • self-guided elimination diets · No changeive done tons of elimination diets and nothing changes In context ↗
  • very consistent cardio · Helpedthe only thing ive ever noticed helping was very consistent cardio, but i cant do that now In context ↗
  • LDA (abilify/aripiprazole) · Helped a loti started at .25mg in early july and by early august i was at .5mg and felt a huge boost In context ↗
  • constant rest and isolation · Helpedit took me maybe a year of constant rest and isolation to climb back to moderate In context ↗
  • resistance band and body-weight workouts · Helpednow i do resistance band workouts at home 4x per week, my back is soooo much happier In context ↗
  • alcohol (wine) · Not saidi use alcohol pretty heavily to get myself to forget about the pain and problems and try and properly relax for once and also get some sleep In context ↗
  • ibuprofen · Helpedi usually take ibuprofen about 4 hours after and it helps the body aches a lot In context ↗
  • vitamins and supplements · Not saidtake all my vitamins and supplements In context ↗
  • cutting out alcohol, meat and junk food · Not saidi cut out alcohol, meat, and junk food In context ↗
  • Hormonal birth control (unspecified) · Not saidwhen i started my HBC three months ago my hands and feet were swollen, hot and stinging but then sweating profusely and freezing cold. for the first entire month In context ↗

Approaches: SSRIs · Other antidepressants · Other drugs and medicines · Radical rest

Their path

Very severeSevereModerateMildNear normalRecoveredonset4 y8 y12 y16 y20 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
~2005symptoms began in high school, missing much schoolsuddenly in high school i was a tired broken shell of a person In context ↗Moderate
2014spontaneous remission, moved to Germanyin 2014 i was in remission and making big things happen, and moved to germany with 2 gigantic suitcases In context ↗Near normal
2015-2017energy levels got worse after moving countriesi then moved countries entirely half a year later and i’ve gotten worse since In context ↗Moderate
2020-2021remission lasting a year to a year and a half, running 5k almost dailyone of them lasted a good year to a year and a half, into the pandemic! i was running 5k almost daily In context ↗Near normal
late 2021slowly deteriorated again, possibly from covid stressaround late 2021 i slowly just started to deteriorate again. it might have been the stress of covid In context ↗Moderate
2023-2024stimulant trials caused rolling PEM and a drop to steady severei stopped the meds and then had rolling PEM for a while and then i dropped to a steady severe In context ↗SevereMethylphenidate (Ritalin, Concerta)
~2025climbed back to moderate after a year of constant restit took me maybe a year of constant rest and isolation to climb back to moderate In context ↗ModerateRadical rest
Aug 2026five-hour IKEA trip and 6.7 km walked on low-dose Abilifyi survived an IKEA trip, with over an hour total of public transit, and was out for FIVE entire hours!!! according to my apple watch i walked *6.7KM* In context ↗MildLow-dose Abilify / aripiprazole
2026-09-07Abilify gains faded and she is back in bed more daysthe gains i got originally have faded and i have days where i dont leave bed much again In context ↗Moderate

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaisei stopped the meds and then had rolling PEM for a while In context ↗
  • Brain fogas usual the brain fog is brain fogging In context ↗
  • POTS & dysautonomiai can go from 70BPM lying down to 120+ upon standing In context ↗
  • Gut problemsnow i have diarrhoea most days In context ↗
  • Pain & fibromyalgiai cannot stand for even short periods without intense back pain In context ↗
  • Headaches & migrainei am so exhausted on top of the usual fatigue and have been getting daily headaches In context ↗
  • Temperature regulationi have never been able to regulate my temperature and ive always been sensitive to heat In context ↗
  • Heart symptoms & palpitationsi made some toast and my heart was pounding. i took my pulse and it was 145 In context ↗
  • Anxiety & low moodi was in such a major depression and shutdown i literally didn’t speak a word for an entire week In context ↗
  • Light & noise sensitivityit’s constant banging and whirring coming down the wall right behind my bed In context ↗
  • Muscle weaknessprobably from being in bed so much that my muscles are atrophied to hell In context ↗
  • Flu-like symptomsi always know when i wake up and my throat hurts that i f'd up In context ↗

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