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ME/CFS Severe → somewhat betterIll 25 years before improving or writingNeeds ongoing treatment

Years of crashing with ME/CFS, now somewhat better with sertraline and pacing

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill before improving or writing
25 years
Last post
Oct 2026
In their words
  • Condition: ME/CFSCFS since 2001 (diagnosed 2010) In context ↗
  • At worst: Severeby xmas I was housebound and it took 18 months for me to get back to what was then my 'normal' In context ↗
  • Now: Somewhat betterI now manage to maintain a mostly moderate baseline, but with careful energy management. In context ↗
Read from 71 of their posts and comments; links to the 27 this page draws on

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Summary

A UK woman fell ill at 16 in 2001 after undiagnosed pneumonia and was treated as depressed until a CFS diagnosis at 26, after years of pushing through and crashing. Sertraline helped her energy and careful pacing keeps her at a moderate baseline at 41: unable to work, napping daily, using a scooter and wheelchair. Hydrotherapy that was really graded exercise caused a crash she still hadn't fully recovered from, and a 2024 trip abroad caused another crash.

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What they tried

Their words about each treatment
  • daily antihistamines · Not saidI was treated for chronic hives with no known cause age 7 - 14. Still on daily antihistamines to this day. In context ↗
  • Sertraline · Helped a lotI am on Sertraline 150mg daily -ha e been for at least a decade now, helps massively with my energy levels - would undoubtedly be bed bound without it. In context ↗
  • Amitriptyline · HelpedI have recently started taking Amitriptyline 50mg daily for pain. This have been more effective than the 900mg x3 daily of Gabapentin which I was on. In context ↗
  • Gabapentin · HelpedThis have been more effective than the 900mg x3 daily of Gabapentin which I was on. In context ↗
  • stimulants · Not saidA very brief period (thankfully) messing with stimulants because the tiredness was so all encompassing. In context ↗
  • pacing · Helped a lotOnce I got the CFS diagnosis I was a lot better because I knew I needed to pace and not push myself. In context ↗
  • turmeric · WorseI tried turmeric - brought me out in hives! In context ↗
  • CBT · Not saidoffered CBT, which I had done before and seen as I am actually pretty well adjusted I didn't want to redo In context ↗
  • GET / hydrotherapy · Much worseI have had 3 lots of GET 'prescribed' over the years. All had some small benefit short term, then caused a massive crash. In context ↗
  • Propranolol · HelpedI take a beta blocker (Propranolol) to help with it so that its mostly controled. In context ↗
  • Slimming World · HelpedI had NO faith that it would do anything without the ability to exercise, but much to my shock it worked. In context ↗
  • mobility scooter · HelpedI got my mobility scooter when I was 35 ... It's changed my life! In context ↗
  • tramadol · HelpedI have tramadol for bad days, but I get a lit of stomach issues from taking it, so it really is saved for days when I can't cope without. In context ↗
  • Diazepam · Helpedevery single time it goes into spasm Diazepam is the ONLY thing that will reset the muscles. In context ↗
  • Zopiclone · HelpedMy doctor has in the past prescribed Zopiclone, which resets my sleep pattern. In context ↗
  • deep tissue / sports massage · HelpedI have to say it is amazing what the maintenance is on muscular issues and these help me maintain movement with out it freezing up. But they bloody hurt! In context ↗
  • meditation · No changeeven try meditation, although it never works for me as I can't shut off my brain. In context ↗

Approaches: SSRIs · Pacing

Their path

Very severeSevereModerateMildNear normalRecoveredonset5 y10 y15 y20 y25 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
2001fell ill at 16 after undiagnosed pneumonia, four months severeOnset at 16 - 4 months severe, back to mild. In context ↗Severe
2002mostly back to normal after about a yearIt took me about a year to get mostly back to normal In context ↗Mild
December 2002crashed at university and was housebound for four months after pushing throughby xmas I was housebound and it took 18 months for me to get back to what was then my 'normal' In context ↗Severe
2004back to mild, but never returned to studyingback to mild eventually, but never went back to studying. In context ↗Mild
early 20sboom and bust cycle of working, burning out and crashing for monthsBoom and bust cycle every 2 years when I would work, increase my hours, burn out and crash for months. In context ↗Moderate
2010diagnosed with CFS at 26 and began pacing instead of pushing throughOnce I got the CFS diagnosis I was a lot better because I knew I needed to pace and not push myself. In context ↗ModeratePacing and the energy envelope
age 27pre-eclampsia and emergency C-section; baseline downgrade, never returned to workAlso had a massive downgrade in baseline after developing pre-eclampsic toxicosis and emergency C-section at 27. In context ↗Moderate
2024crashed badly in hydrotherapy that turned out to be graded exerciseuntil I crashed badly after the 4th bi weekly session In context ↗Moderate
late October 2024crashed on the flight home from a 4-day trip abroad, semi-conscious on the skybridgeI am still not back to functioning at the same level I was prior to then. In context ↗Severe
2026maintains a moderate baseline with strict pacing, cannot work, uses a scooter and wheelchair41 now - still moderate if I pace well enough. In context ↗Moderate

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI ended up concluding it was the build up of PEM and pushing through. In context ↗
  • Brain fogconstant brain fog, raised heart rate In context ↗
  • POTS & dysautonomiaI also suffer with dizzy spells, so if I am forced to stand (in a queue) I often have to manage these by sitting down on the floor. In context ↗
  • Mast cell (MCAS) & allergiesStill also get break through flares in the hives after a virus. In context ↗
  • Sleep problemsI have horrible issues with insomnia. In context ↗
  • Pain & fibromyalgiaI still can't work, still have pain all the time and have to rest / sleep in the day In context ↗
  • Headaches & migraineI also use it mainly for migraines and ice pick headaches. In context ↗
  • Heart symptoms & palpitationsraised heart rate, so much pain In context ↗
  • Muscle weaknessi was so tired that I felt like someone had turned the gravity up by 10x In context ↗

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