Feeling Tired All the Time May Be More Than Depression
By Dr. Randi Fredricks, Ph.D.
It's common to feel tired when you're depressed, but if you've had unrefreshing sleep for months and are exhibiting
other symptoms you may want to look into the possibility of chronic fatigue syndrome (CFS).
It’s estimated that as many as 10 million Americans may have CFS, also known as Chronic Fatigue and Immune Dysfunction
Syndrome. Because CFS can be hard to spot, many people with CFS visit numerous doctors over many years before being
diagnosed. The age at the time of diagnosis is generally between 34 to 53.3. About 60% of cases are diagnosed
by rheumatologists and remainder by internists or family practitioners.
Many people who suffer from fatigue, tiredness, and a general lack of energy find it beneficial to utilize methods
that have helped people with CFS. While CFS is a more serious illness than the type of fatigue associated with
exhaustion, some of the same mechanisms are at play in both conditions.
Psychotherapy has proven to be beneficial for people with CFS. Coping mechanisms for dealing with
stress can be maximized with cognitive behavioral therapy (CBT). CBT has lead to a decrease in symptoms
and disabilities in people with CFS, with a reduction of fatigue and pain symptom.
A British study at Frenchay Hospital in Bristol found that group therapy was helpful in the recovery from
CFS, allowing participants to develop group strategies with regards to coping with stress.
A Dutch study in 2007 of psychotherapy with CFS patients concluded that "Significant improvement following
CBT is probable and a full recovery is possible. Sharing this information with patients can raise the
expectations of the treatment, which may enhance outcomes without raising false hopes." Psychotherapy
may give CFS sufferers one of their best shots at recovery.
Unfortunately, there is no proven or reliable cure for CFS. However, research has established that
individuals with the best chance for improvement are those who remain as active as possible and
maintain some degree of control over the course of their illness.
People with CFS usually experience their most severe symptoms at the onset of illness.
After that time, a small number of people recover totally. For most people, improvement is gradual.
Science continues to provide information, hope, and healing through research and development.
In the meantime, restorative complimentary and alternative therapies are some of the most beneficial and
practical treatments for those who suffer with CFS.
References (To view, roll mouse over the "References" heading; to hide, click on the heading)
Berne, K., Bennett, R. M., & Peterson, D. L. (2002). Chronic fatigue syndrome, fibromyalgia, and other invisible illnesses. Alameda, CA: Hunter House.
Fredricks, R. (2008). Healing & wholeness: Complementary and alternative therapies for mental health. Bloomington, IN: Author House.
Godfrey, E., Chalder, T., Ridsdale, L., Seed, P., & Ogden, J. (2007). Investigating the active ingredients of cognitive behaviour therapy and counselling for
patients with chronic fatigue in primary care: developing a new process measure to assess treatment fidelity and predict outcome.
Br J Clin Psychol, 46(Pt 3), 253-272.
Knoop, H., Bleijenberg, G., Gielissen, M. F., van der Meer, J. W., White, P. D. (2007). Is a full recovery possible after cognitive behavioural
therapy for chronic fatigue syndrome? Psychother Psychosom, 76(3), 171-176.
Ridsdale, L., Godfrey, E., Chalder, T., Seed, P., King, M., Wallace, P., Wessely, S., & Fatigue Trialists' Group. (2001).
Chronic fatigue in general practice: is counselling as good as cognitive behaviour therapy? A UK randomised trial. Br J Gen Pract, 51(462), 19-24.