【正文】
elabelling and Reinterpreting symptomsn Reducing symptomfocusing behavioursn Normalising rather than Catastrophising n Experiments . Graded activity and effect upon attributional style20Alice Green, Oldchurch Hosiptal, Essex Centre for NeurosciencesCont….n Eradicate “boom and bust” moden Challenging Perfectionist beliefsn Anxiety management skillsn Increasing Internal Locus of Controln Reeducation re CFS precipitators and perpetuators and treatment programme21Alice Green, Oldchurch Hosiptal, Essex Centre for NeurosciencesHowever…n Interpersonal Relationships – Systemic issuesn Adjustment difficulties – Impact upon lifen Identity issuesn Personality Disorders / Other comorbiditiesn Coping with Losses due to CFS (. job / education / friendships)CBT does not address some other important issues…22Alice Green, Oldchurch Hosiptal, Essex Centre for NeurosciencesConclusionsIn order to help patients work towards recovery in CFS/ME there needs to be a shared understanding between client and practitioner of the underlying psychological factors maintaining CFS/MEAlongside other therapies, CBT can be used to increase awareness of patients’ CFS/ME and to help them make the necessary changes to reduce some of their symptoms.23Alice Green, Oldchurch Hosiptal, Essex Centre for NeurosciencesAny Questions?…. 24Alice Green, Oldchurch Hosiptal, Essex Centre for NeurosciencesThank You!Alice E. Green, Highly Specialist Counselling PsychologistChronic Fatigue Syndrome Team, Essex Centre for Neurosciences, Oldchurch Hospital, Waterloo Road, Romford, Essex RM7 0BE01708 708 05225Alice Green, Oldchurch Hosiptal, Essex Centre for Neuroscience