Myalgic Encephalomyelitis (ME/CFS)
“Fatigue is what we experience, but it is what a match is to an atomic bomb”
-Lauren Hillenbrand
I have a wish and a dream that medical and scientific societies will apologise to their ME patients"
-Dr Jose Montoya
ME/CFS: The Invisible Crash
"It is not 'just fatigue.' It is a cellular power outage. It is living with a battery that never charges past 10%."
Myalgic Encephalomyelitis / Chronic Fatigue Syndrome (ME/CFS) is widely considered one of the most debilitating illnesses on the planet. Leading experts have compared the quality of life of an ME/CFS patient to that of a person undergoing chemotherapy or in the late stages of HIV/AIDS.
Yet, because you often "look fine," the world demands you function. This gap—between the devastation you feel inside and the expectations of the outside world—is a specific kind of torture. It is a Living Death.
The Hallmark: Post-Exertional Malaise (PEM)
The defining feature of ME/CFS is not "being tired." It is PEM. If you exert yourself (physically, mentally, or emotionally), you don't just get tired. You crash.
Your glands swell.
Your brain shuts down (neuroinflammation).
Your muscles feel like they have been poured with concrete.
The Cost: A trip to the grocery store today might cost you three days in bed tomorrow.
This is not deconditioning. This is metabolic failure. Your mitochondria (the energy factories of your cells) are not producing ATP efficiently. Pushing through doesn't make you stronger; it damages the machinery.
The Causes: The Perfect Storm
We stop looking for "The Cause" and start looking at The Load. ME/CFS is often the result of a "High-Voltage" system crashing under too much stress.
Viral Onset: Many cases start with Epstein-Barr (Mono), Covid, or other viruses that the immune system never fully turns off.
The EDS Link: If you have Ehlers-Danlos Syndrome, you are three times as likely to develop ME/CFS. Your body is working overtime just to hold your joints together.
The RCCX Theory: I view this through the lens of the RCCX gene module, which explains why high-stress, high-sensitivity individuals are biologically predisposed to this inflammatory cascade.
What NOT To Do (The Medical Warning)
If you Google ME/CFS, you might still find recommendations for Graded Exercise Therapy (GET). Do not do this. GET is outdated, dangerous, and harmful. For true ME/CFS, exercise is not the cure; it is often the trigger for a permanent relapse. In my practice, we reject the "Push Through" mentality. We honor the biological reality that Rest is Medicine.
My Approach: The Strategy of Survival
Since there is no single "cure," our work focuses on Stabilization and Quality of Life. I help you move from "Crashing" to "Pacing."
1. Radical Pacing (The Energy Envelope) We map your energy down to the minute. We learn to stop before you crash. We calculate the cost of a shower, a conversation, or a text message. The Goal: To stop the rollercoaster so your baseline can slowly, gently rise.
2. The Grief Work This illness is a thief. It steals careers, friendships, and identities. We hold space for the profound grief of the life you lost. We process the trauma of being bedbound, of being silenced, and of being disbelieved by the medical system.
3. Nervous System Regulation When your mitochondria are failing, your nervous system goes into "Panic Mode" (Sympathetic Dominance). We use Vagus Nerve Stimulation, Binaural Beats, and Somatic Tools to manually switch your body into "Repair Mode" (Parasympathetic).
4. Medical Advocacy I help you find the language to speak to doctors. I help you discern which treatments (LDN, Antivirals, Beta Blockers) might be worth exploring based on the latest research, and I support you in building a medical team that actually listens.
You Are Not Lazy.
You are a high-performance engine that is currently offline. You are fighting a war that no one else can see. I see it. I have lived it. And I am here to sit in the dark with you until the light comes back.
ME/CFS Video Resources
Video to the left is a Ted Talk given by ME/CFS patient and advocate Jenifer Brea. To the right is a trailer for her award winning documentary Unrest where she filmed herself and other ME sufferers from there beds. A compassionate, compelling and honest window into life with ME/CFS.

