ME/CFS: Dealing With A Relapse Part 1

Do You Beat Yourself Up If You Relapse?
Do You Beat Yourself Up If You Relapse?

In Part 1 Coach and Trainer Simon Pimenta will talk about why the way we respond to a relapse is important, and can actually make things better, or worse. Read this in order to get the most from Part 2, where Simon will share strategies that can help how we handle the relapse, and also how quickly we recover.

Anyone who has experienced chronic fatigue syndrome will know what it’s like to relapse. Maybe you have overdone it, didn’t sleep well or ate something that upset your digestive system.

When I had CFS, any of the above could knock me out and leave me bed bound for days or weeks. Over-exercise could cause it, but if I didn’t have enough exercise, then I wouldn’t sleep well, and that could have the same effect: relapse.

I would lie in bed chastising myself, feeling frustrated and annoyed with myself that a relapse had happened yet again. I would blame myself, even when it was unfair to do so. Does that sound familiar? If this is not something you have done, that’s great. If It is something you recognise you do, read on.

Doing what I used to do; getting frustrated etc was unhelpful. Here’s why.

The Stress Response
Any time we have thoughts, feelings, internal dialogue or internal images that generate stress; for instance feeling frustrated and annoyed, we activate the Stress Response, otherwise known as the Fight or Flight mechanism. Hormones including adrenaline, noradrenaline and cortisol are released into the bloodstream. This mechanism evolved to protect our ancestors when in a threatening situation; perhaps being faced with a sabre toothed tiger or invaders, priming them for action.

These activate dramatic physical changes in the body, affecting our:

Energy
Our body converts energy stores to blood sugar, and we use energy less efficiently if we are frequently and unnecessarily switching on this stress response. When the Fight or Flight mechanism is activated, the body stops laying down energy stores. That explains why even though I was sleeping for 12 hours, as well as sleeping during the day, I woke up feeling exhausted.

Thinking
Rational thinking is suppressed, and reactive thinking takes over, which is why when people are under stress, they say things that they later regret, and can over react to situations.

Digestion
The digestive system is affected.  Blood is diverted from the digestive tract to the limbs. If this happens regularly, then we do not digest and utilise food efficiently. In the long term, this can result in digestive issues, such as Irritable Bowel Syndrome (IBS) or ulcers.

This may explain why even though you may be taking supplements, that alone hasn’t helped you get better.

Sleep
We experience light or interrupted sleep. If the brain thinks that we are under threat, then we won’t experience deep refreshing sleep, where vital repair functions are carried out.

Immune System
The Immune System is suppressed. We are three times more likely to get a cold when stressed, according to research1.

If you want to read more about this, the book ‘Why Zebras Don’t Get Ulcers’ by Professor Robert Saplosky, Stanford University is a good resource.

Stress and Health
I suspect that most people know that when you are unwell, your tolerance of stress is limited or lower compared to when you are well. When you were healthy, the same amount of stress would probably not have caused you much of a problem, but when you are unwell, even small amounts of stress can leave you feeling exhausted.

In Part 2 I will share strategies that may help how we handle the relapse. You can read Part 2 here but before you do….

Comments
How are the issues mentioned affecting you? How useful did you find this article? Please leave a comment, and feel free to contact me here if you have any questions, which I will answer personally.

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simonSIMON PIMENTA is a hypnotherapist, coach and trainer working with people to boost resilience and performance, and minimise stress.

After working in a demanding job as the Director of a Housing Trust, he went off sick and remained unable to work for the next 8 years.

He discovered a pioneering approach to resolving health issues and quickly got back his health, and now trains others using these same techniques, to help them become happier, healthier and achieve their goals.

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