Personalised Chronic Fatigue Management
Supporting conditions such as Myalgic Encephalomyalitis (ME/CFS), long COVID and post-viral fatigue.
If you're living with chronic fatigue, then you already know that 'just push through it' doesn't work, and can even set you back for days. That's not you failing to try hard enough, and it's not in your head. However unpredictable your energy feels day to day, the plan doesn't have to add to that unpredictability. We start by understanding your actual capacity, not what it 'should' be, and build from there.
Working together usually includes…
✅ PEM screening
This comes before anything else, because it changes the entire approach. We will work together to determine your current capacity so that we can prevent any Post Exertional Malaise (PEM). Getting this right matters more than anything else on this page.
✅ Education
Why crashes happen, why they're delayed, and why this is a genuine physiological limit, not a motivation problem.
✅ Pacing and energy conservation
Staying consistently under your ceiling, including on good days, which is often the hardest part. Usually smaller than it feels like it should be, and it takes honest tracking over time, not guesswork. Mapping your actual week and finding the hidden costs, physical, cognitive, emotional and social, that add up faster than people expect.
✅ Appropriate exercise sessions
We will determine the appropriate level of work you can tolerate and focus more on consistency over intensity, closely monitored so we're protecting your muscle and function without adding aerobic load.
✅ A flare or crash plan
For the days it doesn't go to plan, and it's never your fault when it doesn't. If needed, I can also provide supporting documentation for your GP or NDIS plan, explaining why standard exercise advice doesn't apply to you.
Why exercise matters…
"Exercise" means something different here than it does elsewhere on this site. The goal isn't fitness, it's function: can you shower standing up, cook a meal, get through a work call without paying for it for three days afterwards. Movement, kept well inside your envelope, can help maintain what capacity you have and occasionally build on it, but only once things are genuinely stable, and never on a fixed schedule.
This applies whether your fatigue comes from ME/CFS, long COVID, or another post-viral or post-infectious pattern. The specific trigger matters less than the pattern: delayed, disproportionate, and not relieved by rest the way ordinary tiredness is. If that sounds like you, that's the starting point, regardless of which label you've been given, or whether you have one at all.