Inclusion criteria:

All must be present for three months prior to referral to our service:

  • Debilitating fatigue is dominant symptom, it is worsened by activity* and not relieved by rest
  • Post-exertional malaise after activity - A significant, disproportionate often delayed and prolonged increase in symptoms
  • Unrefreshing sleep or disturbed sleep
  • Cognitive difficulties such as problems concentrating, word finding, short term memory issues, difficulty in speaking
  • *Activity includes physical, cognitive, social, emotional exertion
  • Individual is willing and able to engage with a Biopsychosocial treatment approach.

Exclusion criteria:

  • Concurrent rehabilitation from another service
  • Ongoing medical investigations to rule out other potential medical cause for symptoms
  • Reversible causes of fatigue (e.g. medication, recent surgery)
  • Primary mental health problem, including eating disorders
  • Major psychiatric illness with psychotic or manic features
  • Current alcohol/substance abuse
  • Under 18, please refer to ME/CFS Service at Sheffield Children's Hospital.

Referral process

Adults over 18 years of age can be referred directly to the ME/CFS Service by their GP. Referrals can only be made once the recommended screening test have been completed and a provisional diagnosis of ME/CFS has been made following a minimum four month period of sustained symptoms.

Geographical population covered

  • Anyone registered with a GP in South Yorkshire or North Derbyshire