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CBT for Health Related Issues
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Chronic Fatigue Syndromes (CFS/M.E.) and Fatigue Variants
Pam Fitzpatrick offers a highly individualised, person-centred approach to supporting people living with chronic fatigue syndromes and related fatigue conditions, including Overtraining Syndrome, Da Costa’s Syndrome, Long Covid, Post Sepsis Syndrome, and Late Lyme Disease.
The therapeutic model is tailored around each individual’s goals, values, and current level of functioning. Pam supports clients in developing effective self-management strategies that prioritise pacing and energy management to reduce symptom flare-ups and promote the best possible quality of life.
Living with chronic fatigue often involves deep grieving for lost functioning, time, and shared experiences, which can cause significant emotional distress. Pam provides a safe and compassionate space to explore and process these difficult feelings, helping clients come to terms with the impact of their condition.
Pam helps clients identify patterns of post-exertional malaise and works collaboratively to find a sustainable balance of activity and rest that respects their unique energy limits. If clients are embarking on their own journey of incrementally increasing activity—such as safely returning to work—Pam can help them navigate the safest pathway forward, while monitoring and aiming to minimise post-exertional malaise (PEM).
Sleep is frequently a major factor in fatigue conditions. Pam explores sleep patterns with her clients and addresses any related issues, drawing on her CBT expertise to support improvements in sleep quality and regulation, which can have a positive effect on fatigue symptoms.
Exploring the various factors that can influence a person’s experience of their condition is an important part of the therapeutic process. Pam works collaboratively with clients to increase understanding of these influences, which may include physical, emotional, or psychological aspects, helping to provide clarity and support.
When relevant, Pam helps clients work through trauma associated with their condition or any unprocessed trauma that may contribute to ongoing fatigue, integrating trauma-informed care into her approach.
Pam also offers guidance on other lifestyle factors, such as diet and nutrition, which may influence fatigue levels. For clients interested in returning to work or study, she provides support in planning gradual, realistic steps consistent with their therapeutic goals.
Through this comprehensive self-management model, Pam empowers clients to live more fulfilling lives, despite the challenges posed by chronic fatigue syndromes and related conditions.

My Areas of Specialism
Below are a few examples of some of the conditions Pam has received specialised training in to enable her to work with both the rehabilitation strategies and psychological tools required to help people safely cope,manage, and hopefully improve from their symptoms:
Chronic Fatigue Syndromes (CFS/M.E.) and its variants including:
- Over Training Syndrome
- Da Costa’s Syndrome
- Long Covid
- Post Sepsis Syndrome
- Late Lyme Disease
Chronic Pain conditions including:
- Fibromyalgia
- Regional Pain Issues
- Chronic Back Pain
- Branches of Chronic Arthritis
Chronic Dizziness including:
- Labyrinthitis
- Vestibular Neuritis
- BBPV
- Migraine Associated Vertigo, including Vestibular Migraine
- Uncompensated Dizziness (Sensory Integration Dysfunction)
- Meniere’s disease
- Dizziness from central issues where there is associated dizziness or balance issues such as in Ataxia
Functional Neurological Disorders (FND) subtypes:
- Functional Movement Disorders
- Conversion Disorder
- Psychogenic Seizures
- Non-Epileptic Seizures