Abstract
Chronic Fatigue Syndrome (CFS) is a disorder characterized by disabling fatigue often causing a reduction in daily activities and depressed mood. Individuals struggling with CFS have been noted to have maladaptive automatic thoughts that interfere with efforts to return to a satisfying lifestyle. Cognitive behavioral therapy (CBT) has been shown to be an effective treatment in changing maladaptive cognitions. A treatment package applying CBT techniques to the maladaptive thoughts associated with CFS was developed for these patients. This case-study examines the effectiveness of a CBT group intervention with a 39 year old Caucasian woman diagnosed with CFS for 3 years. Presented is a CBT conceptualization of CFS and a detailed case formulation delineating some disease specific cognitions. The patient discussed showed improvements in measures of psychological distress, perceived stress and depression. Although no change was noted in levels of reported fatigue, the patient reported fewer symptoms of depression, increased activity tolerance and improved quality of life after participation in group.
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