ME/CFS affects far more than energy levels. Many people with ME/CFS also experience grief over lost identity, anxiety about symptom flares, medical trauma from being dismissed or disbelieved, strained relationships, and nervous system dysregulation that amplifies symptoms. Therapy addresses these layers — not the disease itself, but the way the disease reshapes your inner world.

This is not the kind of therapy that asks you to think positive or push through. I use a pacing-first approach that respects your energy envelope and never asks you to do more than your body can handle in a session.

Cognitive Behavioural Therapy (CBT) — adapted for chronic illness, focused on managing distress rather than fixing you. Dialectical Behaviour Therapy (DBT) — distress tolerance and emotional regulation skills tailored for energy-limiting conditions. Safe and Sound Protocol (SSP) — Polyvagal-informed listening therapy for nervous system regulation. Somatic pacing — gentle, body-based techniques that respect your energy limits. Trauma-informed care — especially for medical trauma and healthcare-related PTSD.

I do not use Graded Exercise Therapy (GET) or any approach that pushes you beyond your energy envelope. Your body's limits are real and I respect them.

For many people with ME/CFS, leaving the house for an appointment means risking a crash. Online therapy removes that barrier entirely. You can attend sessions from bed, your couch, or wherever you are most comfortable. You can adjust lighting, take breaks, and pace yourself during the session. If you are having a bad day, we adapt — we do not cancel.