ME/CFS Treatment & Understanding in Dallas, TX

Chronic Fatigue Syndrome (CFS)

CFS also known as Myalgic Encephalomyelitis (ME), is a complex and debilitating condition characterized by profound fatigue that is not improved by rest and is accompanied by a range of symptoms. The symptoms of CFS can vary in intensity and duration among individuals, but here are some common symptoms associated with the condition:

  • Persistent fatigue – Severe and debilitating fatigue that lasts for at least six months or longer and is not relieved by rest. The fatigue significantly impairs daily activities and can worsen with physical or mental exertion (known as post-exertional malaise).
  •  Cognitive difficulties – Often referred to as “brain fog,” individuals with CFS may experience problems with memory, concentration, attention span, and overall cognitive functioning.
  • Sleep disturbances – Unrefreshing sleep, insomnia, difficulty falling asleep, frequent awakenings, or disturbances in sleep patterns are commonly reported by individuals with CFS.
  • Post-exertional malaise (PEM) – After physical or mental exertion, individuals with CFS may experience a worsening of their symptoms, such as increased fatigue, muscle pain, cognitive difficulties, and flu-like symptoms.
  • Muscle and Joint Pain – Widespread muscle pain (myalgia) and joint pain (arthralgia) are common symptoms. The pain can vary in intensity and location.
  • Headaches – Recurrent headaches, including migraines, are frequently reported by individuals with CFS.
  • Orthostatic intolerance
  • Dysautonomia
  • Sore throat and tender lymph nodes – Some individuals with CFS may experience a persistent sore throat and have tender lymph nodes in the neck or under the arms.
  • Digestive problems– Symptoms such as bloating, nausea, abdominal pain, and irritable bowel syndrome (IBS) can occur in individuals with CFS.
  • Sensitivities – Increased sensitivity to light (photophobia), noise, certain foods, medications, or other stimuli may be present.
  • Psychological problems – Anxiety, depression, mood swings, and irritability are often observed in individuals with CFS, which can be a result of living with a chronic illness and the impact it has on daily life.


  • Methyphenidate 
  • modafinil 
  • armodafinil  
  • amantidine  
  • low dose naltrexone
  • pyridostigmine
  • guanfacine