Fatigue Service

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The Royal Free provides an out-patient only, diagnostic and management service for people experiencing fatigue symptoms. This includes:

  • Myalgic encephalomyelitis / Chronic fatigue syndrome
  • Post infectious fatigue syndrome
  • Secondary fatigue syndromes / Fatigue due to other health conditions

Treatment options available include standardised specialist medical care, CBT and other third wave psychotherapies such as mindfulness and ACT, graded exercise therapy and return to work support.

Urgent referrals are usually not seen immediately as, by definition, rapid deterioration is due to a cause other than ME/CFS.

How to refer


Referral methods: E-referral

Routine referrals via CCAS through e-Referral.

Urgent (non-2ww) via e-Referrals direct to the hospital.

Details on eRs:

  • Speciality: Infectious Diseases
  • Clinic type: Chronis Fatigue Syndrome

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Last updated: Sep 3rd, 2019
Review date: Sep 17th, 2020