Are you wondering whether this book is for you or not? If you are, it may help to ask yourself these simple questions:
1. Do I have a chronic illness with symptoms (any symptoms, not just fatigue) which are exacerbated by exertion? IF SO...
2. Do I feel ready to make lifestyle changes to ease those symptoms (and possibly improve my overall condition)? IF SO...
3. Should I buy this book?
If your answers to the first two questions are yes, this indicates that your answer to the third should probably be yes as well! Whilst this book focuses on the fatigue that some patients experience with Chronic Fatigue Syndrome (or ME), the techniques described work for all the other symptoms of ME and also for those experienced with many other chronic illnesses. The book is essentially a guide to using self-help strategies to minimise symptoms, maximise ability and encourage overall improvement; it does not explore CFS/ME (or chronic fatigue) as a whole and it does not discuss any treatment options aside from those management tools which patients can apply themselves. Patients seeking to find information on medical symptom relief, for example, will have to look elsewhere, but for those who are ready to commit to a self-help regime for managing their condition as a whole the book is invaluable. It provides an excellent tool kit of techniques and approaches, covering the management of daily activity and energy, rest, sleep, diet, stress and relaxation, thoughts and feelings, memory and concentration, dealing with others, physical activity and exercise, relapse and setbacks and carers.
For the book to be of use, you will need to be prepared to make an honest appraisal of your current management and to try to adhere as closely as possible to the advice given. Throughout the book, chapters are divided into brief sections to allow for rest breaks, which also allows the reader time to absorb the information. This is vital even for those veterans among us who have been using similar pacing techniques for more than a decade! There is a significant amount of work involved with establishing the good management recommended in the book, but I have found that the effort certainly pays off and it becomes easier over time.
What I, and many readers, do not like is the emphasis on "energy", "fatigue" and mild to moderate ME. The book simply does not give an accurate picture of the illness (this is particularly noticeable in the chapter for carers). However, if readers feel able to look beyond this, I have found that it is certainly possible to apply the advice to severe ME and that it is effective for more than fatigue (I have not needed to take so much morphine, for example, since following the guidance). One other area of weakness was the chapter on physical activity. The information was certainly useful, but further exploration of the subject was needed to make it suitable for all patients.
All in all it is an excellent book for what it is- it's a shame about the misleading title!