There is no proven treatment for chronic fatigue syndrome. Both gradual aerobic exercise programs and cognitive behavioral therapy — counseling designed to change beliefs about the condition — improve level of function, but neither cures the illness. In patients with a similar condition, fibromyalgia, low doses of tricyclic drugs have been shown to improve symptoms, probably by improving a sleep disorder that is part of the illness. No one approach is best for everyone with chronic fatigue syndrome, and the condition rarely is cured.
In general, doctors use a combination of the following:
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