Fitzwilliam Private Hospital,

Milton Way, South Bretton
Peterborough, Cambridgeshire, PE3 9AQ

Secretary: Alison Hill -

        Phone: 07533 567161

Dr Manaan Kar Ray
Home About Me Services Conditions Interact Contact
MBBS, MRCPsych, MS (Psychotherapy), Msc (Psychiatry)

Around 250,000 people in the UK have CFS/ME.

Pain medication and antidepressants may help.

Cognitive Behaviour Therapy has been shown to be effective.

Key Facts

Dr. Kar Ray has extensive experience in the management of Chronic Fatigue Syndrome.

Royal College

Chronic Fatigue Syndrome

(CFS / ME)

Chronic fatigue syndrome (CFS) causes persistent fatigue (exhaustion) that affects everyday life and doesn't go away with sleep or rest. However with the right support one can improve quality of life and bring about eventual recovery.

CFS is also known as ME, which stands for myalgic encephalomyelitis. Myalgia means muscle pain and encephalomyelitis means inflammation of the brain and spinal cord. Both CFS and ME are commonly used terms. CFS/ME is a genuine, long-term debilitating condition. However, there is uncertainty around the causes and the symptoms people have as they can vary widely.

CFS/ME is more common in women than men, and you’re more likely to develop the condition as you get older. It can affect children, although it’s unlikely to affect children under 10, it usually affects children aged 13 to 15 years. Around 250,000 people in the UK have CFS/ME. The condition affects people in different ways. If the symptoms of the condition are mild, people can carry on with work or study but may have to give up leisure and social activities to spend the weekend resting. If symptoms are severe, people can become seriously disabled and housebound.

How it affects quality of life

Most cases of CFS are mild or moderate, but up to one in four people with CFS have severe or very severe symptoms. These are defined as:


Sleep problems may slow down your recovery. If you're having problems sleeping, try to get into a routine by going to bed at the same time every night. Try a warm, relaxing bath or a milky drink before you go to bed.

Activity management is a way of managing your lifestyle. It helps you to prioritise certain activities and find a level of physical and mental activity that you're comfortable with. Then you can set goals for making gradual increases, making sure you get enough rest after any activity and not doing large bursts of activity that can set you back.

Another technique in which you make the most of your available energy is called pacing. Pacing involves organising your day into periods of activity and rest. By better understanding your energy levels, types of activity, rest, and realistic goal planning and setting, you are able to get stability and a sense of control over your day. Pacing has been shown to improve a person’s ability to cope with their symptoms and their chances of recovery.

Some people find that massage and stretching helps to relieve muscle pain. It's important to eat a healthy, balanced diet to give you the energy and nourishment you need. Some people have intolerance to certain food or drinks, including alcohol and coffee, or develop symptoms of IBS. It may be worth keeping a food diary to see if any foods trigger your symptoms. It’s a good idea to avoid fatty or sugary foods, especially if you're unable to move around much.

In summary the following self help strategies may help:


Private Clinic:

Fitzwilliam Private Hospital, Milton Way, South Bretton, Peterborough, Cambridgeshire, PE3 9AQ

NHS base:

Elizabeth House, Fulbourn Hospital, Fulbourn, Cambridge, CB21 5EF

Dr. Kar Ray’s Profile

NHS Responsibilites: Consultant Psychiatrist and Clinical Director at Fulbourn Hospital, Cambridge

Fulbourn Hospital. Interior shot of the hospital with female nursing attendants in their pristine uniform c.1890s

Basic and Specialist Training in Psychiatry from Oxford Deanery based at the Warneford Hospital, Oxford

Neuroimaging research experience while working at the Dept of Psychiatry, Oxford University.

Private Secretary:

Alison Hill - 07533 567161



There is no cure for chronic fatigue syndrome (CFS) but treatments can help relieve the symptoms. The effectiveness of treatments depends on how CFS affects you. Early diagnosis, balancing rest with activity, medication to control certain symptoms and self-help measures can all help.

Simply diagnosing CFS and receiving specialist advice about how to deal with it can help.

CFS may last for years. However, many people recover or at least adjust their lifestyle to improve their symptoms.

CBT aims to help reduce the severity of your symptoms and the distress associated with CFS. It works by breaking down overwhelming problems into smaller parts and by breaking the negative cycle of interconnected thoughts, feelings, physical sensations and actions. Ideally, your CBT therapist will have experience in dealing with CFS and treatment will be offered on a one-to-one basis. The treatment will be tailored to your needs and may include: