The Science of Getting Better.
10 Harley Street
London W1G 9PF
Harley Street · London
Chronic Fatigue
ME/CFS, Long Covid & Persistent Fatigue.
Tired is not the same as unwell.
Everyone gets tired.
Chronic fatigue is different.
It is waking after a full night's sleep and still feeling depleted. It is calculating whether you have enough energy to shower, work, cook, exercise, or see friends. It is watching the boundaries of your life gradually become smaller.
And, for many patients, it is being told that their tests are normal.
Normal tests do not make the symptoms imaginary. They mean the explanation may not yet be clear.
FATIGUE IS A SYMPTOM
Different problems can produce the same exhaustion.
Many different physiological problems can contribute to fatigue.
That is precisely why persistent fatigue requires careful assessment rather than a single standard protocol.
Depending on the presentation, relevant areas may include immune function, sleep, autonomic regulation, endocrine function, nutritional status, metabolism, post-infectious changes, medication effects, and other physiological factors.
The question is not simply "Why am I tired?" but "What is interfering with my ability to produce, regulate, and restore energy?"
THE BEGINNING MATTERS
What happened before you became unwell?
Some patients can identify exactly when their health changed.
An infection. COVID. Surgery. Pregnancy. A period of considerable physical or psychological stress. Another illness.
Others describe a gradual deterioration with no obvious beginning.
The chronology matters.
The Sona Method reconstructs the sequence of events leading to illness and looks for relationships between symptoms that may otherwise have been considered separately.
The story of how an illness began can contain important clinical clues.
ME/CFS & POST-VIRAL ILLNESS
Pushing harder is not always the answer.
ME/CFS and post-viral illness can involve profound fatigue alongside cognitive difficulties, sleep disturbance, pain, autonomic symptoms, and worsening of symptoms following exertion.
These presentations require careful assessment.
In particular, symptoms that worsen after physical or mental exertion should not simply be approached by telling someone to exercise more or push through.
Management needs to reflect the individual's presentation, limitations, and medical care.
WHEN EVERYTHING LOOKS "NORMAL"
A normal result does not describe how you function.
Conventional medical investigation is important for identifying or excluding recognised causes of fatigue.
But when significant symptoms remain after appropriate investigation, The Sona Method looks at the wider clinical pattern rather than assuming there is nothing more to understand.
Further testing, where appropriate, is selected to answer specific clinical questions rather than simply generating more results.
The objective is not more testing. It is better understanding.
RESTORING CAPACITY
The goal is not simply to get through the day.
The aim is greater capacity.
Capacity to think clearly. Work. Parent. Socialise. Travel. Create. Exercise where appropriate. Participate more fully in your own life.
Recovery is different for every patient and cannot be promised on a timetable.
Fatigue may be the symptom you feel. The work is understanding what may be keeping it in place.
CHRONIC FATIGUE ON HARLEY STREET, LONDON
For persistent and complex fatigue.
Sona works with adults and children with chronic and complex health problems from her practice on Harley Street in London, as well as with patients internationally.
The Sona Method may be appropriate when fatigue is persistent, occurs alongside symptoms affecting several body systems, or remains unexplained despite previous medical investigation.
Presentations may include chronic fatigue, ME/CFS, post-viral fatigue, post-COVID symptoms, brain fog, poor stamina, and other complex fatigue presentations.
Discuss Your Case
If persistent fatigue is limiting your life and you would like to explore whether The Sona Method is appropriate for you, get in touch to arrange a consultation.