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One of the common symptoms associated with CFS is insomnia, a sleep disorder that can make it hard to fall asleep, hard to stay asleep, or cause you to wake up too early and not be able to get back to sleep.

Role of Insomnia in CFS

For individuals with CFS, insomnia can be a particularly challenging symptom. It often exacerbates other symptoms of their condition, making fatigue, cognitive difficulties, and physical discomfort more severe. Even if they are extremely tired and need to rest, those with CFS might find it hard to get productive sleep.

Complex Relationship

The relationship between insomnia and CFS is complex, as both can exacerbate each other. Poor sleep can lead to increased fatigue and other CFS symptoms. Conversely, the physical discomfort or mental stress caused by CFS can further disrupt sleep, leading to an unending cycle of fatigue and sleeplessness.


The management of insomnia in CFS often involves both lifestyle modifications and medical treatments. Lifestyle modifications may include developing good sleep hygiene, such as maintaining a consistent sleep schedule and creating a comfortable sleep environment. Medical treatments may involve cognitive behavioral therapy for insomnia (CBT-I) or the use of medication.

However, it’s important to understand that everyone is unique and what works for one person might not work for another. Therefore, individualized care is essential in the management of insomnia in CFS.

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