Chronic Fatigue Treatment in Marylebone, London

ME/CFS is a long-term condition whose central feature is fatigue that is new, persistent and not relieved by rest. Its defining sign is post-exertional symptom worsening: activity that used to be ordinary leaves you worse for days afterwards. Sleep does not refresh you. Thinking, holding attention and finding words all become harder. Pain, headaches and light-headedness on standing are common alongside it. NICE guideline NG206 sets out how it should be diagnosed and managed in the UK.

No single mechanism has been confirmed. A large proportion of cases begin with an infection. Autonomic dysregulation is measurable in many people, which is one reason heart rate variability is tracked continuously through a programme here. Non-restorative sleep sustains the fatigue once it has taken hold. Anyone who tells you the cause is settled is ahead of the evidence.

What we can do is assess you properly and then treat conservatively. Sessions are seated, brief and require no physical exertion, but repeated travel to Marylebone is a real load for someone with post-exertional worsening, so the schedule is planned around that rather than dropped on top of it.

Etienne Balland wrote about his own treatment here in The Telegraph on 16 March 2026, under his own name. His chronic fatigue syndrome began in March 2022 and he spent a year bed-bound with his parents as his carers. He had thirty sessions in his first course, fifteen to twenty minutes each, sometimes two or three in a day. He reported improvement within two weeks and a clear turning point by week three. He relapsed in June 2025, had a second course, and says he feels 90 per cent back to normal. He describes his illness as chronic fatigue syndrome and does not attribute it to Covid. He is now training as a practitioner.

Sceptical? You should be. One published account is not evidence of a typical outcome. The trial evidence for rTMS in ME/CFS is early and small, and NICE guideline NG206 does not recommend magnetic stimulation for this condition. Your clinician will tell you that at the free consultation, and will say plainly if a course is not a reasonable thing for you to spend money on.

What you do get is measurement. Grip strength, continuous heart rate variability and cognitive testing across twelve domains are taken before treatment and repeated during it, so a decision about continuing is made against your own numbers rather than against how you happen to feel on the day you are asked.