Pacing vs Push And Crash



From Treating Chronic Fatigue Syndrome and Fibromyalgia.


If you have CFS or fibromyalgia, you are probably acquainted with the experience of push and crash. This is the frustrating loop in which people swing between overactivity and forced rest, feeling caught in a vicious cycle illustrated in the diagram.

When their symptoms are low, they push to get as much done as they can and the overexertion triggers an intensification of symptoms, which in turn leads to forced rest or a crash (Overexertion => Increased Symptoms => Rest). The high level of symptoms leads to the need for rest (the crash). Resting is usually successful in reducing symptoms but then, frustrated by all they hadn’t done while resting, they plunge into another round of over activity to catch up (Reduced Symptoms => Frustration => Overexertion), leading to another crash.


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