A feeling of mental and physical exhaustion. A lack of energy and motivation often accompanied by tiredness, lethargy and lack of concentration. This feeling is long lasting and isn't relieved with rest. 


  • Many people experience brief periods of fatigue as a result of lifestyle factors (e.g. lack of sleep, eating a poor diet, working too hard). This type of fatigue usually goes away.

  • Longer term fatigue can be a sign of a range of medical conditions like anaemia, thyroid disease, MS etc.

  • More enduring fatigue is also a diagnostic indicator of generalised anxiety disorder and depression.

  • Chronic Fatigue Syndrome (CFS) is a separate and distinct condition that affects a small number of people.

  • The precise cause of fatigue is unclear. Identifying and diagnosing fatigue can be challenging even for medical professionals.

  • Fatigue can feel relentless and can sap your emotional and physical wellbeing.

  • Exercise is shown to decrease fatigue amongst anxiety sufferers.


  • If you are concerned about prolonged and unexplained fatigue, talk to your doctor to rule out any underlying health issues.

  • Therapy can be an effective treatment for fatigue linked to an anxiety disorder. For example, CBT or talking therapy may help to reduce your level of anxiety and thereby address the fatigue you may be experiencing.  

  • Take regular cardio exercise with the goal of achieving at least 20 minutes per day for five days a week. Exercise has been shown to relieve fatigue amongst anxiety sufferers. This could take the form of a brisk walk, a run or a moderate to intense workout. Exercising in the fresh open air can feel particularly energising.

  • Try guided meditation. Regular sessions will help you to recognise your own thought patterns and learn to accept them without letting them upset you.

  • Practise yoga. A regular 20-minute seated yoga session can help rev up your energy levels and improve your sleep pattern. Seek out an instructor who specialises in treating fatigue. 

  • Maintain a well-balanced diet rich in vegetables, pulses and fruit.  Avoid over-processed ready meals which tend to contain high levels of salt, sugar and fat. Try a mood recipe.

  • Drink plenty of water to stay hydrated. You might also want to cut back on colas, coffee and black tea as they can play funny games with your energy levels. Replace them with green tea and ginger tea.

  • Take a vitamin and mineral supplement. Get guidance from a nutritionist on the best supplement for you. For example, the list might include Vitamin B12, Vitamin C, Magnesium, Folic Acid, Iron, CoQ10 and Creatine.

  • Get plenty of sleep. Take steps to improve your sleeping environment to ensure you get the best chance of 7-9 hours sleep each and every night.


From Fatigued to Fantastic: A Clinically Proven Program to Regain Vibrant Health and Overcome Chronic Fatigue and Fibromyalgia

Jacob Teitelbaum 2020 4th edition

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Fighting Fatigue: Managing the Symptoms of CFS/ME

Sue Pemberton 2009

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Heal Your Body, Cure Your Mind: Leaky Gut, Adrenal Fatigue, Liver Detox, Mental Health, Anxiety, Depression, Disease & Trauma. Mindfulness, Holistic Therapies, Nutrition & Food Diet

Dr. Ameet Aggarwal 2017

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