5+ years of exhaustion, crashes after activity, and no answers
I’m hoping to get some guidance or hear from people with similar experiences. I’ve been struggling with severe fatigue and activity intolerance for over 5 years now, and I’m starting to wonder whether this could be ME/CFS, autonomic dysfunction, or something similar.
Main symptoms:
Ongoing exhaustion and low energy since around 2019
Spending most of the day in bed because of fatigue
Big decline in ability to function socially and physically
Feeling mentally “paralysed” and unable to initiate things
Emotional flatness/numbness rather than sadness
Can only tolerate small amounts of activity
After going out or socialising I get a heavy head, exhaustion, need to lie down immediately, sometimes need paracetamol. wiped out for the rest of the day.
Quality of life massively reduced — can’t work or socialise normally
Symptoms haven’t improved despite trying exercise, diet changes, sleep routines, or forcing habits
Impact on daily life:
Can only manage about 3/4 hours in the office before becoming overwhelmed/exhausted
Mostly housebound outside of work
Stopped socialising because the physical crash afterwards is too much
Feel unable to live a normal daily life
Medical history:
Sertraline helped deeper depressive feelings, but didn’t touch the exhaustion
Zyban made no difference
Still feeling emotionally flat and unmotivated
Fatigue and activity intolerance unchanged
Blood tests all normal (B12, D, iron, thyroid, etc.) nhs & private
What I’m trying to understand:
This doesn’t feel like “just low mood” anymore. The physical exhaustion and inability to tolerate activity feels abnormal and is seriously affecting my functioning.
I’m planning to speak to a GP again about getting a referral rather than just adjusting antidepressants again
Has anyone had similar symptoms?
How did you approach your GP, and what helped you get taken seriously?
Any advice or things I should mention would be really appreciated.
TL;DR:
5+ years of severe exhaustion, activity intolerance, and crashes after even small exertion. Normal blood tests. Antidepressants helped mood but not the physical symptoms. Can only manage a few hours of activity before becoming wiped out for the rest of the day. Mostly housebound. This feels physical, not just low mood. Looking for advice on how to approach my GP about investigating ME/CFS, autonomic dysfunction, or other causes, and how to get a proper referral instead of just changing antidepressants again.