USING THE ENVELOPE THEORY

Adapted by Connie Pich from the fall 1997 CFIDS Chronicle for the BH CFS/FMS Support Group meeting, Dec 97.

The CFIDS Chronicle had an article on a case study exploring how one patient reduced fatigue and raised his energy level by carefully controlling his activity level using the Envelope Theory. The quick and easy way to start using the Envelope Theory is to access your energy level hourly by using this rating system:  1 = low energy; 10 = high energy.  Now identify the things that you can do immediately that will allow you to NOT exceed this energy level.  For instance:

Energy level = 10

Things that I can do that won’t exceed a 10 energy rating:

            Clean the bathtub
            Go to Wal*Mart
            Wash dishes
            Balance my checkbook

 

Energy level = 5

Things that I can do that won’t exceed a 5 energy rating:
            Wash a load of clothes
            Go to the bank drive-up window
            Make a meal that required minimal cooking
            Water the houseplants

 

Energy level = 1

Things that I can do that I won’t exceed a 1 level rating:

            Take a shower and brush my teeth (Dressing is too much)
            Watch TV
            Reheat leftovers
            Open mail

 The goal is to always stay below your perceived energy level.  The Envelope Theory suggests that consistent evaluation of your energy level and modifying your activity will help you:

·        Gain control of your fatigue.

·        Gradually have more energy available daily.

The study showed that by not over-exerting themselves, people with CFIDS can avoid the relapses while increasing their tolerance to activity.  This could apply to people with FMS as well.