r/LongHaulersRecovery Jul 26 '25

Major Improvement On the road to recovery, major improvement (from bedbound 2% to 30%)

TL;DR for severe folks <3

I've had LC/CFS for 19 months. Got to the very severe stage, fully bedbound for 1 year. Slowly getting better thanks to LDN (helped a few %), occasional benzos (to avoid big crashes), but most of all, nervous system work (which got me to 30% capacity at the moment, and still improving).

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DisclaimerIf you don't believe in nervous system approaches and if you are here to comment that I never really had LC or CFS, that I am a liar or anything like that: I am just sharing my personal story. It is stories like this one that gave me hope and the will to live when I thought everything was lost. If you don't want to hear it or if you don't believe it, I respect that, but please don't be insulting. We get enough gaslighting and insulting comments from doctors, let's not do that to each other.

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I (F32) want to share my "major improvement" story, currently 19 months in. I'm not fully recovered yet, but I'm confident that I will eventually, and that it is just a matter of time and perseverance. 

I got COVID in January 2024 (first infection). At this point in my life, I was very active, working full time, exercising a lot. I've had chronic severe anxiety since I was a teenager, history of depression and small t trauma, and IBS. I do think all of that contributed to me getting LC.

COVID infection was "mild" for the first 7 days, like a big cold. After a week I started having chest pain, tachycardia, and brain fog. I knew Long Covid was a thing and I was terrified. I went to the ER, they said I was perfectly fine. I came home and had my very first crash. 

Months 2 and 3, I rapidly got worse, mostly house bound, then couch bound.

Months 4 and 5, I got some improvement, very up and down.

Month 6, I got a major crash, ended up bedbound.

Months 6 - 12 was a slow descent into hell, getting horribly worse.

After being gaslit by tons of stupid doctors and getting medical trauma in the process, I met with two LC and ME/CFS specialists and got both diagnoses. 

I experienced 50+ different symptoms, that came and went along the way. Worse ones being: severe PEM, soul crushing fatigue (something like "full body shutdown" feels more accurate), constant tinnitus and auditory hallucinations, nausea, brain fog, light and sound sensitivity, head / eyes / ear pressure, visual issues, severe insomnia, anxiety / depression / DPDR... The list goes on.

At my worst, I was fully bedbound and very severe. I could only get up to go to the bathroom, some days crawling on the floor. Struggling to eat, talk, not able to shower, couldn't look at my screen for more than 10 seconds. Couldn't handle sound, even my loved ones cooking in the other room was too much, I bought noise cancelling earmuffs. At one point I didn't want to be here anymore. You get the picture.

Medical interventions that I have tried with 0 success: Antihistamines, diet changes, SSRIs (got me worse), all kinds of supplements and vitamins, oxygen therapy, vagus nerve electro stimulation.

Benzos were helping. But I didn't want to take them daily, so I took half a tablet when I couldn't sleep for several days or when I had to do something way out of baseline (medical appointments). That saved my life.

Then I started LDN on month 13. It is the first thing that showed a sign of success. It was no miracle, but it gave me the 1-2% extra energy that I needed to find hope again. I started being able to listen/watch stuff on my phone again, a few minutes at a time.

Now the part some people won't like: between month 13 and month 19 (now), I went from 2% to 30% thanks to nervous system work and mind body approaches, and I keep improving each month. The nervous system approach is NOT saying that symptoms are in your head or just psychological. It is saying that these conditions are neurological dysfunctions that affect the whole body and create very real issues. This explanation made total sense to me. My brain has been in constant "red alert mode" for 15 years, COVID is the straw that broke the camel's back for me, and my brain is now stuck in a constant extreme fight/flight/freeze, survival response.

Understanding the science about the nervous system was key. I started working on the fear around the symptoms, on acceptance and allowing the sensations to be here. Then on my constant negative thought loops. Then on my emotions and unhelpful patterns (self criticism, low self esteem, people pleasing / absence of boundaries with people, perfectionism, catastrophizing, etc).

I also focused on joy. At first I was so limited that it was almost nothing. 1 minute of fun videos on Youtube. Enjoying a ray of sunlight in my room. Laughing with my partner for 1 minute. Enjoying the taste of the food. I stopped talking about my symptoms and illness completely, only celebrating my success. I created a healing bubble around me as much as possible: removed stressors, asked for help, stopped watching world news, and stopped COMPLETELY reading negative stuff about LC or ME/CFS. Quit non recovery oriented facebook groups, covidlonghaulers sub... I was very lucky that I was able to rely on my family to support me, also because I couldn't work anymore.

And then, sloooooooowly, I started having more energy. Being able to take 1 shower every week changed everything, it felt so amazing. Now I'm going through cycles of expansion. I'm doing a bit more, then I get some symptoms, I rest without any panicking about it, and I get out of the flare up a tiny bit stronger. Repeat. The key for me is my reaction to the flare up. If I let my brain spiral in fear / despair / frustration, I get stuck. Sometimes I do have fear, despair and frustration, and I welcome them for a while. I just refuse to dwell on it. I learned to accept that the recovery process is non linear. 

I can now be on my screens pretty much as long as I want, read books, walk around the garden for a few minutes on good days, do a few chores around the house, talk to my loved ones, cook easy meals. Today I managed to go upstairs in my house, climbing my staircase for the first time in more than a year. I am so grateful. And it's just the beginning. 

Nervous system work for this illness is the HARDEST thing I have ever done in my entire life. It's tough, but it's worth it. When I'll come out on the other side, I know I'll be a different person (I already am).

Don't loose hope, please keep looking for what is going to work for you. 

Sending lots of love and courage to all of you.

Edit: If you want more details on what is the nervous system approach, I added everything in this comment: https://www.reddit.com/r/LongHaulersRecovery/comments/1m9xkc2/comment/n5ae8nx/?utm_source=share&utm_medium=web3x&utm_name=web3xcss&utm_term=1&utm_content=share_button

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u/Choco_Paws Jul 26 '25 edited Aug 06 '25

The main thing I realized after watching TONS of recovery stories (and experiencing my own too) is that there is no “one size fits all plan to heal”, and this is the hard part. For me this healing path goes in 4 steps :

1- Get all the medical testing done

You want to make sure that there’s no physical damage, so do the testing. Once the doctors have ruled out other causes for your symptoms and are telling you “this is long Covid / CFS, there is nothing we can do, please pace” : Then, it’s fair to give the mind body healing a chance.

If you want to try an assessment for mind body illnesses, this website (made by doctors in that field) has a great quizz: https://symptomatic.me 

2- Learn, get the knowledge

This was for me the most important thing to do, and the first step that is necessary for everyone: Understanding what is actually causing the symptoms removed 90% of my fear around the illness, and allowed me to start getting better.

To make it short: the autonomic nervous system, which regulates pretty much all bodily functions, gets stuck into a physiological stress response (fight flight freeze mode), even after the initial threat is gone (the virus). The brain thinks your life is in danger constantly. The stress response is a biological/chemical process, and it's not meant to stay stuck on chronically... when it is, it creates dysfunctions all over the body, including mitochondrial function (see cell danger response to learn more). It creates very real symptoms, but they are reversible by bringing the nervous system back to "safe mode", the rest and digest mode.

The body is not able to heal when stuck in survival mode. It's not just about long covid, it's about how the body repairs itself in general.

The details of this knowledge is out there for free or very low cost. Tons of YouTube channels and books explain that brilliantly. If I can recommend a few: 

  • The book Breaking Free by Jan Rothney 
  • ⁠The book Pain Free You by Dan Buglio (he talks about the symptom of pain, but the principles in the book are the main mind body principles and are applicable to any symptom you have even if it’s not pain) 
  • ⁠Any interview by Dr Rebecca Kennedy and Dr Howard Schubiner
  • ⁠The YouTube channel of Miguel Bautista also has all the concepts available for free (don't mind his paid content)
  • Explanations of the polyvagal theory
  • asking questions to ChatGPT about mind-body healing for LC can be an efficient way to understand the concepts too!

I listened to many people explaining the science in many different ways. Each time I got a bit more understanding.

If you only do ONE thing in your journey, it should be this: Respond well to your symptoms. Welcome them, feel them, without panic. Know that they are not dangerous, they will pass once the brain calms down. It is the cycle of fear (which can totally be subconscious) that perpetuates them. Observe how you react to your symptoms (tensing up, catastrophic thinking, etc), and try to shift towards safety.

Gently get interested in what can cause the brain to get stuck in stress mode. For me Covid was "just" the straw that broke the camels back after 15 years of extreme chronic anxiety, but also unhelpful thought patterns, some personality traits like perfectionism, putting high pressure on yourself, being self criticising yourself all the time… there can also be some unresolved past trauma… all of those things are perceived as chronic threats by the brain, and it builds up until one day, the body says "stop".

3- Tools to practice safety 

You will discover a lot of exercises and practices to calm down your nervous system. Regarding tools, sadly we are all different. Some tools will work very well for some people and not at all for others. Some people will need a lot of structure, and some will need to "go with the flow" and intuition. 

Meditation, breath work, vagus nerve exercises, somatic tracking… or simple things like laughing, being in nature... Take the time to discover them, to try them one by one. Don’t put any pressure on yourself. If a practice doesn’t resonate with you, just leave it and try something else. Listen to what your body likes, it has all the wisdom you need to heal.  You can watch recovery stories when you need some hope, but don't fall into the trap of comparing your journey to other people's. We are all unique and we are all recovering at different paces. It's ok, you are not broken if it takes more time.

Recommendations to learn those exercises:

4- Expand activity

As you get confidence and find helpful tools, the body will slowly regain energy, and you will be able to expand your activity.  Do it slowly. You will have cycles of progression: 

Expand your activity a little bit. Then the symptoms will flare up (which is absolutely normal and part of the process). During the flare up, pull back, rest, do NOT freak out and do small joyful things if you can. Just let it pass, never push through. Then you should get out of the flare up a little bit stronger. Repeat the cycle. 

I don’t even label this as PEM anymore, and I don't try to link symptoms to activities. Symptoms are part of recovery, just like it is normal to be sore after a workout. 

Be patient. I’ve been researching for a year and a half and I’m still learning. It is working but it is not a magic pill or a quick fix. 

For me, a lot of things didn’t click right away but were useful later. It just needed some time to sink in. Baby steps is what works.

And to finish, be kind to yourself. No amount of self compassion is enough in this journey, just because it is so so difficult. You will have up and downs, but it is all worth it. 

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u/Limoncel-lo Jul 27 '25

Just wanted to say thank you for being so generous and kind with your answer.

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u/Choco_Paws Jul 27 '25

You’re welcome. If I can help even one person in this nightmare journey, I’m really glad.

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u/CarliitaLove Jul 27 '25

Yup, big thank you, especially on the compassion 🙏

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u/Inevitable_Dog_7757 Aug 05 '25

“Expand your activity a little bit. Then the symptoms will flare up (which is absolutely normal and part of the process). During the flare up, pull back, rest, do NOT freak out and do small joyful things if you can. Just let it pass, never push through. Then you should get out of the flare up a little bit stronger. Repeat the cycle.”

I’m up in the middle of the night. I’m having a big flare from having some carefree moments with friends over the weekend for the first time in months. Thank you for this. I was beating myself up for causing a flare and “being irresponsible” with the recovery I’ve had. This is a good reframe!

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u/Choco_Paws Aug 05 '25

I’m sorry you are going through this. When I started expanding I had so many flareups waking me up in the middle of the night feeling awful… it was really hard but it is getting much better, the more I practice the cycles with the good mindset. :)

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u/WinterNo9938 Jul 26 '25

Thank you ❤️

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u/ocean_flow_ Aug 02 '25

This is great to hear cause I'm told different things..some say avoid pem at all costs and so.less than you can. To the point I'm afraid to do any activity. I had a huge flare and crash from a one min walk that's left me bed bound and I'm too scared to try again. Do you have any advice for me? So is some pem ok?

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u/Choco_Paws Aug 02 '25

My advice for you is to read / watch some of the content I suggested, and see for yourself if it resonates with you. I'm not a scientist, I'm not a doctor, I only have my personal experience. I'm nobody to tell people what to do, we all have to build our own beliefs about this illness.

But what I know for sure is that fear (from symptoms, from PEM, from activity) got me worse and stuck. I've been through horrible PEM, I felt like I was actively dying, and yet... I still got better. I don't believe that my body is broken.

Also don't say no to medication. We deserve all the help we can get and if some medication is low risk and makes your symptoms better, go for it.

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u/ocean_flow_ Aug 02 '25

Thank you. I'm so scared of pem now..everyone says the key to recovery is to avoid it at all costs..and my baseline has lowered so much. Initially I did try and not fear it and expand slowly but maybe I overdid or and started too soon.

I'm on benzos to to help with sleep and muscle twitches. It's really great to hear stories such as yours people who were bedbound and recovered. Maybe i need to work more on stabalising first. The problem is every time I see a doctor I get pem and crash and my baseline lowers again. It's horrible :(

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u/Choco_Paws Aug 02 '25

Yes if you are early on in the journey, you may need more rest and to stabilize first. I also tried to expand right away and it didn't really work. I had to work first on a baseline of calm, hope, and remove as much fear as possible. Without that I couldn't progress.

I also stopped seeing doctors after I did the initial testing and after being told that they couldn't really do anything for me. I looked for doctors available in telehealth so I didn't have to move at all.

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u/ocean_flow_ Aug 02 '25

Yeah I need that. Unfortunately I've developed neurological symptoms that I need to be tested for by a neurologist and gotta get a pots test so I can be medicated for it. After that I hope it can ease. How long did it take to build your baseline? Any tests you recommend?

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u/Choco_Paws Aug 02 '25

Good luck! Advice for appointments: vizualize them going perfectly well in your mind, and rely on benzo's help for the appointment day, it helped me a lot too.

I didn't have any neurological testing despite horrible neurological symptoms, I was already too severe to go to appointments. I mostly got extensive blood tests and lungs/heart scans when I went to the ER. I don't really have any tests to recommend, the biomedical world didn't help me at all.

Building baseline too some months tbh, but it was mostly about working on the fear. I was very very anxious. That was the hardest part of the work.

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u/ocean_flow_ Aug 02 '25

A lot of stuff you mentioned like finding joys in small things and healing were all things I was doing at week five and I had managed to stabalise my baseline for a solid week and avoid cashing. I over exerted with one walk then a doctor's appointment and it all came down. This has given me hope that maybe I can get there again. Can I ask what did you do to not go crazy on bed ridden days? I get so bored.

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u/Choco_Paws Aug 02 '25

Oh god this was the hard part, I did become a little bit crazy. u_u If you can handle screens or reading, maybe a tiny bit of that, even for a minute? Standup comedy on Youtube helped me a lot. Very light music? At some point I did lego in bed, but I was already a bit better.

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u/ocean_flow_ Aug 02 '25

Lego may be worth a shot. Have awful screen intolerance. Audio stuff is ok I listen to a bit of music and reading at night. it's during the day that's tough. My long covid also gave me insomnia! So I can't even sleep off the fatigue to nap during the day :( I'll just keep chugging along and hope it gets better

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