Your first appointment

You’ll be invited to have a one-to-one appointment with one of our young person’s practitioners.

This can take place at a local GP practice or wellbeing centre, or, if it suits you better, we can arrange a phone or video call. When booking, please let us know if you have any accessibility or additional needs. You’re also welcome to bring a parent, carer, or friend with you if you’d like.

During the appointment, the practitioner will talk with you about your pain or fatigue and how it affects your everyday life. The appointment usually takes up to 45 minutes.

We’ll tell you about the different types of support available, give you some useful information, and invite you to come back for a review appointment to decide what’s best for you.

You can choose to have individual sessions, where you’ll learn skills to manage pain and fatigue. We also run a young person’s group, where you’ll meet others going through similar things. Being part of the group can help you feel understood and supported.

For young people with pain

Why am I in pain?

Persistent, or long-term pain can happen for lots of reasons. It might start after an illness, surgery, or because of a health condition. But sometimes, it happens without a clear cause.

When pain lasts a long time, the nervous system (your body’s message system) can become extra sensitive. This means you might feel a lot of pain from things like small movements or everyday activities that wouldn’t usually hurt. Visit our Pain Rehabilitation page to learn more about long-term pain and how to manage it in everyday life.

For young people with fatigue

Why do I feel so tired?

Fatigue means feeling very tired all the time, even when you’ve had sleep or rest. It can happen after being ill, having surgery, or because of a health condition. Sometimes, doctors don’t know exactly why it happens.

When you have fatigue, parts of your body don’t work together as well as they normally do. This can make you feel really tired, even after doing small things like walking, getting dressed, or going to school. Sometimes, you feel more tired later on, which makes it hard to know what caused it.

Our service is for young people who have been diagnosed with ME/CFS (Myalgic Encephalomyelitis/Chronic Fatigue Syndrome), not general tiredness. The information on this page is here to help you learn more about ME/CFS and the type of tiredness it causes. You might need to look at or watch the resources a few times, as they explain a lot.

Symptoms can vary during the day and from day to day.

ME/CFS

Common symptoms of ME/CFS include:

  • Feeling very tired all the time, which can make it hard to study, work, or be active..
  • Still feeling tired even after resting or sleeping.
  • Taking a long time to recover after doing any physical activity.
  • Having trouble sleeping, like waking up many times during the night.
  • Problems with thinking, memory, and concentration.

Some people with ME/CFS may also experience other symptoms, such as muscle or joint pain, headaches, a sore throat, feeling like they have the flu, dizziness or sickness, and fast or irregular heartbeats.

If you notice any of these symptoms, it’s important to visit your GP so you can get the right diagnosis.

Meet the team:

Sarah White

Clinical Specialist Physiotherapist. Mindfulness Teacher

I qualified as a Physiotherapist in 1998 and have specialised in the management of persistent pain for over 20 years. Over the past 18 years, I have been actively involved in the development and delivery of both individual and group pain management and mindfulness-based programmes in Nottingham.

Since 2020, I have been part of the multi-disciplinary team at PICS Community Pain and CFS/ME service, with a particular interest in delivering individual and group-based holistic programmes for young people experiencing persistent pain and fatigue.

In addition to my physiotherapy qualifications, I have pursued further training in Acceptance and Commitment Therapy (ACT) and mindfulness-based treatments, gaining valuable experience in applying these therapeutic approaches to manage long-term physical and mental health conditions. As a trained Mindfulness teacher, I have completed Mindfulness-Based Cognitive Therapy (MBCT) and Youth Mindfulness training, and I have taught mindfulness to adults, young people, and children in various health, educational, and workplace settings.

Mandy Buckley

Clinical Specialist Physiotherapist

I am a physiotherapist, qualified in 1988, and have been working in the Mansfield area since 1990. After nearly 20 years in the musculoskeletal field, I specialized in pain management at the Back Pain Unit at Kings Mill Hospital. I joined PICS in 2019, where I work with both individual patients and groups, specializing in areas such as pain, Long Covid, ME/CFS, and our young person’s service. My goal in all of my work is to help patients improve their quality of life, and I find this work incredibly rewarding.

 

Dr Greg Hobbs

Pain Consultant

I am a Consultant in Pain Medicine who has been developing and working with specialist and community pain services for many years. People with chronic pain benefit most when they have ongoing community access to a multidisciplinary team of clinicians who can provide them with the right expertise, assessments and care choices. I work closely with the PICS team to offer this expertise and care, helping people understand and explain why they have pain, and to deliver their agreed plan of care.

Caroline Neal

Cognitive Behavioural Therapist & Occupational Therapist

I have been working with people with long term pain and ME/CFS, since 2001. I have a clinical background, of Occupational Therapy (also within pain and mental health services). I have additional training and experience in other psychological approaches called Acceptance and Commitment Therapy (ACT), Compassion Focussed Therapy (CFT), and DNA-V (the approach used in the young persons service), which also have strong research evidence to support the use in long term health conditions. I work with people individually and in our group-based rehabilitation programmes to learn skills that can help improve life with pain and fatigue and address common barriers that present themselves.

Could this be for me?

Some comments from our young persons group

“I’ve made some friends my age that actually understand what I’m going through”

“Learning the DNA- V  model“

“Met other people with similar issues. I don’t feel alone”

“I’ve learnt that it is ok to feel the way I am and how to deal with it.”

“Given me tools to help”

“ Able to understand pain and fatigue”

“Felt like I’m understood”

“Useful solutions to maintain a helpful sleeping plan”

“Free space to meet

others, to talk, fun to meet others.  Useful tips.”

“All of it was useful. The different techniques we’ve learnt, how to others cope and speaking every week.”

“Connecting with people with similar interests and problems”

Some commonly asked questions about our young persons pain and fatigue group

FAQs

We plan for 12 people in our group.  This is a good number to allow  discussions and gives everyone time to share their ideas and experiences.

We love to see you, but you do not have to have your camera on.

We do want to know you are there, being present matters in this approach!

We need to ensure the group’s confidentiality is maintained, and we’ll remind the group about this each session.

You won’t be put on the spot in sessions.

Some people feel more comfortable talking in groups, others less so.  You might find you feel more comfortable talking as the group progresses.

We use the chat function on zoom too, and most people like to use this if they don’t want to speak.

The group uses a model called DNA-V, and is an approach to help you build skills to deal with challenges.

DNA-V stands for abilities we will focus on.

Discoverer: Helps you to look at your comfort zone, habits you have and step outside of these to grow you world and confidence.

Noticer: Using your body as a sensitive instrument to become aware through your senses and feelings, to build inner wisdom and calm.

Advisor: Your inner voice, that can both help and hinder you!  Working on this ability helps you to recognise the advice you are getting from within and make choices about whether you take it.

Values and Vitality: Living with pain / fatigue we can move further away from what matters.  Being aware of our values can help you make important plans again.

The group runs in the afternoons.

Its a 6 week programme running every week at the same time.

Usually this is 1.30pm -4pm.

It lasts for 2 1/2 hours but we have a good break.

We run the first 5 weeks on Zoom, then in week 6 we  meet in person at the Broadway Cinema in Nottingham, in a studio room.  (You can still join by zoom if you are unable to make it in person).

No humans!

This is to maintain confidentiality for the whole group.

We love to meet your pets though!

If you are having individual appointments you can bring someone along to support you.

We offer refresher sessions after the group has finished.  These are opportunities to keep your skills, knowledge and practice topped up, and connect with others who have completed a group with us.

Lots of groups stay in touch after the sessions using social media platforms, as they have found connecting with others helpful.

Contact us

If you have a specific query or would like to find out more, please contact us

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