Chronic Fatigue Syndrome
ME/CFS
MS
LONG COVID
AUTOIMMUNE
CHRONIC PAIN
Chronic Fatigue Syndrome ME/CFS MS LONG COVID AUTOIMMUNE CHRONIC PAIN
Coaching boundaries, clear and protective
Health and Wellness Coaching (NBC-HWC) supports behavior change, self-management, and accountability. This is for when you are ready to make changes and try something different.
Coaching does not diagnose, interpret medical data, prescribe or de-prescribe, recommend supplements, provide nutrition consultation or create meal plans, provide exercise prescription, or provide psychological therapeutic interventions.
If you want a clinical assessment, labs, or a functional medicine plan, use your Clinical Care page.
How it works
Step 1, Coaching intake and clarity session
We map symptoms, constraints, goals, supports, obstacles, and what has not worked.
Step 2, Your stability system
You get a pacing framework, a tracking method, minimum viable routines, and a flare plan.
Step 3, Ongoing coaching
Short, consistent sessions to adjust, reinforce, and stabilize.
What you leave with
a one-page weekly plan
a flare-day protocol
a symptom and activity tracking template
a self-compassion practice sequence matched to your capacity
SMART goals that you determine and design with the help of your coach that will help you make progress
Coaching options
Use your real pricing and structure here. Suggested names that fit the compassionate niche:
Stabilize, 6 sessions
For building pacing, minimum viable routines, and a tracking system quickly.
Sustain, 12 sessions
For deeper stabilization, relapse planning, implementation support, and self-compassion skill-building over time.
Maintenance
For established clients who want ongoing accountability and refinement.
Button under each: Book a Coaching Consult
FAQ
Is this therapy?
No. Coaching is not psychotherapy, but it does share some aspects. In coaching the method used is Cognitive Behavioral Therapy. In coaching, we use Cognitive Behavioral Coaching which helps you gain awareness of yourself through reflection.
Will you push graded exercise?
No. NICE 2021 guidance states graded exercise therapy should not be offered for ME/CFS, and emphasizes individualized approaches that stay within energy limits rather than fixed incremental exercise increases.
What if I am too exhausted to follow a plan?
That is exactly why we build a minimum viable day plan and a flare plan, so care remains possible when capacity drops. And remember, a goal does not need to be a physical bejavior, it can be a thinking exercise, or a simple assessment by jotting down thoughts or other.
Closing section
You do not need more discipline. You need a system that respects your limits, and a relationship with yourself that stops turning those limits into shame’
Your wellness coach meets with you virtually or phone call as you prefer. They help you work through potential barriers of maintaining healthy habits, such as stress, a busy schedule, depression, anxiety, or work/family demands.
We are here for you when you need us to answer questions, keep you motivated, and address concerns you may have about your health or weight loss plan.
To begin health coaching sessions with our medical expert at Pembroke Holistic Center, click the button and put in your request today.
Chronic Illness Coaching
Compassionate, structured coaching for people living with complex chronic symptoms, limited energy, and unpredictable flares, with an explicit focus on building self-compassion as a core skill for sustainable self-management.
Led by Gloria Moreira, NBC-HWC. Coaching is offered as a distinct, non-clinical service.
You are not failing, your nervous system is protecting you
If you live with chronic illness, your capacity is not consistent. Your energy can look fine on the outside and collapse on the inside. Many people respond by pushing harder, then crashing harder, then blaming themselves.
This program is built to interrupt that cycle with two foundations:
compassionate structure, so your plan fits your actual energy
self-compassion, so you stop treating your body like an enemy
Self-compassion, in the research literature, means responding to your own suffering with support rather than self-judgment; it includes self-kindness, common humanity, and mindfulness.
This is for you if
You crash after doing normal tasks, and you cannot reliably predict when a flare will hit
You have brain fog, fatigue, pain variability, sleep disruption, or autonomic-type symptoms that shift day to day
You have plenty of advice, but not a system you can follow when capacity drops
You feel ashamed about needing rest, canceling plans, or not being who you used to be
You want accountability that is firm but compassionate, not forceful
For people with ME/CFS, CDC describes post-exertional malaise as symptom worsening after even minor exertion, often delayed 12 to 48 hours, and notes pacing as a way to reduce flare-ups and relapses.
What we work on
1) Compassionate pacing and energy boundaries
We build an “energy-respecting” weekly structure that reduces the boom-and-bust cycle. Pacing aims to balance activity and rest to prevent symptom worsening, including relapses.
2) A simple symptom and activity tracking system
Not an endless journal. A lightweight method to identify patterns, early warning signs, and the smallest changes that protect stability. CDC’s clinician materials explicitly recommend a brief symptom and activity diary to help recognize limits.
3) The minimum viable day plan
We design routines that still function on low-bandwidth days, so your care does not collapse when you do.
4) Flare planning and relapse prevention
You leave with a written flare plan, what to stop, what to protect, what to prioritize, how to recover, how to communicate needs.
5) Self-compassion as a concrete skill
This is not “positive thinking.” It is training your internal response to limitation so you can act wisely instead of reacting with pressure, panic, or self-attack.
Self-compassion is studied as a coping resource in chronic illness, linked to better psychological well-being and more adaptive health behaviors in multiple lines of research.
What self-compassion looks like in practice
We operationalize self-compassion into behaviors you can repeat:
a replacement script for self-judgment that triggers crashes (“I should be able to do more”)
a permission structure for rest that is values-based, not avoidance-based
“common humanity” reframes that reduce isolation, meaning you stop treating your limitations as moral failure
micro-choices that reduce perceived stress load, because stress and self-criticism are not neutral in a body already struggling