Support Persons/Whānau

Supporting Someone with ME

Caring for someone with a long-term, energy-limiting condition

Supporting someone with Myalgic Encephalomyelitis (ME) or Long COVID with ME-like features can be both rewarding and challenging.

Whether you are a spouse, partner, parent, sibling, child, friend, or carer, you may find yourself taking on new responsibilities, adjusting expectations, and helping navigate healthcare, education, employment, and support systems.

While every person’s experience is different, one thing remains the same: supporting someone else is easier when you also take care of yourself.

This page provides practical guidance to help you support your loved one while protecting your own wellbeing.

Start with UnderstandingNavigating Healthcare
Looking After YourselfNavigating Support Systems
Supporting a Partner or SpouseConsidering Private Care Options
Supporting a Child or AdolescentYou are Not Alone
Supporting a ParentFurther Resources

Start with Understanding

One of the most important things a support person can do is learn about ME.

ME is not simply “being tired”.

It is a complex neurological condition involving disruptions to energy production, autonomic function, immune signalling, and recovery from exertion.

The hallmark feature is post-exertional malaise (PEM), where symptoms worsen after physical, cognitive, emotional, or sensory activity.

Understanding PEM is often the key to understanding why your loved one may suddenly become more unwell after what appears to be a normal activity.

Understanding ME page link


Looking After Yourself

Carers and support people often put their own needs last.

Over time this can lead to:

  • exhaustion
  • burnout
  • isolation
  • resentment
  • guilt
  • declining physical and mental health

Looking after yourself is not selfish. It is essential.

Consider:

  • taking regular breaks
  • maintaining hobbies and interests
  • connecting with friends and family
  • asking for help when needed
  • accepting respite opportunities
  • accessing counselling or peer support

You cannot pour from an empty cup.

ANZMES quarterly magazine M.E. Time includes resources for Support Persons in every issue.


Supporting a Partner or Spouse

ME can change family roles, responsibilities, finances, intimacy, and expectations.

Many couples find that their relationship shifts from being primarily a partnership to one that includes caring responsibilities.

It is important to continue nurturing the relationship where possible.

This may mean:

  • scheduling quiet time together
  • watching a movie at home
  • sharing meals
  • talking regularly
  • celebrating small milestones
  • finding new ways to connect within current energy limits

Relationships can remain strong and meaningful even when they look different than expected.


Supporting a Child with ME

Parents often become advocates, educators, healthcare coordinators, and carers all at once.

While supporting the child who is unwell is important, it is equally important to remember siblings.

When one child requires significant care, siblings can sometimes feel overlooked or develop feelings of frustration, sadness, or resentment.

Helpful strategies include:

  • scheduling one-on-one time with each child
  • preserving family rituals where possible
  • encouraging open conversations
  • acknowledging everyone’s feelings
  • ensuring siblings still have opportunities to pursue their own interests

A family-centred approach benefits everyone.


Supporting a Parent with ME

Supporting a parent with ME can be particularly challenging because family roles often change unexpectedly.

Whether you are a young adult, an adult child, or another family member, you may find yourself taking on responsibilities that your parent once managed. This role reversal can feel confusing and bring a mixture of emotions, including sadness, guilt, frustration, protectiveness, and grief for the relationship you once had.

You may find yourself:

  • helping with daily tasks or appointments
  • advocating within healthcare and support systems
  • assisting with finances, paperwork, or transport
  • providing practical and emotional support
  • balancing your own work, studies, family, and commitments

It is important to remember that your parent is still the same person they have always been. ME may have changed what they can do physically, but it does not diminish their value, wisdom, personality, or role within the family.

Try to maintain opportunities for connection beyond caregiving. Spending time together, sharing stories, watching a favourite programme, discussing family events, or simply sitting quietly together can help preserve the parent–child relationship when so much else has changed.

Where possible, share caring responsibilities across family members and access supports that reduce the load on any one person. Looking after your own wellbeing is not selfish; it helps ensure that you can continue to provide support sustainably.

You do not have to do everything alone.


Healthcare can be complex and exhausting for both patients and support people.

You may find yourself helping to:

  • coordinate appointments
  • attend consultations
  • organise medications
  • communicate symptom changes
  • advocate for appropriate care

Keeping a simple folder containing:

  • reports
  • test results
  • medication lists
  • support letters
  • appointment summaries

can make this process easier.


Many people with ME require additional support to maintain quality of life.

Depending on severity, this may include:

  • NASC assessments
  • Home Management support
  • Personal Care support
  • Carer Support allocations
  • financial assistance through Work and Income
  • community-based services

Support needs are often based on functional impairment rather than diagnosis alone.

Clinicians page link


Considering Private Care Options

Where publicly funded services are unavailable, some families choose to access private support.

Options may include:

  • MyCare
  • Good Companion
  • private carers
  • home help
  • meal preparation services
  • cleaning support

Even small amounts of assistance can reduce pressure on both the person living with ME and you and your wider support network.


You Are Not Alone

Many support people describe feeling isolated.

Connecting with others who understand can help.

Regional organisations, peer networks, and ANZMES resources can provide information, practical advice, and reassurance that what you are experiencing is shared by others.

You do not need to navigate this journey alone.

Support Group and Service Providers page link


Further Resources

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