Gabrielle Murphy

Dr Gabrielle Murphy is a specialist physician working in the Department of Immunity and Inflammation at the Royal Free Hospital in London. She is the Clinical Lead of the Fatigue Service at The Royal Free Hampstead NHS Trust, North London, United Kingdom, (which primarily delivers Graded exercise therapy (GET) and Cognitive behavioral therapy (CBT).

NICE Guidelines Committee 2018-2020
Dr Murphy was appointed to the NICE guidelines review committee for ME/CFS in November 2018, an extremely controversial appointment given her work on the PACE trial, and opposing the release of the PACE data to patients and scientists, along with the other members of PACE trial management group. Gabrille Murphy was also involved in 2009 a CFS/ME conference which included health insurance Unum Provident's Mansel Ayward as Keynote speaker, Esther Crawley was another speaker at the event.

Gabrielle Murphy is the current chair of BACME, which promotes only the biopsychosocial theory of ME and CFS, with Cognitive Behavioural Therapy and Graded Exercise Therapy being the treatments they recommend; no other organization's chair, president or chief executive is serving on the NICE guidelines review committee panel.

Books
This book states that Graded Exercise Therapy and Adaptive Pacing Therapy may also be helpful or even preferable to patients, Adaptive Pacing Therapy was used in the PACE trial, which she was working on when the book was published. The theoretical basis described within the book have been criticized by a Health Psychologist who also has ME as being inconsistent with what CBT can do.
 * 2009, Coping Better With Chronic Fatigue Syndrome/Myalgic Encephalomyelitis: Cognitive Behaviour Therapy for CFS/ME. Contents include: - Critical incidents, vulnerability factors and maintaining factors - Goal setting - Thoughts and feelings - Sleep - Activity - Energy capsules - Impact crosses - Challenging unhelpful patterns of thinking - Stress and anxiety - Core beliefs - Symptom mapping - Planning for setbacks - Medical perspective

British Association for CFS/ME (BACME)
Dr. Murphy is an executive member of the British Association for CFS/ME (BACME), an organization that supports GET and CBT in the treatment of ME/CFS. Her involvement with BACME included hosting the 2003 and 2005 Conferences, and being its Chair for 2004-2005, and in 2018.

Sussex & Kent ME/CFS Society
Dr. Murphy serves as a medical Advisor for the Sussex & Kent ME/CFS Society, a registered charity that informs, supports and represents those affected by Myalgic Encephalopathy (ME) or Chronic Fatigue Syndrome (CFS) across Sussex and Kent.

PACE trial
Dr. Murphy is a co-author of the PACE trial, having referred patients from her clinic.

Open letter in support of Wessely and the PACE trial
In Dec 2012, in response to criticism about the PACE trial and Sir Simon Wessely's psychological paradigm of ME/CFS, a letter of support for Dr. Wessely was published in several newspapers. Dr Murphy was one of the signatories. The letter construed legitimate questions about the PACE trial as a personal attack, thus perpetuating the myth that, as the letter states, "researchers in the field have been the target of a campaign to undermine their work and professional credibility."

Notable studies
2011, Comparison of adaptive pacing therapy, cognitive behaviour therapy, graded exercise therapy, and specialist medical care for chronic fatigue syndrome (PACE): a randomised trial

2016, Treatment outcome and metacognitive change in CBT and GET for Chronic Fatigue Syndrome

2019, Persistent fatigue induced by interferon-alpha: a novel, inflammation-based, proxy model of chronic fatigue syndrome

Talks and interviews

 * 2014, Dr Gabrielle Murphy - M.E. Research and Practice

Contact

 * Email: rfh-tr.fatigueservice@nhs.net
 * Address: The Fatigue Service, Royal Free Hospital, Pond St, Hampstead, London NW3 2QG, United Kingdom

Learn More

 * 2011, Patient's report of visit with Dr. Murphy
 * 2007, Coercion as Cure Response