Sorry you are in a bad way. Possibly a good thing in terms of seeing the rheumatologist? Better they see you in pain than in a good phase IYSWIM. What are you expecting to happen at the appt? I've never seen one before so don't really know what they do. I hope they are helpful anyway.
Meant to come back last night but was so exhausted. Here's what happened yesterday:
Had my first meeting with the psychologist at the CFS clinic in st barts. From what I gather he's a specialist; at least I think he only sees people from the CFS clinic rather than doing general therapy. Basically it was an assessment to see how they could help. We talked for about an hour.
He thinks CBT will definitely help me deal with loads of issues - not just the CFS itself but all the MH problems I've had, the childhood abuse etc. He said I seemed very positive about tackling the issues. I think I am - I've been ignoring everything for about 7 years (since I outgrew CAMHS and therefore stopped seeing my brilliant psychologist there) and now I feel ready to confront it all. Unfortunately it's taken a serious illness to get to that stage!
The really exciting news is, I have a place on a group therapy course - starting Friday!
It runs for 8 weeks (2.5hr sessions) and will be about 10 people plus a psychologist and a physiotherapist. There was no pressure for me to attend (as I'd already said I do find social situations difficult) but I practically bit his arm off! I can't believe I will be meeting more people with CFS. The group covers different topics each time but basically the aim is to learn to cope with symptoms better, and generally to manage the illness and be assertive etc. It's in the mornings so will cost somewhere around £300 in transport
but I think it'll be worth it. After the course is finished, I will then be getting some individual therapy.
Got home pretty wiped out and my chest, which had been getting better surprisingly fast, was worse again yesterday. I blame the cold weather and traffic fumes. Anyway, I'd been asked to phone work, and we decided to count yesterday as Annual Leave rather than sick leave. I felt pressured to do this though. When I first mentioned yesterday's appt I was told that if I was well enough to go by train then I was well enough to be in work :( I don't think that follows really?! If I had a broken arm I wouldn't be penalised for going to an appt, would I? And if I had a car it seems nobody would've batted an eye 
Anyway I then said I will be in today which I then really regretted as after being home a couple of hours the day caught up with me and I am now in a lot of pain. Half day today though so I will push through. I also need to sort out my leave for the support group appts (thankfully every other Friday is my day off anyway, although goodness knows how I'll manage with doing something quite strenuous on my day off rather than resting).
Got to go now as I'm still in my jammies on the sofa and need to leave in under half an hour 
Hope everyone has a good day xxx