Resources
Explore presentations, podcasts, videos, and other resources designed to support understanding of PEM, pacing, and everyday life with complex chronic illness.
Bateman Horne Center presents
Coffee with a Clinician
Special Edition in Recognition of Severe ME/CFS Awarness Month
August 2026
Amy participated as an expert panelist in a special United for ME edition of Bateman Horne Center’s Coffee with a Clinician in recognition of Severe ME/CFS Awareness Month. Representatives from five ME/CFS organizations came together to discuss the experiences and needs of people living with severe and very severe ME/CFS. The conversation addressed clinical care for people who are homebound or bedbound, practical approaches to reducing exertional demands and protecting limited functional capacity, caregiver experiences, and the importance of incorporating lived experience into care, research, and advocacy. The panel also explored improving access to research through decentralized and home-based approaches, emergency department experiences, and clinician education.
Bateman Horne Center presents
Coffee with a Clinician
Post-Exertional Malaise (PEM) part 4
June 2026
Amy participated as an expert panelist in Bateman Horne Center’s Coffee with a Clinician discussion on the management of Post-Exertional Malaise (PEM) in ME/CFS and Long COVID. Building on the BHC Clinical Care Guide, the panel explored practical, evidence-informed approaches to pacing and activity management, including recognizing early signs of exertion, balancing activity and rest, protecting functional capacity, and considering physical, cognitive, social/emotional, sensory, and orthostatic demands. The session also addressed symptom and heart rate monitoring, preventing setbacks, and navigating the challenges of reducing activity and prioritizing rest.
Bateman Horne Center presents
Coffee with a Clinician
Pacing for the Holidays and Special Events
December 2025
Amy is featured in Bateman Horne Center’s Coffee with a Clinician discussion on navigating holidays and special events for people with ME/CFS, Long COVID, and other infection-associated chronic conditions. The session explored practical pacing strategies to support meaningful participation while reducing the risk of Post-Exertional Malaise (PEM). Topics included planning and prioritizing activities, identifying the “Golden Nugget” of an event, incorporating rest before, during, and after activities, recognizing early signs of exceeding available capacity, modifying physical, cognitive, sensory, social, and emotional demands, and communicating needs and boundaries with others.
Make Visible Podcast
Episode #23: Improving quality of life- managing PEM and moving towards stability with OT Amy Mooney
In this episode, Mooney provides us with a breakdown of her approach – endeavouring to build a platform of stability and control for patients by prioritising daily functions and focusing on understanding how symptoms respond to different types of stressors, including cognitive, physical, social, emotional, and environmental factors. She explains the concept of dynamic energy management, responding to our body’s differing capacities on different days, and encourages patients to regain control of their illness by building awareness and learning from the setback. With a background in sensory integration therapy, Mooney highlights the significance of addressing all sensory inputs alongside the, perhaps more obvious, other stressors that contribute in this illness.
Long COVID Podcast
#170 - Amy Mooney - "Flipping the Iceberg"
What if everything you thought about recovery is underwater?
Amy Mooney shares her unique perspective as both an occupational therapist and caregiver to her daughter with ME-CFS, revealing essential insights about rest, recovery, and meaningful approaches to chronic illness management.
Long COVID, MD Podcast Interview & Article
#43: Sensory Integration Therapy for Long COVID
with Amy Mooney MS OTR/L
“In this conversation, Dr Zeest Khan and occupational therapist Amy Mooney discuss sensory processing disorders, which seem to be triggered by a COVID infection. They discuss the implications for individuals with long COVID, and the importance of tailored occupational therapy approaches. They also explore how chronic illness affects sensory integration, the challenges faced by patients, and the need for medical recognition of sensory processing issues. Amy emphasizes the importance of listening to one's body and adapting therapy to individual needs, particularly for those with fatigue-related conditions.”
Long COVID, MD Podcast interview
#28: Occupational Therapy for Long COVID
with Amy Mooney MS OTR/L
"Occupational therapist Amy Mooney focuses her practice on people with fatiguing diseases like ME/CFS and Long COVID. She joins me to discuss how occupational therapy can be a valuable addition to your recovery program. Finding ways to engage in our lives, to do the things we want to do, is at the heart of occupational therapy.
Amy shares how she has modified her practice to empower people with fatigue, and suggests ways you can engage with an occupational therapist near you."
Dr Zeest Kahn
Pacing for PEM:
Strategies to Protect Function & Improve Quality of Life
Presented as part of the SILC Global Long COVID ECHO Webinar Series (2026), focusing on pacing strategies to manage Post-Exertional Malaise (PEM), protect functional capacity, and support participation and quality of life.
Post-Exertional Malaise:
Recognizing the Crash After Activity
Presented as part of the Long COVID and Fatiguing Illness Recovery Program ECHO (2026), examining the patient experience of Post-Exertional Malaise (PEM), including diagnostic features, exertional triggers, symptom patterns, and the immediate and delayed time course of symptoms.
Amy Mooney, MS OTR/L presents:
Staying within Your Energy Envelope by Modifying Tasks
“Best video I’ve ever watched for validating my PEM !”
Amy Mooney, MS OTR/L discusses the details of pacing strategies from the perspective of an occupational therapist and mother of a young adult daughter with severe ME/CFS.
Time Stamps
00:00 Introduction
2:30 Post-exertional malaise (PEM)
3:56 Occupational therapy vs physical therapy treatment for PEM
11:23 Pacing for PEM
27:18 Task analysis
39:00 Types of rest
41:12 Example of patient PEM symptom time course
47:15 Accommodations and Modifications
“This video has so much of the essence of the struggle.”
Bateman Horne Center and
the University of Utah Health ECHO present:
Long COVID & Post-Viral Syndromes
When Exercise Doesn't Help
Bateman Horne Center and the University of Utah Health ECHO teams join forces once again to provide a case-based learning series illuminating strategies for assessment and management of Long COVID (PASC), ME/CFS, and related comorbid conditions.
Occupational therapist, Amy Mooney, MS, OTR/L, and physical therapist, Clayton Powers, DPT address the importance of screening for PEM and redefine "exercise" in patients with PEM/PESE.
“This is brilliant and should be a MUST WATCH for GPs and anyone working in a Long COVID clinic.”
“Thank you for a detailed presentation, wish we had this just 5 years ago.”
“This is an excellent presentation. Great for everyone who has anyone dealing with these health challenges in their life.”
Amy Mooney with the Bateman Horne Center developed educational material for Rehab Professionals
Bateman Horne Center: Rehab Professionals
Occupational & Physical Therapy for Patients with PEM/PESE
These education videos aim to equip rehabilitation professionals on how to assess and safely manage patients with PEM/PESE. OT & PE for patients with PEM/PESE video series
This video series was developed for physical and occupational therapists to highlight the process of identifying post-exertional malaise/post-exertional symptom exacerbation (PEM/PESE) to provide insight into therapeutic approaches.
These short video segments will include topics intended to inform therapists who are not familiar with pacing, resting, and symptom management guidelines.
We hope this series will introduce principles of ME/CFS and Long COVID care that encourage healthcare professionals to continue advancing their knowledge about PEM/PESE.
Video Series:
Introduction Video
Why PEM Matters
PEM: The Basics
Pacing for PEM/PESE
Massachusetts ME/CFS & FM Association’s Sunday conversation webinar presents:
Speaker: Amy Mooney, MS OTR/L
Feb 19, 2023
Solve M.E. presents:
OT: The Role of Occupational Therapy in Care for ME/CFS - Solve ME/CFS Initiative
Speaker: Amy Mooney, MS OTR/L
September 2022
Massachusetts ME/CFS & FM Association’s Sunday conversation webinar presents:
Physical & Occupational Therapy for ME/CFS and Similar Chronic Illnesses
Speaker: Amy Mooney, MS OTR/L
January 2022
