The ME Association has detailed information about sleep disturbance and dysfunction in ME/CFS available to download from the website shop:. If stress or anxiety may be the cause, self-help strategies such as relaxation tapes, aimed at producing peace of mind, can be helpful. But if you feel that this is causing sleep fragmentation and making unrefreshing sleep even worse it would be worth talking to your doctor about the use of a low dose of a drug called amitriptyline, which many people with ME/CFS find helpful for both pain and sleep disturbance. Melatonin (trade name Circadin) needs to be used with care – as there is evidence that it can both help and reduce vivid dreams. So having vivid dreams is not a sleep problem that would be normally treated with medication. In this case, you do need to ask for medical help. Having said that, vivid dreams aren’t normally something that you need to worry about – the exception being if the dreams are frightening and more like nightmares. 
Pregnancy, especially during the third trimester.Sleep disorders, including narcolepsy, which causes sudden episodes of daytime sleepiness and which can be misdiagnosed as ME/CFS,.Drugs – including selective serotonin reuptake inhibitors (SSRIs),.Fragmented sleep and sleep deprivation,.But, my impression from talking to large numbers of people with ME/CFS about sleep disturbance over many years is that vivid dreams are actually quite a common occurrence. The cause remains uncertain but there are several factors that seem to increase the risk of having vivid dreams. However, this is not a symptom that tends to appear in diagnostic criteria for ME/CFS, or gets mentioned when the various types of sleep disturbance are discussed. Vivid or colourful dreams were first described by Dr Melvin Ramsay in his original description of Myalgic Encephalomyelitis.
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