Manage any underlying causes and contributory factors as identified on initial assessment NICE CKS.
Offer advice on sources of information and support, including providing an understandable explanation of CFS, its fluctuating nature, and the importance of self-management strategies NICE CKS.
Discuss with people with ME/CFS the principles of energy management, emphasizing that it is not curative, involves self-management, and includes all types of activity, helping to reduce post-exertional malaise NICE NG206.
Help develop a tailored energy management plan covering cognitive, physical, emotional, and social activities, sleep, rest, and environmental factors, with ongoing review and adjustment NICE NG206.
Offer cognitive behavioural therapy (CBT) to help manage symptoms, improve functioning, and develop self-management strategies, with regular review and adaptation NICE NG206.
Arrange a review of care and support at least once a year, including assessment of symptom changes, energy management, physical activity, psychological wellbeing, and future planning NICE CKS.
Refer to specialist teams if symptoms persist beyond 3 months, are unexplained, or if there is significant uncertainty, especially for complex cases or when considering secondary care NICE CKS.