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What are the key diagnostic criteria for Chronic Fatigue Syndrome (ME/CFS) according to current UK guidelines?

Answer

Guideline-Aligned (High Confidence)
Generated by iatroX. Developer: Dr Kola Tytler MBBS CertHE MBA MRCGP (General Practitioner).
Last reviewed: 16 August 2025

Suspect ME/CFS if: the person has had all of the persistent symptoms in box 2 for a minimum of 6 weeks in adults and 4 weeks in children and young people 1.

All of these symptoms should be present: debilitating fatigue that is worsened by activity, is not caused by excessive exertion, and is not significantly relieved by rest; post-exertional malaise with delayed onset, disproportionate worsening, and prolonged recovery; unrefreshing sleep or sleep disturbance; and cognitive difficulties such as problems with word-finding, memory, and concentration 1.

Symptoms should significantly reduce the person's ability to engage in occupational, educational, social, or personal activities 1.

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