Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX
Follow-up protocols for patients with chronic fatigue (including ME/CFS) should include:
- Regular review of symptoms and functional status to monitor changes in fatigue severity, cognitive difficulties, physical stamina, and any flare-ups or relapses. This helps assess the patient's progress and response to treatment over time NICE NG206.
- Review and adaptation of self-management plans, including energy management strategies, to ensure they remain appropriate as symptoms fluctuate. This includes discussing cognitive, physical, emotional, and social activities, rest, sleep quality, and environmental factors NICE NG206.
- Monitoring for and managing coexisting conditions such as anxiety, depression, thyroid disease, or other relevant comorbidities, with referrals as needed according to best practice NICE NG206.
- Collaboration with multidisciplinary ME/CFS specialist teams when available, to provide comprehensive assessment and tailored management NICE NG206.
- For patients undergoing cognitive behavioural therapy (CBT), regular review of therapy goals, self-management strategies, and development of a therapy blueprint at the end of treatment NICE NG206.
- Education and support to help patients recognize and manage flare-ups and relapses, including temporary adjustments in activity or treatment NICE NG206.
These follow-up protocols aim to provide a flexible, patient-centred approach that acknowledges the fluctuating nature of chronic fatigue symptoms and supports long-term management NICE NG206.