"The Improving Access to Psychological Therapies (IAPT) Pathway for People with Long-term Physical Health Conditions and Medically Unexplained Symptoms. Full implementation guidance" https://www.rcpsych.ac.uk/docs/defa...implementation-guidance.pdf?sfvrsn=de824ea4_2 This looks as bad as you'd expect considering people like Rona Moss-Morris and Michael Sharpe are part of their expert reference group. Looks like this is likely to have a big impact on patients, and lead to the creation of a lot more professional with a vested interest in protecting biopsychosocial approaches to MUS. Their MUS definition: I'm sure I was recently reading someone saying that they found a lot of figures like these were spun: 37 Burton C, McGorm K, Richardson G, Weller D, Sharpe M. Healthcare costs incurred by patients repeatedly referred to secondary medical care with medically unexplained symptoms: a cost of illness study. Journal of Psychosomatic Research. 2012;72:242-47. 40 Konnopka A, Kaufmann C, König H, Heider D, Wild B, Szecsenyi J, et al. Association of costs with somatic symptom severity in patients with medically unexplained symptoms. Journal of Psychosomatic Research. 2013:370-75 41 Nimnuan T, Hotopf M, Wessely S. Medically unexplained symptoms: an epidemiological study in seven specialties. Journal of Psychosomatic Research. 2001;51:361-67 They've already been adding staff for this, and expect to need another 4,500: 47 Roth A, Pilling S. A Competence Framework for Psychological Interventions with People with Persistent Physical Health Conditions. London: UCL; 2016. Figure 5 is on page 21 and does not inspire confidence. It's things like this as 'Core Knowledge': "Knowledge of a generic model of MUS". Shows how important NICE have been for promoting this stuff: It's hard to remember which quack-ridden expert advisory group is which with the MUS stuff: So what's recommended for CFS and MUS, and why?: There's no mention of the CFS guidelines being updated although they say "Note: NICE depression guidance currently being updated."