Based upon the evidence identified there is some evidence to show Cognitive Behavioural Therapy (CBT) has a positive impact on patients with CFS/ME through reducing symptoms of fatigue.
There was also moderate quality evidence that Graded Exercise Therapy (GET) was more effective at reducing fatigue compared to ‘passive’ treatment or no treatment and had a positive effect on people’s daily physical functioning, sleep and self-ratings of overall health.
CBT in the form of a pacing programme or an individualised care package (which combines CBT and GET as required to support the individual patient); will be funded through the commissioned provider in the following circumstances:
1. The patient has a confirmed diagnosis of mild or moderate CFS/ME
AND
2. The patient has undergone a holistic assessment with a CFS/ME treatment specialist team and either a group programme, or individualised programme, has been deemed by the specialist clinical team the most appropriate intervention for the patient in their individual circumstances.
