ABSTRACT
Chronic fatigue syndrome (CFS) has been shown to share a common set of symptom domains, which can be readily identified in the community and at all levels of health care across countries and cultures. Post-infectious fatigue syndrome (PIFS) has been suggested as a subtype of CFS/myalgic encephalomyelitis (ME) where the illness is associated with infection corroborated by laboratory evidence. The current best evidence suggests that Cognitive behaviour therapy (CBT), graded exercise therapy and activity management are the most appropriate and effective approaches in the management of CFS/ME. CBT and graded exercise therapy have been shown to be effective in restoring the ability to work in those who are currently absent from work. CBT for CFS/ME involves a more rehabilitative approach where balanced levels of activity and rest are established, unhelpful thoughts and beliefs about CFS/ME that may impair recovery are addressed, and specific lifestyle changes are encouraged.
