Intended for healthcare professionals

Letters NICE behaviour

ME guideline is unworkable

BMJ 2007; 335 doi: (Published 13 September 2007) Cite this as: BMJ 2007;335:528
  1. Charles B Shepherd, medical adviser
  1. ME Association, Buckingham MK18 1TH
  1. charles.c.shepherd{at}

    The National Institute for Health and Clinical Excellence (NICE) recommends that everyone with mild or moderate myalgic encephalopathy/chronic fatigue syndrome (ME/CFS) should be offered a course of either cognitive behaviour therapy (CBT) or graded exercise therapy (GET).1

    This is despite published evidence remaining weak (especially for group CBT) and inconsistent 2. Patient evidence …

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