This protocol applies to patients with chronic fatigue syndrome (CFS/ME) who have been treated with adaptive pacing therapy (APT) — a structured programme that uses personalised pacing, an individually calibrated balance between activity and rest, and gradual, measured increases in daily activity — but have not achieved the expected clinical gains within the expected timeframe.
When adaptive pacing therapy has not produced improvement in symptom severity or in the ability to perform daily activities by 3 weeks, clinical evidence supports advancing to the next structured treatment step.
The protocol for this situation involves a structured psychological or counselling-based intervention that targets fatigue-related patterns to support recovery. The full protocol — including how the intervention is configured and what it is combined with — is available via the link below.