Information for Professionals

We welcome all communication from colleagues, whether private or NHS whom require advice or further information regarding CFS/ME.

To reach a diagnose of CFS/ME is often a frustrating and worrying process for the patient and professional as it is a process of elimination. When reaching a diagnosis of CFS/ME all red flags should have been investigated, in particular these symptoms specified in the grey box.

The treatment and therapy that the North West Fatigue Clinic provides is that recommended by NICE guidance, (guidance 53, August 2007).The North West Fatigue Clinic does not diagnose but can confirm whether the clinical features are representative of a diagnosis of CFS/ME and no other diagnosis or co-morbidities. Advice on how to obtain a definite diagnosis can be provided upon request.

North West Fatigue Clinic provides therapy intervention to patients with CFS/ME plus treating fatigue, if a symptom of another medical condition. We will treat patients who have mild, moderate and severe CFS/ME. We offer an individualised, person centred programme that aims to gradually increase the person’s physical, emotional and cognitive capacity. We aim to manage their symptoms and promote recovery through using a cognitive behavioural therapy approach (CBT), graded exercise therapy (GET), activity management and talking therapy. The programme correlates with the NICE guidance pathway published in March 2014.

Have you considered the following before diagnosing CFS/ME

 

  • Localising/ focal neurological signs
  • Signs and symptoms of inflammatory arthritis or connective tissue disease
  • Signs and symptoms of cardiorespiratory disease
  • Significant weight loss
  • Sleep apnoea
  • Clinically significant lymphadenopathy

Thank you for your encouragement, praise and support during a very difficult year of my life
– Patient

Pain can be a dominant feature in CFS/ME and pharmacological interventions should be considered before commencing therapy. NICE guidance suggests offering a low-dose tricyclic antidepressant (amitriptyline) for poor sleep or pain yet not if the person is already taking a selective serotonin inhibitor (SSRI) because of potential of serious adverse interactions.

If there are additional symptom’s that are preventing the patient from engaging in their treatment, the therapist will liaise with the GP or refer to another private agency who can meet their needs i.e. psychologist.

If you are considering referring one of your patients and would like more information, please telephone the service on 01772 285155.Please note this is a private service and is not yet accessible under the NHS Any Qualified Provider Scheme. We are currently registered with the healthcare insurers Aviva, Bupa and PruHealth, however patients do need to check their own individual private medical insurance cover.