I see a number of clients with chronic fatigue in my therapy and nutritional counselling practice. Recently there has been a number of research trials both in this country and the US leading to the conclusion that the recommended exercise programmes called ‘graded exercise therapy’ may not be beneficial (and could be harmful) for ME/CFS patients. In this country NICE are now reviewing and planning a full update of their guidelines for treatment. What is really positive is that in the US the Centers for Disease Control and Prevention have recommended that patients should talk to a therapist to help find strategies to cope with their illness. I’ll be keeping a close watch for the new NICE guidelines; lets hope they are updated soon.