I. Don't test, save money. Advise CBT and exercise. Since some people group ME/CFS with Fibro as central pain syndromes, I wanted to note a November 2014 Medscape article. More precisely, this is a physician training tool focused on Fibro. References include Clauw and Wessely. I believe this article/training tool, "An Army Sergeant With Mysterious Pain: Crack the Case", was written by a VA physician. I largely skimmed it, but someone who does a closer reading may see more. From the article and of note is that doctors are advised that if they suspect Fibro, they shouldn't do further tests bc this wastes resources. They're also advised that they don't need to send Fibro patients to any kind of specialists, bc this wastes resources. Advised treatment includes trying acupuncture, if the patient is interested. And CBT and exercise. http://www.medscape.com/viewarticle/834573?src=wnl_edit_specol&uac=211644DZ II. Nonpharma therapies (are alleged to) have no risks. Another Medscape article, "Aerobic Exercise 'Most Effective Weapon' for Fibromyalgia", also advises psychotherapy and exercise, termed "multi-component therapy"*. The "experts" warn against side effects of pharmacological treatments. And thus instead advise "a graduated approach" of exercise, education, and promoting "an internal lotus of control". Such therapies are promoted because: http://www.medscape.com/viewarticle/827054?src=wnl_edit_specol&uac=211644DZ * Also consider the term "interdisciplinary rehabilitation". http://www.effectivehealthcare.ahrq...ronic-pain-opioid-treatment-report-141205.pdf III. Progressive treatment modalities: behavioral and physical therapy I'm concerned that the recent P2P opioids-and-chronic-pain report will affect ME/CFS negatively, so long as ME/CFS is viewed as a chronic pain syndrome which can/should be treated in the same multimodal fashion as other chronic pain syndromes. If part of P2P is to widely distribute information, then I imagine we'll be seeing more articles such as those above. https://prevention.nih.gov/docs/programs/p2p/ODPPainPanelStatementDraft_10-02-14.pdf IV. Chronic pain syndromes umbrella In conclusion, I don't know anything about Fibro treatment - what works, what doesn't, what's controversial, what's not, etc. My purpose is just to highlight that the chronic pain syndromes umbrella might be used as a kind of back door approach to push multimodal CBT/GET onto ME/CFS patients, under the guise of non-pharma therapies are great for all people with chronic pain syndromes. .