Treatment packages


The treatment model followed is that of active recovery, i.e. you actively participate in your recovery. The treatment approach is focused around you (patient-centred treatment model). So, you will actively participate in the decision making and goal setting during your treatment program. In recent decades, this method is being applied in countries of America and Europe and already the Department of Health of the United Kingdom, in 2001 [1-3] and the United States of America from the 70s [4,5] recommend this treatment model.


Each Graded Exercise Therapy session usually takes place every two weeks, so you can have enough time to apply the treatment plan and to have a gradual and controlled progress. In this way you will have the opportunity to be in touch with Dr. Christina Michailidou for a long time which is necessary for long-term monitoring of your condition.



Full program (12 -16 sessions)


The recommended number of treatment sessions based on the guidelines of the National Institute for Health and Care Excellence of the United Kingdom [6] is 12 to 16. They take place over a period of almost a 1 ½ year, where in the first half treatment it is more regular and in the following period it is in form of follow ups. This program is comprehensive and it is designed to support you and guide you through the necessary changes in your daily life and your exercise. With the advice of Dr. Michailidou you will work on your own objectives, by designing a personalised rehabilitation program, in which you will participate actively. Each session lasts about an hour, while the first two last 1 ½ hours each.



Support program (7-10 sessions)


If during your assessment or during the first stage of the program your therapist believes that your needs can be served with fewer treatments session, they may be reduced to 7-10 that will take place within one year. This program is appropriate for people who progress fast on the treatment plan, but they need support and guidance in order to obtain the maximum of their rehabilitation. Each session lasts about an hour while the first two last 1 ½ hours each.



Assessment and start-up program (3 sessions)


This short program consists of three sessions of 1 ½ hours each, that take place within a month. The aim of the project is a comprehensive assessment of your condition and the administration of guidance information and advice that you can follow. This program is ideal for people who want to try this treatment before deciding whether to enrol with a more complete program.



Individual sessions of 1 hour


These sessions can be offered to individuals who have completed their program, but they want to expand it without having to start a new program. Furthermore, these sessions can be offered to individuals who have not chosen any of the other programs, but wish to discuss something in particular and wish to learn more about a health issue.



  1. Department of Health. The expert patient: a new approach to chronic disease management for the 21st Century. 2001.

  2. Hardy P. The Expert Patient Programme: a critical review. Programme Evaluation, Quality Assessment and Learning Processes 2004.

  3. Tyreman S. The expert patient: outline of UK government paper. Med Health Care Philos 2005;8(2):149-151.

  4. Griffiths C, Foster G, Ramsay J, Eldridge S, Taylor S. How effective are expert patient (lay led) education programmes for chronic disease? BMJ 2007;334(7606):1254-1256.

  5. Wilson PM, Kendall S, Brooks F. The Expert Patients Programme: a paradox of patient empowerment and medical dominance. Health Soc Care Community 2007;15(5):426-438.

  6. NICE, Clinical Guideline 53. Chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy). Diagnosis and management of CFS/ME in adults and children, 2007.