5th May 2024

A 35-year-old woman presents with a 2-year history of widespread musculoskeletal pain, fatigue, and sleep disturbance.

A 35-year-old woman presents with a 2-year history of widespread musculoskeletal pain, fatigue, and sleep disturbance. She reports that the symptoms are affecting her quality of life and ability to work. A diagnosis of fibromyalgia is confirmed based on clinical criteria. She has no significant comorbidities and is not currently on any medication.

Which is the most appropriate initial management approach?