31st January 2024

A 28-year-old female with fibromyalgia attends a Rheumatology follow-up appointment.

A 28-year-old female with fibromyalgia attends a Rheumatology follow-up appointment. The diagnosis was made two years ago; however, her symptoms have shown little improvement, and she has been unable to return to work as a cleaner. She has undergone a physiotherapy-led graduated exercise programme but didn’t engage well. She has stopped leaving the house and now reports anhedonia and early morning waking. 

Which of the following is the best management strategy?

Select the SINGLE most appropriate option from the list below. Select ONE option only.