A 56-year-old woman with a 4-year history of fibromyalgia presents for follow-up.

Patient education is foundational in managing fibromyalgia. Understanding the chronic but non-progressive nature of the disease, reassurance, and emphasis on self-management are crucial. It helps set realistic expectations and enhances engagement in therapy.

Toronto Notes 2023 – Rheumatology, Fibromyalgia:

“Patient education is essential. Explain the nature of fibromyalgia, emphasizing that although it is chronic, it is non-deforming and can be managed through exercise, sleep hygiene, and cognitive strategies.”

MCCQE1 Objectives – Psychiatry & Rheumatology > Chronic Pain Syndromes:

“Candidates must recognize the value of education and behavioral interventions in managing functional syndromes.”

SSRIs (D) may be used if depression is present. Iron/B12 (B) are not indicated without evidence of deficiency. Cannabinoids (A) lack strong evidence in fibromyalgia.