In our opinion, the Dutch National Health Council’s recent report on myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) lacks balance. It is very critical on the quality of evidence regarding behavioural interventions, but lacks a critical attitude regarding the presumed somatic components of the disorder. With no solid evidence, the report designates ME/CFS as a severe multisystemic disease, and it embraces the diagnostic criteria of the American Institute of Medicine. We underscore the remarks in the report that physicians should not be reluctant to make a diagnosis in patients with the disorder, and that these patients should be approached with empathy and respect. Regarding a future research programme, there is need for a well-designed research agenda.
Conflict of interest and financial support: none declared.