As the student's condition can vary from day to day or even hour to hour, close discussions with both parents and student are essential for successful management. Many students experience social isolation and exclusion from peer contact because of their illness. However, the student does not want to be ill and is equally frustrated and often bewildered. Counselling may be of benefit. It is important to project a supportive, non-judgemental attitude.
Students can experience abrupt fluctuations in their condition.
Exceeding the student's limits of physical and mental exertion may result in relapse. The effects of relapse may be delayed. The temptation to push through and ignore the disease, unlike most other conditions, can have serious costs to health. Rest and careful management, medically and educationally, may impact on long-term prognosis. Believe the student - younger children are often unable to articulate their signs and symptoms and require special understanding and support.