1 | Daily activities at home that do not give the child symptoms | Typical activities of the child during the day as long as they do not increase symptoms (eg, reading, texting, screen time). Start with 5–15 min at a time and gradually build up | Gradual return to typical activities |
2 | School activities | Homework, reading or other cognitive activities outside of the classroom | Increase tolerance to cognitive work |
3 | Return to school part-time | Gradual introduction of schoolwork. May need to start with a partial school day or with increased breaks during the day | Increase academic activities |
4 | Return to school full time | Gradually progress school activities until a full day can be tolerated | Return to full academic activities and catch up on missed work |