We propose a new power counting for the effective field theory describing a near-threshold state with unstable constituents, such as the X(3872) meson. In this counting, the momenta of the heavy particles, the pion mass and the excitation energy of t
he unstable constituent -- the D* in the case of the X -- are treated as small scales, of order Q. The difference, delta, between the excitation energy of the D* and the pion mass is smaller than either by a factor ~20. We therefore assign delta an order Q^2 in our counting. This provides a consistent framework for a double expansion in both delta/m_pi and the ratio of m_pi to the high-energy scales in this system. It ensures that amplitudes have the correct behaviour at the three-body threshold. It allows us to derive, within an effective theory, various results which have previously been obtained using physically-motivated approximations.
