This sounds like the typical modest improvement from initial onset, which usually happens regardless of what the patient does. It sounds like Emma is still ill, unfortunately
The "boom-bust" stuff is total nonsense and not based on any evidence of activity patterns in patients.
Certain people like to equate PEM with doing too much, hence boom-bust.
Risto Vataja primarily publishes in Finnish, but has been involved in some odd studies:
https://tuhat.helsinki.fi/portal/en/persons/risto-vataja(3edeb031-ec17-4c43-b491-61c334c38875)/publications.html
"Better long-term outcome for hypnotherapy than for CBT in adults with ADHD: results of a...
Yes, this strikes right to the core of the ideas by the likes of Fink and others who want to pool all the MUS into a single category and think this lack of specificity is somehow useful.
Cites this
"The Sensational Psychosomatic Witchcraft Trials: Evaluating Somatic Symptoms and Initially Unexplained Pain"
http://kozachekart.blogspot.com/2016/07/the-sensational-psychosomatic.html
Trigger warning: has discussion of violence.
The virus has likely been in Australia for as long as people have been in Australia...
Antiretroviral drugs have been shown to work in vitro, not sure about large clinical trials though. In any event, the key is to get the virus under control before the person develops lymphoma.
The development of integrated bio-psycho-social models are a great idea. The problem is that there are no such models. Most research is still heavily siloed into separate bio, social and psych studies and directional relationships remain unproven for any illness or disease.
Oh look, one of Ivar Sønbø Kristiansen's recent papers thanks Henrik Voght for insight.
https://www.researchgate.net/publication/312664032_Practice_variation_in_surgical_procedures_and_IUD-insertions_among_general_practitioners_in_Norway_-_A_longitudinal_study
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