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There was a 2.5 year long-term follow-up paper. Some of the control group did cross-over and try CBT/GET after the trial ended. But they were identifiable and enough data was available to compare those who did cross-over with those who didn't, and there was no difference, meaning adding GET or...

That is exactly what they have done.

For me the big indisputable weather correlation is humid heat. Dry heat, within reason, is manageable. But when it gets humid (above ≈50%) as well as hot, the going gets very rough. Tropical summer, especially the pre-monsoon build-up, is bad enough for healthy people, but it is a lot tougher...

Now that is interesting. Yep, as long predicted here, they are doing a bait and switch, simply swapping ME/CFS for another, more psychosomatic-friendly, diagnostic label to keep us under their control. They really do think they own us, and nobody, not even the highest levels of their own...

a completely new disease Yeah, nah.

They do love strawman excuses. In fairness, they don't have much else. Certainly not solid evidence.

This.

But they have the 'resources' to continue right on imposing the old psycho-behavioural regime. They can't even come up with half decent excuses. Or just couldn't but bothered to.

And the evidence for this is...?

I think the long-term follow-up results for PACE, especially the slopes of the curves at that point, suggest this interpretation is correct.

One possible alternative interpretation is that receiving 'expert rehabilitation management' was actually a hindrance to natural recovery. IOW, that patients were better figuring it out for themselves than having an authority figure imposing an arbitrary rehabilitative framework on them.

Interesting.

Arguably, in one critical way, it has regressed with the general abandonment, or at least diminution and downgrading, of the concept and practice of convalescence. I shudder to think how many long-term ME/CFS patients would have been a whole lot better off, and on a sustained basis, if they had...

Yep, this is just part of a propaganda blitz of the formal literature, ostensibly from different individuals and groups to give the appearance of independence and consensus. See also the recent advice on exercise by the Royal College of GPs in Australia. Written by [drum roll] Paul Glasziou, he...

Key points: PEM is NOT "fatigue after exertion" Pacing is NOT typical quota-contingent (goal driven) approach How is it that these relative latecomers to the game can get it so easily and quickly, and express it so succinctly and clearly, yet so many of the supposedly world leading CFS experts...

Always said pem, as in pen, just swap the n for an m. Keeping it short and simple is what acronyms are for, I thought. I don't have the time or energy to spell it out every time, let alone say the full term.

We have achieved unity!

Yeah, why is it that when subjective and objective disagree, the subjective are preferred? Surely when there is a discrepancy between them the goal is to get them synced up?

The importance of... empathic... communication You can't teach empathy. According to the findings of this study, treatment options included in a portfolio for an integrated service, delivered by a multidisciplinary group of health care professionals and for patient’s choice: self-help...

I don't disagree with that. My point was more that the profession could actually be doing a lot more good for anxiety and depression in particular if they focussed less on 'fixing' the alleged psycho-behavioural (and 'moral'), um, deficiencies in the individual, and more on changing or at least...