Pacing, recommended by the NHS, involves planning out your day in great detail so that you don’t exceed energy levels. But if anything, pacing made me worse.
I think that here we see the problem of what often happens when 'pacing' becomes medicalised. IMO a lot of the controversy over pacing vs GET could be better understood as 'respect for clinicians' vs 'patient autonomy'.
With articles like this, I think it is also worth thinking about what we do that means instead of simply being viewed as attempting to inform people of potential problems with these approaches so that people can make up their own mind, there's an impression that "a sector of the ME community that lobbies hard against such strategies". To what extent can we work to present our views in a cautious manner that avoids giving that impression, or distances ourselves from those who may be taking a more ideological approach?
There is a lot of uncertainty here, and I can see how forms of 'negative thinking' could be unhelpful in some situations, and how some sort of ritualistic 'positive thinking' could be useful. At the same time, I've seen people who seemed completely sucked into very unreasonably negative thinking about post-viral symptoms go on to quickly and fully recover for no apparent reason, so it's very difficult to say anything on the basis of these sorts of personal stories.
edit:
There is a sector of the ME community that lobbies hard against such strategies, suggesting that successes must be coincidental or made up
From what I've seen of these sorts of discussions, that 'must' is unfair, and should be a 'could'. 'Must' would be unreasonable, 'could' seems an important and fair point.
edit 2:
I chatted to several writers who said mind-body work had “cured” them of long Covid but they were afraid to speak out, something I understand because I was trolled after mentioning the concept on Twitter.
I couldn't see the example of her being trolled after a quick search but it was hard to know what to look for. re being afraid: there are examples of people misrepresenting fair criticism as trolling that would encourage that, but also there are people behaving unpleasantly online and when that's taken as a part of 'ME/CFS advocacy' that's really bad for everyone, and especially patients.
edit 3: I'd guess this was about the incident referred to as trolling: