News from Germany

[rvallee]

Research and care funds are being reduced from around 150 million euros to just 16 million — a cut of nearly 90 percent. This happens despite studies estimating annual economic losses of over 63 billion euros, with total costs since the pandemic exceeding 250 billion euros.

Appalling, and so very foolish. Every single possible good news can't be taken for granted, everything can just be yanked away for no reason. I'm pretty sure there was a lot of lobbying from psychosomatic ideologues behind the scenes, there always is. Disgusting.

 

[Yann04]

Every single possible good news can't be taken for granted, everything can just be yanked away for no reason.

I can’t imagine what its like for the advocates who put their health on the line to campaign for this for so long. Just to have the government go “yeah nah”.

 

[Chandelier]

Long Covid - Der lange Schatten der Pandemie

Knapp sechs Jahre nach Beginn der Pandemie leiden viele Menschen unter den Langzeitfolgen einer Covid-19-Infektion. Axel Dorloff diskutiert am 11. November, um 17:30 Uhr in der Technologiestiftung Berlin mit seinen Gästen über aktuelle Forschungsergebnisse und Gesundheitsdaten sowie digitale...

www.inforadio.de

Upcoming Discussion: Long Covid – The Long Shadow of the Pandemic

Almost six years after the beginning of the pandemic, many people continue to suffer from the long-term effects of a Covid-19 infection. On November 11 at 5:30 p.m., Axel Dorloff will host a discussion at the Technologiestiftung Berlin with his guests about current research findings, health data, and digital infrastructures in the search for causes and effective therapies.

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Panelists​

Dr. Christian Gogoll, Specialist in Internal Medicine and Pulmonology, lead author of the Long Covid Patient Guideline

Max B. Eckert, Research Associate and Data Scientist at the CityLAB of the Technologiestiftung Berlin, co-developer of a post-Covid data model

Dr. Elisa Stein, Institute of Medical Immunology at Charité – Universitätsmedizin Berlin, researcher on Post-Covid and ME/CFS

Moderator: Axel Dorloff

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Registration and Further Information​

If you would like to attend, please register in advance via the following link:
https://www.technologiestiftung-berlin.de/veranstaltungen/long-covid-der-lange-schatten-der-pandemie

Venue: Technologiestiftung Berlin, Grunewaldstraße 61–62, 10825 Berlin
Date and Time: Tuesday, November 11, 2025, 5:30 p.m.

 

[Chandelier]

Handelsblatt

www.handelsblatt.com

AI Summary:

German Government Cuts Funding for Long Covid Research

The latest federal budget includes almost no new funding for Long Covid research, a decision that scientists criticize as short-sighted and potentially costly for the economy. Experts estimate that the long-term economic consequences could reach billions of euros.

Shrinking Budgets Despite Promises
In July, Health Minister Nina Warken (CDU) had expressed determination to support Long Covid research, promising substantial financial backing. However, the 2026 draft budget tells a different story. New research funding has been cut dramatically—from around €140–150 million in the previous legislative period under former Minister Karl Lauterbach (SPD) to only about €16 million.

Of this, €15 million is earmarked for care models for children and adolescents with Long Covid, and €200,000 for information and counseling services. Although Long and Post Covid are still listed as research priorities, the total health research budget of €41.47 million also covers seven other major areas, such as women’s health, digitalization, and prevention. These are not new funds but continuations of existing programs, and even this amount has been slightly reduced compared to last year (€43.08 million).

When asked about the lack of new funding, the Health Ministry referred vaguely to €118 million from ongoing programs but did not explain why no new money was allocated despite previous public promises.

Limited Support from the Research Ministry
The Federal Ministry of Education and Research (BMBF), led by Minister Dorothee Bär (CSU), is responsible for developing new treatments and medications. Although about €187 million is planned for “widespread diseases” in 2026—including cancer, heart disease, diabetes, dementia, and mental health—Long Covid is not listed separately. It is only indirectly supported through broader programs such as the National Network of University Medicine and ME/CFS research. Sources suggest that roughly €16 million of this total will benefit Long Covid projects.

Economic Costs and Health Consequences
According to the ME/CFS Research Foundation and partners, Long Covid and ME/CFS have already caused economic damages of over €250 billion in Germany since the pandemic began. Annual costs could reach €63 billion—about 1.5% of Germany’s GDP.

Economist Alexander Häring from the RWI-Leibniz Institute warns that cutting research will lead to higher long-term costs, as recovery often takes years and a lack of research slows the development of treatments and rehabilitation. Without government support, foundations and private institutions would have to fill the gap, though this is not a sustainable solution.

High Patient Numbers and Unmet Medical Needs
As of 2024, approximately 871,000 people in Germany were living with Long Covid and 650,000 with ME/CFS. Although some drugs have been approved for use, they were originally developed for other diseases. There is still no specific medication or therapy designed for Long Covid.

The need for research remains urgent, as each new infection increases the risk of developing the condition, and the social and psychological toll on patients continues to grow.

 

[bobbler]

Erkältung und Psyche: Fühlt sich an wie eine Depression, ist aber keine

Forschende entschlüsseln, was bei einer Erkältung mit der Psyche passiert. Woher das Leiden kommt und warum manche mehr jammern als andere.

www.zeit.de

Wtf to those last three sections

What a made up frankly product of a not right mind load of poisonous tosh. The sort of thing a really nasty person would use as Chinese whispers against some enemy and in a normal world most they’d try it with would take more from it about the teller and to watch out for them than the person it’s being said about

Bug the world seems to be going crazier atm

 

[Chandelier]

Anwalt verklagt Schulverwaltung: Berliner Schüler will in eine „Post-Covid-Klasse“

Wegen ihrer Long-Covid-Erkrankung fallen manche Kinder aus dem Schulsystem. Ein Anwalt erklärt im Interview, wieso er eine Spezialklasse für sie durchsetzen will.

www.berliner-zeitung.de

AI Summary:

Lawyer Sues Berlin School Authorities: Student Demands a “Post-Covid Class”
By Martin Rücker, October 23–24, 2025

Challenges for Students with Long Covid​

For many children suffering from Long or Post Covid, regular school attendance is impossible. Some struggle only with physical activity, while others cannot tolerate classroom noise or sustain attention for several hours. The most severely affected are bedridden, and some experience alternating phases of illness and near-normal health. According to lawyer Friedrich Alexander Barthel, the Berlin school system often fails to provide the necessary flexibility for these children.

Lack of Understanding and Support​

Barthel explains that many schools misunderstand the illness. Teachers sometimes doubt the legitimacy of absences when a child’s condition fluctuates, leading to a refusal to accept medical certificates. Children with Long Covid are legally entitled to home schooling under Berlin’s special education regulations—up to 16 hours per week. In practice, some receive only two hours or none at all. Barthel estimates that dozens of children who could be taught receive little or no instruction.

Legal Rights and Administrative Shortcomings​

Schools often wrongly assume that home teaching depends on available staff. Barthel emphasizes that this right is unconditional. Even bedridden children can benefit from limited lessons. However, the total number of home teaching hours per district is capped at 100, forcing schools to divide the limited time among all sick students.

Proposal for “Post-Covid Classes”​

To address isolation and lack of structure, Barthel is representing a family suing the Friedrichshain-Kreuzberg district and the Berlin education authority to establish a “Post-Covid class.” This special class would combine students from different grades who have Long Covid, allowing small groups of about five children to study together. Those unable to attend in person could join via digital avatars. Such classes would help maintain social contact and could even reduce teacher workload compared to one-on-one home lessons.

Resistance from Authorities​

The district and the Berlin education administration oppose the idea, citing lack of space and logistical difficulties, since schools are organized by district rather than citywide. Barthel calls these arguments short-sighted, noting that many small unused rooms in old school buildings could serve such groups.

Use of Avatars as an Interim Solution​

Some Berlin schools already use avatars—digital devices placed on a student’s desk that transmit lessons home and allow remote participation. Implementation, however, varies widely between districts. Barthel sees inconsistency in how school officials exercise their discretion in such cases.

Call for Political Action​

Barthel urges the education senator to issue clear guidelines recognizing Long Covid as an organic disease. Without this classification, schools often treat affected children as psychologically ill, referring them to therapy rather than providing educational support or assistive tools like avatars. He also calls for clearer rules to ensure that schools and authorities act in the students’ best interests and for avatars to be legally recognized as educational aids.

Administrative and Technical Obstacles​

Barthel criticizes communication barriers with schools, which are no longer reachable via fax and are not connected to the secure electronic legal communication system. Because emails are not legally binding, he must rely on postal mail, which is too slow and unreliable for urgent matters. This, he says, makes it difficult to represent students’ interests effectively and within legal time limits.

 

[Sean]

What exactly would you like to have translated?

These four. I can take an informed guess at it, but would like to be certain. Thanks.

 

[Chandelier]

These four. I can take an informed guess at it, but would like to be certain. Thanks.

Slight overkill but I thought a picture recreation would be the least exhausting to comsume.

 

[Sean]

Excellent. Thanks.

 

[Chandelier]

(S+) Long Covid: ME/CFS-Patientin über die psychischen Belastungen ihrer Krankheit

Ihre ME/CFS-Erkrankung reißt Natascha mit 29 Jahren aus dem Leben. Sie ist pflegebedürftig. Familie und Freundinnen kümmern sich um sie – und kämpfen mit ihr für eine bessere medizinische Versorgung.

www.spiegel.de

Another big article about a very severe pwME in DER SPIEGEL.

Many patients experience that their illness is not taken seriously. Some even leave the hospital in worse condition than when they arrived. It was similar for Natascha.
“Not everything Taschi was afraid of happened—but almost everything,” Axel says calmly about the hospital stay. Together with Sophie and another friend, they attended the medical consultations. “We brought an entire folder with everything important,” he says. The attending neurologist was convinced that Natascha was psychotic and that ME/CFS was not a real disease.
In hospitals, activating patients is one of the main treatment goals. For ME/CFS patients, that’s poison, says Natascha’s general practitioner in the background interview. Sophie and Axel report that doctors and nurses ignored Natascha’s need for rest and her sensitivity to light. They tried to make her sit up—but with her level of illness, that was impossible. Her circulatory system collapsed.
At her own request, she was discharged after one week.

AI summary:

“When I Lie in the Dark, Rage Overcomes Me”

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A Life Before the Darkness​

Before her illness, Natascha S. was a lively young woman who loved music, dancing, and traveling. She studied in Göttingen, worked with young refugees in Leipzig, and was surrounded by a close circle of friends. At 29, her life changed abruptly when she developed ME/CFS (Myalgic Encephalomyelitis/Chronic Fatigue Syndrome). Now 31, she lives isolated in a darkened 15-square-meter room, entirely dependent on others for care.

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Life in a Darkened Room​

Natascha’s world is almost completely sealed off from light and sound. Her windows are taped shut, and anyone entering must wear an FFP2 mask and speak only in whispers. She cannot sit up, stand, or speak for long. Her daily existence revolves around pain management, rest, and survival. For the past 14 months, she has been bedridden. “I feel buried alive,” she whispers. She can no longer watch films, listen to music, or make phone calls. Every small act of independence—using a spoon, washing, communicating—is an exhausting effort.

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The Invisible Disease​

ME/CFS is a chronic, multisystem illness that can follow viral infections such as Epstein-Barr or Covid-19. It causes severe fatigue, pain, and hypersensitivity to stimuli. Germany has an estimated 650,000 patients, though many remain undiagnosed. Despite being classified by the WHO since 1969, ME/CFS is still poorly understood and under-researched. For those severely affected, even minimal exertion can cause a “crash”—a period of extreme worsening known as Post-Exertional Malaise. Natascha experiences these repeatedly.

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Fighting Through the Pain​

Because communication can trigger a crash, Natascha speaks in short whispers or via hand signals. To conduct interviews, she takes small doses of Tavor, a sedative that allows brief relief from pain. She cannot work, and her finances are strained; her family and friends support her through donations and care. “I’m trapped in my body,” she says quietly. Yet her will to live persists. Anger—at the system, at the neglect—is what keeps her alive.

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Writing as Resistance​

Unable to undergo therapy, Natascha turns to writing. On her Instagram account, she documents her illness and criticizes medical neglect and social discrimination. “When I lie in the dark, rage overcomes me,” she wrote once. Her activism has reached politicians, including former Health Minister Karl Lauterbach, who admitted systemic failures in ME/CFS care. For Natascha, writing is both emotional survival and political protest—an attempt to change the system from her bed.

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Friendship and Survival​

When her condition collapsed in 2024, friends Sophie and Axel became her full-time caregivers for three weeks. They fed, washed, and monitored her through sleepless nights, terrified she might die. Medical professionals often dismissed her condition as psychological. Their experience revealed the extent of institutional ignorance. Eventually, Natascha’s mother took over her care, and a small team of assistants now supports her daily needs. Each helper was chosen for understanding the political dimension of illness and disability.

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Holding On to Small Joys​

Despite constant pain, Natascha still finds fleeting beauty: the sound of rain, a bird’s call, the presence of a friend’s dog beside her bed. She dreams of having an assistance dog and, one day, enough strength to sit in a wheelchair again. Her friends describe her as astonishingly resilient, though the fear of losing her is constant. “I still have so much desire for life,” she whispers, even as she keeps the paperwork for assisted suicide near her bed—unfilled, but present.

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Endurance in the Dark​

Natascha’s story is one of isolation, friendship, and quiet defiance. She lives between exhaustion and anger, despair and hope. Her body confines her, but her words reach beyond the dark room. “How many more years can I endure this?” she asks. Yet she continues—alive, alert, and fighting for recognition, dignity, and the right to be seen.

 

[Chandelier]

Dysthymie: Die kleine Schwester der Depression

Es gibt Menschen, denen fehlt Freude und Energie im Leben. Wie bei einer Depression, nur anders. Dysthymie, sagen Experten. Der Übergang zur Krankheit ist fließend.

www.zeit.de

Fascinating how the article sets out to define dysthymia and ends up introducing a new diagnosis instead.

Dysthymia: The Little Sister of Depression
By Matthias Kreienbrink, November 2, 2025

What Dysthymia Feels Like
Some people live with a persistent lack of joy and energy—similar to depression, but not quite the same. This condition is called dysthymia, or dysthymic disorder. It involves a chronically low mood lasting at least two years, accompanied by symptoms such as low self-esteem, hopelessness, sleep or concentration problems. The symptoms resemble depression but are milder and do not meet the full criteria for a depressive episode.

Differences Between Dysthymia and Depression
According to psychiatrist Christian Otte from Charité Berlin, depression often appears suddenly with severe symptoms, while dysthymia is chronic and long-lasting. People with dysthymia often manage daily life but feel inner emptiness. Their hobbies or routines may remain intact, yet they bring little pleasure.

A Condition Once Seen as a Personality Trait
Psychiatrist Maximilian Deest notes that dysthymia was once called a “depressive personality disorder.” Patients often view it as part of who they are rather than an illness. It influences personality, interests, relationships, and self-worth. Unlike depression, it is experienced as a lifelong, stable state rather than a temporary episode.

Blurred Boundaries and Causes
The line between dysthymia and depression is fluid. Both can share roots in childhood trauma, neglect, or genetic and environmental factors. The disorders are better seen as part of a continuum rather than separate categories.

A Broader Diagnosis: Persistent Depressive Disorder
Modern classifications, such as the DSM-5, combine dysthymia and chronic depression into “persistent depressive disorder.” This captures both chronic low mood and recurring depressive episodes within one diagnosis.

Recognizing and Treating Dysthymia
Many affected individuals never seek help, believing their condition is normal. Therapy—especially CBASP, a form combining cognitive-behavioral and psychodynamic methods—is the primary treatment, sometimes supported by antidepressants. Structure, exercise, and social contact help recovery, though progress is often slow. As Deest emphasizes, chronic melancholy can be treated—it does not have to remain a lifelong state.

 

[Chandelier]

Miranda Wolpert: "In manchen Gruppen war das Achtsamkeitstraining sogar schädlich"

Miranda Wolpert erforschte jahrzehntelang, was psychische Probleme verhindert oder entschärft. Ihre Ergebnisse zeigen: Oft hilft nicht das, was wir glauben.

www.zeit.de

Miranda Wolpert spent decades researching what prevents or alleviates psychological problems. Her findings show that what actually helps is often not what we believe.

The Need for Scientific Rigor​

Wolpert calls for the same scientific standards for psychosocial programs as for medications. Governments should implement interventions gradually and evaluate them systematically—like natural experiments. Well-meaning initiatives from NGOs and community groups are valuable, but passion alone is not enough.

AI Summary:

In Some Groups, Mindfulness Training Was Even Harmful

What Really Helps Mental Health​

Miranda Wolpert, head of mental health research at the Wellcome Trust, has long studied what prevents or eases psychological problems in young people. Her research identifies around forty “active ingredients” across six categories that can promote mental well-being. These range from personal traits like openness and reduced perfectionism to environmental factors such as creative activities, a healthy microbiome, and strong neighborhood connections.

No Single Cure​

Wolpert emphasizes that there is no universal solution for preventing mental illness. Many factors have only small effects, and what benefits one person at one time may not help another. In a large study comparing different school-based interventions—from yoga to behavioral therapy—no significant differences were found between methods. Wolpert suspects that the enthusiasm and commitment of teachers and facilitators might matter more than the specific techniques, though this has not been scientifically proven.

The Limits of Mindfulness​

One striking finding concerns mindfulness programs in schools. A major Wellcome-funded study revealed that mindfulness training did not protect children under 13 from developing depression. In some groups, it was even harmful. Wolpert stresses that psychosocial interventions are often assumed to be harmless simply because they are well-intentioned, but this assumption is dangerous. Programs can fail—or even worsen emotional problems—if implemented without careful evaluation.

Why Some Interventions Fail​

For adults, mindfulness-based stress reduction has strong evidence of effectiveness. For children, however, large-scale school programs often do not work. Wolpert suggests that students may not practice enough and that limited school time can make such training counterproductive. For example, mindfulness sessions can replace physical education, depriving children of activities that are proven to support mental health.

The Need for Scientific Rigor​

Wolpert calls for the same scientific standards for psychosocial programs as for medications. Governments should implement interventions gradually and evaluate them systematically—like natural experiments. Well-meaning initiatives from NGOs and community groups are valuable, but passion alone is not enough. Effective mental health promotion requires both compassion and evidence.

Rethinking Mental Health in Youth​

Wolpert challenges the idea that mental health divides neatly into “healthy” and “ill.” Research from New Zealand shows that 83 percent of people experience symptoms of a mental disorder at some point before age 35, but not continuously. Psychological distress often comes and goes. Many people recover without specialized treatment; about half of those who experience depression have only one episode in their lifetime.

The Role of Everyday Support​

Wolpert argues that informal support—from teachers, peers, and social networks—plays a vital role. She urges educators not to fear mistakes but to engage with students’ emotional lives. Teachers, she says, can ask the same basic questions psychologists do: about friendships and life circumstances.

A Complex Picture of a Generation​

While Wolpert acknowledges rising rates of depression and anxiety—especially among girls and young women—she also notes positive trends: declining substance abuse, risky behavior, and aggression. Despite the challenges, today’s youth are, in her words, “the most peaceful and least addicted generation ever.”

 

[Turtle]

Miranda Wolpert: "In manchen Gruppen war das Achtsamkeitstraining sogar schädlich"

Miranda Wolpert erforschte jahrzehntelang, was psychische Probleme verhindert oder entschärft. Ihre Ergebnisse zeigen: Oft hilft nicht das, was wir glauben.

www.zeit.de

AI Summary:

Sigh!!
Someone with common sense.

 

[Yann04]

Sigh!!
Someone with common sense.

Still not sure I’d fully trust them.
Ie.

Her research identifies around forty “active ingredients” across six categories that can promote mental well-being. These range from personal traits like openness and reduced perfectionism to environmental factors such as creative activities, a healthy microbiome, and strong neighborhood connections.

But I do agree she seems far better than the average.

 

[rvallee]

Wolpert calls for the same scientific standards for psychosocial programs as for medications.

This would be a complete reset, as no psychosocial anything currently in use meets such standards. None. And very little psychological anything. This is exactly what's needed. Low standards only lead to one outcome: low standards.

For adults, mindfulness-based stress reduction has strong evidence of effectiveness.

Will that doctor be willing to accept conclusions that show no such thing? Because if there's one pattern that is unmistakable when it comes to such calls about reforms is that they are never about fixing the underlying problems, and are always, oh so coincidentally, perfectly tuned to elevate the caller-of-reform's pet ideology and beliefs. Always.

Wolpert suspects that the enthusiasm and commitment of teachers and facilitators might matter more than the specific techniques, though this has not been scientifically proven.

It's more that most of the actually important skills are not taught and are hard to identify, especially to those who themselves don't have them. They're natural skills people either have or don't. We face something similar in the software industry, hiring good programmers is extremely difficult.

Companies have spent fortunes trying to develop evaluation methods to the hiring process, only to find that most of the relevant skills are too hard to evaluate, even tend to be more among the 'soft' skills such as being able to work in teams or communicating ideas. Those methods don't work to identify such skills, and the only truly reliable way to assess the performance of a candidate is to employ them and have a good evaluation process as a continuing quality control measure.

There is no such evaluation process in health care. Once someone makes it through the certification, they are pretty much employed for life barring gross misconduct. The worst performers in health care are not weeded out, at worst they are shuffled around, sometimes to places where they have even less supervision and assessment, where they will do even more damage. Such as psychosomatics.

While Wolpert acknowledges rising rates of depression and anxiety—especially among girls and young women—she also notes positive trends: declining substance abuse, risky behavior, and aggression. Despite the challenges, today’s youth are, in her words, “the most peaceful and least addicted generation ever.”

There has never been more mental health care and awareness than there has been in the last decade, despite many previously-asserted factors moving in the right direction. It's become frontline medicine, somehow, despite delivering absolutely nothing. In fact, it seems that the more is spent on mental health care and the more it creeps into medicine, the worse things are. Might be a coincidence. Might not be. No one can answer that question, which itself raises so many questions about what people are even doing here and why.