News from Germany


TAZ has a 1300 word interview with former social pedagogy professor and pwLC Fabian Fritz.

His condition worsened considerably after activity therapy during a rehabilitation clinic stay:
I wasn’t doing all that badly until my first day-clinic stay in psychosomatics. There, I relied on the idea that it must be right when they say: exercise is good for you. But this activation therapy initially left me bedridden.

The hamburger health committee session in which he speaks will be today at 17:00 GMT+1. The livestream can be found here: https://www.hamburgische-buergerschaft.de/aktuelles/ausschusssitzungen-live

Fabian Fritz fell ill with Long Covid just after starting a professorship. Now 38, he receives a pension and fights stigma.

Fabian Fritz will speak in Hamburg’s health committee about inadequate care for people with Long Covid and ME/CFS. Representing the patient organization Fatigatio, he describes himself as a prototype case reflecting both misdiagnosis and the potential for improvement through medication. According to Fritz, Hamburg lacks any contact point for post-infectious diseases and is one of the few German states without Long Covid clinics for adults. He even had to move to Thuringia after his Hamburg GP told him he could expect no help locally.

Fritz, a social pedagogue who briefly held a professorship, became severely ill in 2024, at times 95 percent bedridden. A study later provided him with medication that improved his condition to about 30 percent of his former capacity—unlike activation therapy, which had worsened his health. Cognitive limitations remain significant.

He went public to counter stigma. Colleagues assumed burnout rather than Long Covid, reinforcing how invisible the illness is. Through his network at FC St. Pauli, he helped launch a campaign to use stadiums as platforms for ME/CFS awareness, prompting many patients to step out of their “invisibility.”

Fritz identifies three needs: differential diagnostics, long-term medical care, and societal support to address stigma, alongside more research into biological causes. He argues for a social status comparable to patients with cancer or MS and calls for public campaigns similar to those for HIV/Aids. The term “exhaustion illness” trivializes the condition, which includes severe neurological symptoms.

Financially, he now lives in poverty on about 800 euros in pension and has applied for housing benefits. The disease hits single mothers and young patients especially hard. He warns that political plans such as abolishing care grades could worsen poverty among the affected. His appeal to policymakers: build diagnostic and care structures in Hamburg and counter the use of stigma as a weapon against patients.
 
The hamburger health committee session in which he speaks will be today at 17:00 GMT+1. The livestream can be found here: https://www.hamburgische-buergerschaft.de/aktuelles/ausschusssitzungen-live
I was only able to watch the last couple of minutes but I got the impression that there was a wide consensus among the participants that
  • ME/CFS & LC is not psychological (I heard this explicitly mentioned by psychiatrist Prof. Dr. Georg Schomerus)
  • There is urgent need for more research & better patient care
Unfortunately, the video stream was not recorded but I hope to find some coverage about the meeting in tomorrow’s newspapers.

The following experts were invited:
  • Prof. Dr. med. Marylyn Addo, Universitätsklinikum Hamburg-Eppendorf (UKE)
  • Dr. med. Christiana Franke, Charité Universitätsmedizin Berlin
  • Dr. Fabian Fritz, Fatigatio e.V., Bundesverband ME/CFS
  • Dr. med. Vega Gödecke, Zentrum für Seltene Erkrankungen, Medizinische Hochschule Hannover
  • Dr. med. Claudia Haupt, 1. Landesverbandsvorsitzende des Berufsverbandes der Kinder- und Jugendärzt*innen in Hamburg
  • Dr. Jakob Johne, Facharzt für Physikalische und Rehabilitative Medizin, Universitätsklinikum Hamburg-Eppendorf (UKE), Zentrum für Psychosoziale Medizin, Institut und Poliklinik Allgemeinmedizin
  • Prof. Dr. Georg Schomerus, Direktor der Klinik und Poliklinik für Psychiatrie und Psychotherapie , Universitätsklinikum Leipzig; digitale Teilnahme
  • Maren Sommer, 2. Vorsitzende des Hausärztinnen- und Hausärzteverbandes Hamburg
  • Karen Ullmann, Nichtgenesen Kids Hamburg e.V.
 
First report on yesterday’s meeting.

Affected parents are making serious accusations against the Children’s UKE (Pediatric and Adolescent Medicine Center of the University Medical Center Hamburg-Eppendorf).​
…​
the doctors at the Children’s UKE allegedly did not want to hear anything about the diagnosis of ME/CFS, a form of Long Covid. Instead, they spoke, among other things, of psychological causes, the mother told the parliamentary committee.​
…​
Members of parliament, such as health policy spokesperson Gudrun Schittek (Greens), expressed shock. Support for the affected families also came from a psychiatrist: Georg Schomerus from Leipzig University Hospital said it was finally time to listen to those affected and learn from their experiences instead of distrusting their accounts.​
The criticism of the Children’s UKE is likely to have consequences: Marylyn Addo, the well-known infectious disease specialist at the University Medical Center Hamburg-Eppendorf, announced that the criticism would be discussed internally.​

“We no longer have any trust”: Parents criticize Children’s UKE

Status: 21 November 2025, 05:29 a.m.

Affected parents are making serious accusations against the Children’s UKE (Pediatric and Adolescent Medicine Center of the University Medical Center Hamburg-Eppendorf). They are convinced that the clinic’s doctors do not take their children’s illnesses seriously. Specifically, the issue concerns ME/CFS — a severe secondary illness that can occur after a coronavirus infection.

On Thursday evening, Hamburg’s Parliamentary Health Committee gathered information on the medical care of affected patients in Hamburg during a hearing with experts.

Dismissed as a psychological illness?

“We no longer have any trust in the Children’s UKE,” said Karen Ullmann from the affected-parents’ association “NichtGenesenKids Hamburg” (“NotRecoveredKids Hamburg”) at the Health Committee meeting. The judge is the mother of a girl who has been bedridden since a coronavirus infection. But the doctors at the Children’s UKE allegedly did not want to hear anything about the diagnosis of ME/CFS, a form of Long Covid. Instead, they spoke, among other things, of psychological causes, the mother told the parliamentary committee.

She was one of two representatives of affected families in the session; in addition, seven researchers and physicians were invited to report on care for people with Long Covid. Another affected parent described similar experiences with the UKE.

Concern among lawmakers

Members of parliament, such as health policy spokesperson Gudrun Schittek (Greens), expressed shock. Support for the affected families also came from a psychiatrist: Georg Schomerus from Leipzig University Hospital said it was finally time to listen to those affected and learn from their experiences instead of distrusting their accounts.

The criticism of the Children’s UKE is likely to have consequences: Marylyn Addo, the well-known infectious disease specialist at the University Medical Center Hamburg-Eppendorf, announced that the criticism would be discussed internally.
 
NAPCODE project needs your expertise: Survey on the topic of post-COVID

Long-lasting health problems that follow an infection with COVID-19 are referred to as the "post-COVID condition" (PCC). During the COVID-19 pandemic, extensive data sets were generated to break down the clinical picture of COVID-19 and post-COVID. However, this poses two problems for researchers: Firstly, the virus has changed constantly since then, and secondly, these data sets still vary greatly in size and complexity, in their reference to different groups of patients, in their collection times, but also in their tailoring to specific questions.

The NAPCODE ("National Post-COVID Dataset") project was launched to pool the resources of previous research on COVID-19 and make them available for PCC research. It arose from the findings of the NUM predecessor project NAPKON ("National Pandemic Cohort Network") and is funded by the Federal Ministry of Research, Technology and Space (BMFTR). In order to advance PCC research, the project will initially create a common set of variables that will incorporate findings from both COVID-19 research and post-COVID research: current literature, experts and those affected will contribute to this, as will other national and European data sets. Particular attention is paid to aspects such as diagnosis, risk factors and interventions. A post-COVID dataset tailored to PCC research will then be created from the existing NAPKON dataset, which will be available in three variants: pseudonymised (coded), anonymised (summarised and de-identified) and synthesised (generated, model-based).

Pooling this data will make post-COVID research much easier, for example in terms of risk factors and efficient interventions. But not only that, the clarification of the question "What exactly is post-COVID?" should also improve the care of PCC patients in the future.

Are you a patient, relative, researcher or doctor? Then you are welcome to support the project by taking part in the survey

It takes about 30 minutes to complete and is open until 31 December 2025. Your answers will of course be treated confidentially and will only be analysed as part of the project.
 
Support for the affected families also came from a psychiatrist: Georg Schomerus from Leipzig University Hospital said it was finally time to listen to those affected and learn from their experiences instead of distrusting their accounts.

I recall making a glowing recommendation 18 months ago, when he talked about stigma at the UniteToFight 2024 conference.

Psychiatrist Prof. Georg Schomerus - what an absolute star :trophy@ He's like Chat-GPT 5000 trained on S4ME, brought to life.

 
An interview with notorious psychosomatizer Kleinshnitz in what I think is a magazine for physicians, or for health care professionals anyway.



“Post-COVID is clearly a psychosomatic disease”

The federal government is investing 500 million euros in research into post-infective diseases and ME/CFS. This was announced last week. “An absolute misallocation of means! Especially in times of massively tight cash registers, shortened budgets for universities and public funding institutions," Prof. Christoph Kleinschnitz from the University of Essen takes this step.

It is much more important to recognize the disease as psychosomatic and to strengthen the therapy in this direction – this is long overdue, finds the director of the Department of Neurology at the University Hospital Essen.
 
An interview with notorious psychosomatizer Kleinshnitz in what I think is a magazine for physicians, or for health care professionals anyway.



“Post-COVID is clearly a psychosomatic disease”

The federal government is investing 500 million euros in research into post-infective diseases and ME/CFS. This was announced last week. “An absolute misallocation of means! Especially in times of massively tight cash registers, shortened budgets for universities and public funding institutions," Prof. Christoph Kleinschnitz from the University of Essen takes this step.

It is much more important to recognize the disease as psychosomatic and to strengthen the therapy in this direction – this is long overdue, finds the director of the Department of Neurology at the University Hospital Essen.
Atleast he’s made it particularly easy for us to point out he doesn’t care about us at all.
The more weasel worded british merchants of doubt make sure to polish their public image to gaslight people into thinking they’re fighting for us. He’s portraying himself as fighting against us.
 
he doesn’t care about us at all
His stance in this interview is a bit more nuanced:
- Long Covid isn’t well defined and ME/CFS is prematurely branded as the worst version of it without studies to back it up.
- No matter the physical tests (MRI, etc.), nothing physically wrong shows up in pwME
- pwME suffer a lot and need care
- pwME are in a (quite aggressive) bubble and aren’t reachable anymore for the fact that it’s psychosomatic
- severe pwME have a statistically bad outlook, similar to other people with psychosomatic illnesses, like people with severe eating disorders
- it’s not yet proven that psychological interventions can help/reach pwME
- he hopes that at least some of the money will be spent on psychosomatic research to advance their field
 
- it’s not yet proven that psychological interventions can help/reach pwME
False. It has been pretty definitively proven that treatments based on psychosomatic models of ME/CFS do not provide any benefit whatsoever. It has also been proven beyond doubt that it has caused harm, including numerous deaths from preventative malnutrition and suicides (where living patients have attributed suicidal thoughts to the psychosomatisation of their disease, as well as in documentation from suicide victims).
- pwME are in a (quite aggressive) bubble and aren’t reachable anymore for the fact that it’s psychosomatic
Let me correct that for you:
HCPs are in a (quite agressive) bubble and aren’t reachable anymore for the fact that it isn’t psychosomatic.
 
It is much more important to recognize the disease as psychosomatic and to strengthen the therapy in this direction – this is long overdue, finds the director of the Department of Neurology at the University Hospital Essen.
Yeah, because the psychosomatic club just hasn't had a fair go at the funding and power, at trying to explain and fix it. Yeah, that's the explanation.

His statement would have fitted right into the arguments they were making back then. Just read Wessley's stuff from that time. Nothing has changed, they are still playing the underdog card, bravely fighting against the prejudice of the world against their wonderful powerful new science.

Which is one of the reasons why I know they are full of shite.
 

AI Summary:

The National Association of Statutory Health Insurance Physicians (KBV) introduces a new quality-circle module on Long COVID and ME/CFS
The KBV has released a comprehensive material package designed for quality circles focusing on Long COVID and Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS). (PDF link)​
The new module is based on the Long COVID guideline issued by the Federal Joint Committee (G-BA), in force since May 2024. This guideline outlines requirements for coordinated, interdisciplinary, and cross-sectoral care for patients with Long COVID and ME/CFS.​
The material addresses diagnostic approaches for identifying both conditions and stresses the importance of interdisciplinary collaboration in patient care. It also provides sources of evidence-based information as well as an overview of patient support and information services.​
To support quality-circle sessions, the module includes recommended procedures for meetings, an introductory presentation, case studies, and additional resources.​
The introductory notes emphasize raising awareness of both conditions and encouraging participants to provide care aligned with current scientific knowledge. The module highlights the value of interprofessional and cross-sectoral collaboration, suggesting the involvement of professionals from physiotherapy, occupational therapy, speech therapy, sports and exercise therapy, rehabilitation, and patient self-help groups.​


Skimming the PDF, it doesn’t look too bad:

In psychotherapeutic care, it is crucial that the approach is supportive. Activating psychotherapeutic interventions based on an outdated psychosomatic understanding of the illness can significantly worsen symptoms due to PEM and also lead to additional psychological strain (medical gaslighting).​
 
Taz article about increasing number of young people with ME/CFS (+ Post-COVID) doing assisted suicide.

 
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Sounds interesting, but unfortunately behind a paywall.

Translation:
Long COVID and ME/CFS: Discussion on Stigmatization and Disease Pathogenesis

Friday, November 28, 2025

Berlin – People with Long COVID and ME/CFS (Myalgic Encephalomyelitis/Chronic Fatigue Syndrome) often face stigmatization and psychological framing of their condition. However, psychologist Ronja Büchner from the University of Leipzig recently rejected the assumption at the Congress of the German Society for Psychiatry and Psychotherapy, Psychosomatics, and Neurology (DGPPN) that the stigma of mental illness is the sole reason why individuals with Long COVID and ME/CFS reject psychological explanations for their symptoms. Psychological framing refers to attributing symptoms solely to psychological causes.

In her presentation, Büchner cited a quote from neurologist Harald Prüß of Charité University Medicine Berlin. In an interview in 2024, Prüß had said that he could understand the fear of psychological framing, as many people struggled with the stigma associated with mental health disorders.

I was able to find the session details with some additional infos from the congress‘ website. Professor Schomerus seems involved as well:
Session ID S-051
Psychiatric and Psychotherapeutic Co-Treatment in Long-COVID and ME/CFS

Abstract

Long Covid and ME/CFS are seen as "controversial" diseases by many practitioners, as the distinction between symptoms of these conditions and psychosomatic disorders appears unclear.
However, there is now a growing body of evidence on the pathomechanisms, effective treatment approaches, and therapeutic errors that can significantly worsen the condition of affected individuals.
Long Covid presents itself as a spectrum, ranging from mild and temporary symptoms to chronic complaints and full-blown ME/CFS.
The significant psychological strain on affected individuals, as well as potential psychiatric comorbidities, often require psychiatric and psychotherapeutic co-treatment.
Therefore, in this symposium, we aim to provide both a scientifically grounded and practical perspective on the psychiatric and psychotherapeutic co-treatment of this still growing patient group.

In the first lecture, Prof. Carmen Scheibenbogen (Charité Berlin) will present current findings on the prevalence, symptoms, and pathomechanisms of Long Covid and ME/CFS.

In the second lecture, Ronja Büchner (Leipzig University) will present the results of a survey conducted with a large sample of affected individuals.
The findings highlight how patients experience medical care and the significance of stigma and "psychologization" experiences.

In the third lecture, psychiatrist Dr. Janina Schweiger (ZI Mannheim) will discuss the possibilities of psychiatric co-treatment in Long Covid and ME/CFS and provide insights into the differential diagnosis of mental health disorders. She works at the Post-Covid and ME/CFS outpatient clinic at the Mannheim Central Institute for Mental Health.

In the fourth lecture of the symposium, psychotherapist Bettina Grande (Heidelberg) will discuss the role of psychotherapy in ME/CFS and the particularities of therapy design when working with severely affected clients.

Chair(s)
Georg Schomerus
Leipzig, Germany
Martin Walter
Jena, Germany
 
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