Paul Garner on Long Covid and ME/CFS - BMJ articles and other media.

People pay $200 per month but if you buy lifetime access now it is $349 - less than the cost of 2 months.


Alternatively, it costs bugger all to run but I’d like a large cash injection, so I will over inflate the price, create a false economy sale and then make up some other offers in the future because I’m not subject to trading standards like a regular company.
 
People pay $200 per month but if you buy lifetime access now it is $349 - less than the cost of 2 months.


Alternatively, it costs bugger all to run but I’d like a large cash injection, so I will over inflate the price, create a false economy sale and then make up some other offers in the future because I’m not subject to trading standards like a regular company.
"Add on to take off " classic .
 
Zero 'likes' on this one for PG suggests a profound lack of success, even below the baseline expectation of zero.
Hi everyone. I am new to S4ME having come here via googling PG (for work). I found this forum and this thread fascinating.

I am not thinking I can necessarily change your minds but I hope it's ok to say a few things. I know PG so I hope you agree to let me post here, even if I disagree with you. I don't recognise him from what I've read here.

I've read a lot about what you're posting about him and I dislike untruths. PG (lazy, so sorry if I call him that) is definitely not being paid for this work. He was successful enough in his career that I doubt he needs the money.

Not only does he have his own successful career behind him, but I have never met anyone with more friends than him. He is hard to keep track of because he is hosted by people all over the UK and the world on days out, trips away etc (yes, including scuba diving). I don't know him very well but I know him enough to say these friendships run deep. Most of his friends are women. The reason I know that is because he invites me to lots of things (being generous) and although I can't ever go to them, I see the photos online and now know a few of his close friends too. He is known as being extremely kind and supportive in his social circle. He would do anything for you, once he's met you. I'm only saying this here because I think it's useful for you to know that as you have such strong negative opinions of him.

It's interesting that there are so few likes on his Twitter, but I can tell you it's not because he's having no influence. Professionally, other doctors are scared of being seen to support him because of the kinds of posts you write about him. A lot has actually been pushed underground because of this. To come around to why is he doing this work, I think it is because he wants to help people and he feels strongly this is the way to do it. He gets all these attacks online and it's one of the things I admire about him that he keeps going. He doesn't have to do any of this, he already had professional success.

I won't disclose my profession but I know enough about his work and brain retraining to worry for the people on this forum. You think he is a lone person who is banging a drum. He's not. Through my work and my links with him, I know of several people who used to have moderate, severe (and very severe) M.E who have recovered through brain retraining who support Paul. They won't speak out publicly because they don't want to be mocked, but they are also working away behind the scenes to help it reach more people. Thanks to them there are some key things ahead in 2026 that will help brain retraining get a lot more attention. People are recovering in such big numbers that this is not going away, you just don't see them because they are all networking in private groups online. I am only in 2 and I know there are many more.

I don't think you can see this as anything more than PG being a fly in your ointment. And I know you're all unwell but I don't know how it will feel to see brain retraining get increasing attention and it concerns me. I understand why you are so determined to hate mind-body medicine but in this case, you have got things wrong. I know you want science to back it up but trials take time. Even the ones we have in the pipeline won't satisfy you as the bias in this community is so strong.

(No comments to make on Raelan Agle. I don't know her).
 
I am not thinking I can necessarily change your minds but I hope it's ok to say a few things. I know PG so I hope you agree to let me post here, even if I disagree with you.

Of course!
And I know you're all unwell but I don't know how it will feel to see brain retraining get increasing attention and it concerns me.

Honestly, there's no need for concern. No one here cares about attention. We want evidence.

rofessionally, other doctors are scared of being seen to support him because of the kinds of posts you write about him.

It's good to know it's working, thank you. Though I suspect it's more that doctors see through him instantly, rather than any influence we might have.

No one here is passing any kind of judgement on him personally, by the way. That sort of attack wouldn't be allowable, and I don't think any of us would want to get involved even if it were. It's just the slightly batty pronouncements on something he's made it clear he knows almost nothing about. If he doesn't like being criticised he could always stop; no one seems very clear what the point of his involvement is anyway. He's not a practising physician or researcher.
 
I know him and I don’t like him.
I’d be really conflicted if he had run DecodeME, but as he’s bimbling through untested brain training luckily I’ve not had a mismatch.

Public Figures will always attract comment, and he’s very much a public figure.

Isn’t it funny you picked a name very similar to my user name?

No need to worry about me, thanks. I know my own mind. Unfortunately for some…
 
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People are recovering in such big numbers that this is not going away, you just don't see them because they are all networking in private groups online.
It just doesn't seem plausible to me that a treatment that works so well would not have strong published evidence by now. Have not similar things been touted as a treatment for decades? Where are the trials showing these remarkable results?

Or is it that they only just recently come up with the psychosomatic treatment that finally really works?
 
I’m more interested to know why there are so many conflicting points in PG’s timeline where he was out doing seven mile runs yet claiming to be unwell. If we are looking into his particular case of brain retraining as an example of how well it works.

Has his sister recovered from her ME/CFS now as well?
 
It just doesn't seem plausible to me that a treatment that works so well would not have strong published evidence by now. Have not similar things been touted as a treatment for decades? Where are the trials showing these remarkable results?

Or is it that they only just recently come up with the psychosomatic treatment that finally really works?
Yeah, my GET and CBT only ever got me jogging about a mile, never got anywhere near 7!

Then of course the slow decline starts, the increasingly frequent crashes, and 5-10 years later you’re unfit for any work.

We really do need those long-term study follow ups.
 
I know you want science to back it up but trials take time. Even the ones we have in the pipeline won't satisfy you as the bias in this community is so strong.
It sounds as though the trials in the pipeline are just going to be more of the same poor quality dross that we have seen already. You know, the sort of trial that independent analysts in NICE and independent statisticians have looked at and graded as being so bad they can't provide useful evidence.

If you would like some feedback on a trial design, feel free to put one up for discussion.

People are recovering in such big numbers that this is not going away, you just don't see them because they are all networking in private groups online.
Ha. I don't think you have to be concerned for us. When this army with their retrained brains eventually emerge from the shadows to reveal themselves in their recovered and multitudinous glory, I'm sure that we will all see the light.

Anyway, to get back to the subject of the thread. Thanks for the character reference for Paul. But, the number of friends a person has isn't a measure of how right they are about what fixes ME/CFS.
Most of his friends are women.
Nor is the percentage of the person's friends who are women.
He is known as being extremely kind and supportive in his social circle.
Being kind and supportive in your social circle doesn't mean that you are right about what fixes ME/CFS either.

I found this forum and this thread fascinating.
Super. Please keep reading.
 
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Hello @MrMagee. Giving someone a glowing testimonial about their personal friendships does not persuade anyone of their professional competence in any field of medicine.

Nothing Paul Garner or anyone else from the brain retraining cult has written has provided us with any clinical trial evidence that brain retraining has a curative effect on ME/CFS.

It all seems to happen inside the secretive environment of private Facebook groups and expensive training programs, only to emerge in the form of social media posts from a few 'brave' individuals claiming there are thousands of people in those groups who have been cured by brain training, but inexplicably unable to get any of them to identify themselves.

Many of us on this forum have tried variations of brain training like LP, CBT, Reverse Therapy, Gupta, and found them either laughably ridiculous or insidiously damaging.

All of them seem to share characteristics of cult like persuasive techniques as unethical as brainwashing, and all share the claim that if the patient doesn't recover, it's their fault for doing the method wrongly.

If Paul Garner wants to demonstrate a serious scientific interest in understanding and helping people with ME/CFS, perhaps he could start by really listening to the experiences of people with ME/CFS who have not been lucky enough to experience spontaneous recovery, and who have been damaged by the therapies prescribed by the clinicians in COFFI and the Oslo Consortium he now ardently supports. Let him walk a mile in our shoes instead of insulting us and playing the victim when we point out his lack of evidence.
 
I won't disclose my profession but I know enough about his work and brain retraining to worry for the people on this forum. You think he is a lone person who is banging a drum. He's not. Through my work and my links with him, I know of several people who used to have moderate, severe (and very severe) M.E who have recovered through brain retraining who support Paul. They won't speak out publicly because they don't want to be mocked, but they are also working away behind the scenes to help it reach more people. Thanks to them there are some key things ahead in 2026 that will help brain retraining get a lot more attention. People are recovering in such big numbers that this is not going away, you just don't see them because they are all networking in private groups online. I am only in 2 and I know there are many more.
More anecdote rather than actual science. It is worth saying that when trials are run they show null results on anything that goes beyond a subjective measure. Garner should know and understand this - that is his profession - but clearly he doesn't which makes me very concerned about the UK medical profession and those who claim to follow evidence. But then having experiences with doctors I'm not surprised.

The claim that people are recovering in big numbers needs to be backed up. There are those of course who do the lightening process where part of the 'treatment' is to claim they are better - but there is no actual evidence that they are.
 
He doesn't have to do any of this, he already had professional success.

If anything I would say that doing what he is doing undermines his professional success. I assume he has made his reputation pushing for evidence but is now saying ignore that go for anecdote.
I understand why you are so determined to hate mind-body medicine but in this case, you have got things wrong. I know you want science to back it up but trials take time.

There have been trials - they were very badly designed - hence NICE said low or very low quality evidence. But the design flaws were known at the time and pointed out by patients. Which just makes them unethical.

Its not about mind-body medicine its about having solid evidence and understanding of mechanisms. As far as I can see 'mind-body' medicine has no mechanistic justification at all and there has been no justification in those terms.

That coupled with many have tried things like GET/CBT and got significantly worse - yes pushing these techniques is causing harm.
 
I will continue to judge the claims from Paul Garner, and everybody else, on the strength of the evidence and the logic of the arguments they present, and how they handle legit criticism of it.

Garner has persistently and grossly failed on all counts, more than a little dishonestly (e.g. NICE "banned walking"), and has often been abusive and defamatory to the bargain. He has, as they say, serious form.

Where is the body of methodologically robust evidence for the allegedly powerful curative effects of 'brain retraining'?

Until that is put on the table for serious scrutiny, and survives it, then there is nothing to the claim, and my view of brain retraining remains that it is highly speculative and problematic at best, and cruel exploitative snake-oil at worst, with the evidence strongly pointing to the latter at this point.
 
Hi @MrMagee thank you for offering your perspective. I'm also sure if I had met Paul socially prior to my experience with Covid I would also have liked him. He has visited some unusual parts of the world and had many interesting experiences. I'm sure he's got some fantastic landscape and underwater slideshows that I'd appreciate. I would also have been very sympathetic to reading of his illness experience through 2020 despite not having my own experience until 2021 came around.

That being said, this is orthogonal to whether he is correct about the cause of ME/CFS. Kind, caring and genuinely nice people can be quite wrong about things.

I am not thinking I can necessarily change your minds

Not without an argument backed by reliable evidence, predicated on robust trial methodology. And the hypotheses also need to make biological sense.

Professionally, other doctors are scared of being seen to support him because of the kinds of posts you write about him.

Doctors write some incredibly inflammatory posts on social media, sometimes anonymously, sometimes not. I doubt people would be scared to support what continues to be the predominant paradigm in medicine - ie the biopsychosocial model, which has been driving much of clinical practice since the late 80s.

I won't disclose my profession but I know enough about his work and brain retraining to worry for the people on this forum.

The people on this forum include those who do not have ME/CFS. For those that do, some have had it for 3 or 4 decades, and some of those have tried brain retraining. The time to worry about many has unfortunately long since passed. If you are professionally involved in brain retraining, you might be interested to read some of the comments by the psychiatrists, clinical psychologists and cognitive behavioural therapists on the forum.

You think he is a lone person who is banging a drum. He's not.

We are under no such illusion. Every week we post papers relating to mind-body medicine. There is no shortage of such papers.

People are recovering in such big numbers that this is not going away, you just don't see them because they are all networking in private groups online.

Sorry, but "my girlfriend goes to another school, in Canada" just doesn't cut it. As the kids would also say: "pics or it didn't happen". Big numbers of people recovering (even out of sight) would be reflected in labour market and general economic statistics. The publications from the economists and governments would not seem to support the claim.

And I know you're all unwell but I don't know how it will feel to see brain retraining get increasing attention and it concerns me.

That is unnecessarily paternalistic and patronising.

I understand why you are so determined to hate mind-body medicine but in this case, you have got things wrong.

Can you give an example of a disorder where the aetiology is proven to be due to the mind-body interface and where mind-body medicine techniques are shown to be highly effective in reversing it?

(No comments to make on Raelan Agle. I don't know her).

But more generally, can you comment on the following. 1) Mind-body techniques are largely promoted by non-scientifically trained people. 2) If large numbers of people are being cured by brain retraining, why do they need life-long memberships to continue the brain retraining?

And bonus question 3) for me personally, specifically how and why according to your paradigm, did my brain get detrained in the first place? For reference I am a practicing, registered medical specialist, working in a cognitively demanding field. I continued to be physically very active (with a well above average level of fitness) right up until I couldn't.
 
It just doesn't seem plausible to me that a treatment that works so well would not have strong published evidence by now. Have not similar things been touted as a treatment for decades? Where are the trials showing these remarkable results?
I agree they are thin on the ground. Most would be reluctant to do a trial on M.E these days is the truth. What we do have is patients recovering. That is one of the points I'd like you to understand rather than dismissing it as meaningless. Patients recover and do so in large numbers, they just keep it quiet as they don't want to be attacked. That is a problem that needs deep reflection here.

Being kind and supportive in your social circle doesn't mean that you are right about what fixes ME/CFS either.
I agree and that is not the point I was trying to make. I don't think you grasp the fact that by posting these kinds of threads mocking him and repeatedly attacking his character, you are stunting opportunities for your community. Either because researchers don't want to work in this area or because patients recovering don't want to make themselves known and share what helped them, for fear of also being ridiculed. You don't have to listen to me, but I wanted to at least share the impact from my perspective.

Nothing Paul Garner or anyone else from the brain retraining cult has written has provided us with any clinical trial evidence that brain retraining has a curative effect on ME/CFS.

It all seems to happen inside the secretive environment of private Facebook groups and expensive training programs, only to emerge in the form of social media posts from a few 'brave' individuals claiming there are thousands of people in those groups who have been cured by brain training, but inexplicably unable to get any of them to identify themselves.
There are thousands. There are these secret groups. That is not going to change for now based on the fact recovering patients fear these more 'activist' spaces where people seem to be so unkind and invalidating. Is it right that this work is all happening in secret? I can't answer that, but it's what is happening. Most seem to just want to get on with their lives once they get better given M.E is so traumatic. You may want good clinical trial evidence. I do too, but in the absence of that, you're being told severe sufferers are recovering this way. I've met some of them in person and some online and they were ill for decades in some cases and housebound etc. If I was you I'd have curiousity about that but I'm not you.
Many of us on this forum have tried variations of brain training like LP, CBT, Reverse Therapy, Gupta, and found them either laughably ridiculous or insidiously damaging.
You have a right to your feelings. I'm not here to persuade you it's the answer, I'm trying to nudge you as best I can to look at the reality of the brain retraining situation as it stands.
All of them seem to share characteristics of cult like persuasive techniques as unethical as brainwashing, and all share the claim that if the patient doesn't recover, it's their fault for doing the method wrongly.
I know a fair amount about brain retraining and I have only come across one instance of people being told they aren't using the correct method to recover. This is one of those claims that is easy to bandy around but in reality no one is saying it is peoples' fault if it doesn't work for you. Be careful of repeating Chinese whispers that are baseless.
More anecdote rather than actual science. It is worth saying that when trials are run they show null results on anything that goes beyond a subjective measure.
The entire M.E and LC community rightly wants their subjective accounts of their symptoms to be believed. All pain, all fatigue, many neurological symptoms are only subjective and dynamic. I appreciate there are things like heart rate measures showing POTS, but if you want your subjective symptoms to be taken seriously then you also need to appreciate research has a right to take the subjective report of symptoms seriously too. If a patient told me they were in severe pain and had severe PEM, I wouldn't tell them they didn't because they have no objective proof. I would take their report as factual.

I don't understand why you would want to argue that patients reporting improvements in trials that run for weeks or months shouldn't carry any weight when it risks people not believing how unwell some of you are. And yes, I appreciate some people can measure time in bed, steps walked, etc but they are still falsifiable and subjective, in reality. The only way of understanding M.E, both level of illness and level of improvement or decline is subjective self-report. The CPET isn't valid, based on current research. It is also questionable ethically, if participants are scared of going through it. Many recovering patients I've spoken to say they wouldn't have wanted to do it when still ill in case of being pushed into a long lasting crash by it.
 
If anything I would say that doing what he is doing undermines his professional success. I assume he has made his reputation pushing for evidence but is now saying ignore that go for anecdote.


There have been trials - they were very badly designed - hence NICE said low or very low quality evidence. But the design flaws were known at the time and pointed out by patients. Which just makes them unethical.

Its not about mind-body medicine its about having solid evidence and understanding of mechanisms. As far as I can see 'mind-body' medicine has no mechanistic justification at all and there has been no justification in those terms.

That coupled with many have tried things like GET/CBT and got significantly worse - yes pushing these techniques is causing harm.
Geez just noticed their casually trying to drop their new term ‘mind-body medicine’ as if they’ve some right to call something medicine for no reason

Same problem of the question about people using the term therapy when technically that is only allowed to apply if it actually heals something not harmful brainwashing etc - at what point do these terms actually have limits on who and what they can be used for if they are supposed to mean something hence why choosing it over eg techniques or whatnot.

What’s the world come to when anyone can just claim they are doing ‘medicine’ when clearly what they are doing isn’t by any form of that term? Is it something people can just decide to roll out like a marketing spiel. I mean I know you get old fashioned sweeetz called medicine drops or something (which relates to the taste? Or what’s the history there) but weirdly this feels like a new emboldened cheek of a step to go for seeing if they can call themselves medicine and see if anyone starts sending letters or pulling them up.
 
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My previous post was a quick overall response to the post. I would like to address some of the misinformation in your post:

I am new to S4ME having come here via googling PG (for work).
You are making all sorts of claims and criticisms. Given that your work has some bearing on Garner's work, I think it would be more honest of you if you said what work this is and who you are, rather than hiding behind a pseudonym. We allow a choice of user name on this forum because sick people are vulnerable and may need to be anonymous. That surely doesn't apply to a professional colleague of someone under discussion who has joined the forum to give them a character reference and to make all sorts of claims about a so called treatment.
I've read a lot about what you're posting about him and I dislike untruths. PG (lazy, so sorry if I call him that) is definitely not being paid for this work. He was successful enough in his career that I doubt he needs the money.
That was raised by me as a question. It was not an untruth, it was a question in the form of 'I wonder if'. I made no claim that Garner is being paid for this crusade he has launched himself on to entertain himself in retirement. As you say, as a retired professor he is much better off than most of our members, many of whom are struggling to feed and care for themselves on very resticted incomes through illness made worse by Garner's chums' influence on ME/CFS treatment.
I don't know him very well but I know him enough to say these friendships run deep.
What has that to do with his scientific integrity? Nobody here is interested in his personal life. We can only judge his character by his actions.
I'm only saying this here because I think it's useful for you to know that as you have such strong negative opinions of him.
It astonishes me that someone with a professional association with Garner would fail to understand why people on a science forum would judge Garner's activities as unscientific and potentially harmful. Many of us here have a negative opinion of Garner's words and actions because he promotes approaches to treatment of ME/CFS that are docomented to cause significant harm, including to many of our forum members. I have a negative opinion of him as a doctor and scientist and supposed expert in evidence based medicine. I have no opinion of him in his personal life, nor should I.
Professionally, other doctors are scared of being seen to support him because of the kinds of posts you write about him. A lot has actually been pushed underground because of this.
That old story. It's amazing just how much publicity Garner and his newish chums like White, Sharpe and others in Coffi and the Oslo consortium manage to get for their claims of being silenced and being threatened. It's all baloney.

I have lost count of the number of times Garner has had a public platform to share his story and his beliefs about what cured him. I have lost count of the number of occasions he has tried to interfere in sound scientifically valid analyses of poor research and in guidelines.

Since you know him, perhaps you could ask him to make public his role in Cochrane's inexplicable about turn on the exercise therapy for CFS review, or his attempts to interfere in the Canadian and probably the Australian guidelines.
To come around to why is he doing this work, I think it is because he wants to help people and he feels strongly this is the way to do it. He gets all these attacks online and it's one of the things I admire about him that he keeps going.
Do you also admire climate change deniers for sticking to thier guns, and vaccine skeptics, and flat earthers? Just because someone works hard at promoting an idea, doesn't make them admirable. Look at all the harm being done in the USA by the hard work of the current health administration there with its anti vaxx and anti science approach. Do you admire them too?
I know of several people who used to have moderate, severe (and very severe) M.E who have recovered through brain retraining who support Paul. They won't speak out publicly because they don't want to be mocked, but they are also working away behind the scenes to help it reach more people.
We don't allow on this forum individuals who have recovered to be mocked. We do allow the questioning of claims about whether a particular treatment will be effective for other pwME, and has scientific evidence to back it. We also examine reports of harm.

Another promoter of brain retraining joined the forum some time ago, bringing with them the same claims of thousands in secret groups recovering, but providing no evidence. I asked them politely to read and respond to the stories of dozens of pwME who had tried the Lightning Process and were either not helped or harmed, some of them seriously both physically and mentally. They never even acknowledged these people's experiences. We have forum members who have been harmed by LP and other brain training programs. Their experience is either ignored, dismissed, or they are told they didn't try hard enough, or for long enough, or chose the wrong program, or didn't want to get better. Do you consider that a humane and valid approach?

Garner keeps banging on that we and health providers must listen to and learn from people who have recovered. But no individual who has recovered knows for sure whether it was the thing they happened to be doing at the time that 'cured' them, or spontaneous recovery. That's why we need properly run clinical trials with all the important features of trials that make them valid. We get confronted with recovery stories frequently, from homeopathy, to ear seeds, to eating a particular food or taking a particular drug or supplement, to bumhole sunning, to breast massage, and many more. Many of us have been hoodwinked into trying them. Do you think we should believe them too?

It's over 20 years since I tried the Gupta and Reverse Therapy programs. As far as I know they are still making money from them but have not run any serious clinical trials. This stuff is not new. And it's still all unevidenced.
Thanks to them there are some key things ahead in 2026 that will help brain retraining get a lot more attention. People are recovering in such big numbers that this is not going away, you just don't see them because they are all networking in private groups online. I am only in 2 and I know there are many more.
What key things? All this ridiculous secrecy and hints is so unprofessional and childish. I don't want unevidenced treatments getting 'a lot more attention'. I want evidence.
I don't think you can see this as anything more than PG being a fly in your ointment. And I know you're all unwell but I don't know how it will feel to see brain retraining get increasing attention and it concerns me. I understand why you are so determined to hate mind-body medicine but in this case, you have got things wrong.
Save your concern for those of us who have been and will be harmed by all this secret activity. No, you don't understand anything of what we feel because you are not listening, you have made up your mind PG is a hero, and we are ignorant or villains. Next thing you will say is we don't want to get better. Try walking a mile in our shoes.
I know you want science to back it up but trials take time. Even the ones we have in the pipeline won't satisfy you as the bias in this community is so strong.
There you go again, insulting us and our scientific integrity. We won't be satisfied by the sort of trials that were used for decades to support the psychobehavioural paradigm with its CBT/GET treatments. We don't support that research because it was so scientifically flawed and at times dishonest that no real scientist would give it a second look. And from the patient's perspective, because it has and continues to cause immeasurable harm. Thousands of people put through GET have been made permanently much sicker. Some have died. Yet PG supports it and its proponents and criticises the NICE guideline in ignorant and insulting ways.

No PG is not on the side of pwME. He is not promoting good science. He is promoting a cult that you seem to think is justified in scheming in secret to push more potentially harmful treatments.

Let him come here and tell us about these supposed trials and plans. Let him respond here to our members who have been harmed by what he promotes instead of sending a friend to give him a glowing reference. He's very happy to he lauded by his new chums and to interfere behind the scences in treatment recommendations. It's time he listened instead of sending a proxy to insult us.

I am writing this lying in bed hundreds of miles from Garner's home. He is in absolutely no danger from me, as he and his new chums like to pretend. Tell him to come and join us and have a proper scientific conversation.
 
I understand why you are so determined to hate mind-body medicine
No, I really don't think you do. It's an easy assumption to make for somebody looking in on the outside: 'oh those people just don't understand how the mind and body are connected. They think we're telling them that their illness isn't real so they don't want to listen.' That's not what this is about. As a group, we have wide and varied life experiences and professional backgrounds and subscribe to different philosophies and views of life and the mind/body. We are not one single-minded entity and we are not a cult. We are generally pretty open-minded. However, as Trish said, many of us have committed to the brain retraining approaches you describe and fully invested in them only to find ourselves harmed by them. (Note - it's not the philosophy that the mind and body are inseparable that we object to but the specific use of brain retraining approaches to treat ME.)

For many of us, our objection to brain retraining as a treatment for ME came after our own negative experiences with it and after seeing how these experiences were denied and our intelligence insulted by people like you (who, I'm sure, are all very nice people - I used to be you). I have no 'determination to hate mind-body medicine', I just don't believe that brain retraining works for ME and I think that belief is backed up by enough evidence for me to be fairly confident in it.

My take on Paul Garner is that he seems like a nice enough person who has become very convinced of his way of thinking. He believes his personal experience represents everyone's experience and that if people would only listen to him, they could get better. I think that he wants to help but is doing harm inadvertently. I think he needs to practise listening to other people's experiences without projecting. He may benefit from seeing a therapist to help him work though what was obviously a traumatic time for him. This may allow him to be a little more open to listening to others and learning from them. I wish him wellness and clarity.

We all have to accept that, at the moment, there is still relatively little known for certain about ME and that is difficult. Existing in a space of uncertainty requires us to hold multiple possibilities at once which is challenging but it is not impossible with a little humility, empathy and self-compassion. I invite you to try it.
 
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agree they are thin on the ground. Most would be reluctant to do a trial on M.E these days is the truth. What we do have is patients recovering. That is one of the points I'd like you to understand rather than dismissing it as meaningless. Patients recover and do so in large numbers, they just keep it quiet as they don't want to be attacked. That is a problem that needs deep reflection here.
I don't believe that. We did a survey of clinics and they don't have data to say that (they don't collect it). So when you say patients recover in large numbers where is the evidence (its not from the clinics). Or do you simply mean that patients stop going to the doctor as there is no point and doctors think they have recovered. I tend to think some people do recover in the first year or so (there are plenty) but that seems random (and it would be interesting to study).

People here have reflected on the evidence and what you claim doesn't fit the actual evidence.
 
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