After almost a year away from the forum due to an enormous crash and not being on any social media, I have been really taken aback by how much brain training and recovery stories have exploded.And it would be so much less awful if all of this wasn't basically reasoned using all the logical fallacies in a trench coat. I've never before seen the narrative of "some people want to recover / prefer to stay ill" from medical professionals being more prominent than this year. Things really are worse than ever, even as we slowly inch closer to a solution
See what they describe is what I’d call “learning to live well with your diagnosis”. I wouldn’t call it recovering or recovery.
Exactly!
It's not often I feel the desire to quote from BACME materials. I know the report includes a caveat that 'recovery' is as described by the various interviewees. Nevertheless, even BACME's primary care guidance (Dec 2022) states this about recovery.
Prognosis
There is a lot of active research in the field of ME/CFS, but the reality is it currently
remains a difficult condition to research due to the lack of consistent biological markers of illness. Consequently, data on recovery is limited.
Some patients with ME/CFS do recover so it is important to adopt an optimistic approach to its management. However, the reality for many patients is that it affects their lives for many years, and some do not make a good recovery, so it is helpful to adopt a Long-Term Condition management type approach.
I don't now where the 60% comes from unless it PACE?It has been suggested that approximately 5-20% of people with ME/CFS may eventually make a full recovery, but this may take years and involve making significant life changes. Around 60% of people with ME/CFS may see improvement
in symptoms and/or level of function over time but will need to continue to manage their condition. Approximately 20% of people with ME/CFS continue with long term debilitating symptoms. A proportion of patients will recover sufficiently to a good level of occupational / social function but may experience relapses or setbacks triggered by a number of factors such as viral or bacterial infections or other illnesses and significant life stresses.
Prognosis may be different for children and adults and it is generally accepted that
children are more likely to see improvement or recovery over time.
It can be helpful to reflect with patients about what recovery may look like. For some
patients, the stressful or busy lifestyle they were leading before becoming ill may have contributed to their symptoms once they became unwell. Consequently, recovery would not be aimed at returning to that same lifestyle but more a moving on to a different way of managing demands.
The beginning of the Executive Summary
.
In recent years, the phrase ‘recovery is possible’ has become synonymous with the chronic
fatigue syndrome (CFS) recovery community and for good reason. As anyone with first-hand
experience will know, people with CFS are told that they will not recover—including by doctors.
According to the analysis of first-hand social media accounts shared in this report, the medical necessity of this messaging is challenged and an alternative set of messages accompanies the
experience of recovery.
CFS, also known medically and in the UK patient community as myalgic encephalomyelitis (ME)
or more commonly ME/CFS, is represented to the public as follows:
A long-term condition that can affect different parts of the body. The most common
symptom is extreme tiredness. The cause of ME/CFS is unknown. … While there’s
currently no cure for ME/CFS, there are treatments that may help you manage the
condi9on and relieve the symptoms. Treatments include energy management, cognitive
behavioural therapy and medications prescribed for pain or sleeping problems. … People
with ME/CFS will need to adapt their daily routine and pattern of activities on a long-
term basis. There may be periods when your symptoms get better or worse.
(National Health Service 2026)
The National Health Service (NHS) webpage further directs people to the ME Association—a
charity that has consistently opposed public discussion of recovery and those who represent its message
In recent years, the phrase ‘recovery is possible’ has become synonymous with the chronic
fatigue syndrome (CFS) recovery community and for good reason. As anyone with first-hand
experience will know, people with CFS are told that they will not recover—including by doctors.
According to the analysis of first-hand social media accounts shared in this report, the medical necessity of this messaging is challenged and an alternative set of messages accompanies the
experience of recovery.
CFS, also known medically and in the UK patient community as myalgic encephalomyelitis (ME)
or more commonly ME/CFS, is represented to the public as follows:
A long-term condition that can affect different parts of the body. The most common
symptom is extreme tiredness. The cause of ME/CFS is unknown. … While there’s
currently no cure for ME/CFS, there are treatments that may help you manage the
condi9on and relieve the symptoms. Treatments include energy management, cognitive
behavioural therapy and medications prescribed for pain or sleeping problems. … People
with ME/CFS will need to adapt their daily routine and pattern of activities on a long-
term basis. There may be periods when your symptoms get better or worse.
(National Health Service 2026)
The National Health Service (NHS) webpage further directs people to the ME Association—a
charity that has consistently opposed public discussion of recovery and those who represent its message