This thread has been split from a thread discussing a book about Ron Davis: The Puzzle Solver by Tracie White I've been following ME/CFS research and news and reading forums for over 25 years. I think that the UK has played a much bigger part internationally in psychologising the condition and presenting the condition as something amenable to behavioural approaches such as CBT and graded exercise therapy than the US. The ratio of funding of biomedical research to behavioural and the like has been very different in the US than in the UK. Certainly people in the US can have difficult situations but the whole system wasn't taken over by the psychological/behavioural approach the way it was in the UK. Even some good doctors in the UK, such as Abhijit Chaudhuri, ended up promoting CBT and graded activity/exercise and the like to an extent (I can't remember the exact details at this stage but I was involved in organising a talk with him in recent years; we didn't release a recording because we were so disappointed with it). 20 years ago he was challenging the CBT/GET approach in e-letters to the BMJ. Hopefully things will change in the UK going forward with the new NICE guidelines.