Oh dear "patient with fibromyalgia, who experiences widespread pains, may suffer fatigue, while someone with chronic fatigue syndrome can have muscle aches."
Yes BUT these are just labels for broad symptoms, it doesn't mean that they have the same cause or even feel the same! This sounds like a medical disaster, a great ocean liner on course for collision. Focus should be on teasing out subgroups not lumping every illness in together and treating it as the same problem
I've been attempting not to get stressed by the huge MUS heading towards me. But it is hard to ignore this
Psycho babblers trying to plug the gaping holes in their rapidly sinking ship?
I think the UK is prepared to drain the ocean dry rather than allow this particular ship to sink.
The ship just keeps getting patched up, but it isn't at all convincing as a repair and I certainly don't want to sail in it!
Excellent therapy for hypotension though
Yes it works, I just checked my BP and it's 115/78. I'm usually more 80s-90s/50s-60s. Well it's useful for something then!
Where is their proof for this fear avoidance anyway?
I do attempt to examine myself in as open minded a way as possible (not very possible as we all have biases). Yesterday I was thinking about this on the way back from the hospital on the way to a shop. I hadn't been out since a previous hospital appointment in January. I was enjoying being out (after the EMG was done with) and noticed I didn't have any anxiety about being out. I was thinking "I should try to get out a bit more". Going to a shop as well was unwise but there are some things which are difficult to buy online. I suddenly ran out of immediate energy in the shop (I've got an electric wheelchair so not a disaster). Today I've got PEM and feel exhausted, which is predictable. I don't think I'm prone to all-or-nothing thinking either (another form of blaming the patient), mostly my pacing is more sensible than this.
Something else I was thinking about recently is with all the psychological angles that are suggested, sometimes by the same people, who would avoid all these things? Who is:
Neither doing too little nor a workaholic
But also neither fearful of aggravating symptoms nor over doing it in all-or-nothing behaviour
But not over stressed due to socioeconomic circumstances nor a privileged yuppie expecting more from life
But also not too aware of symptoms nor too prone to blocking out symptoms and pushing on through
Neither uninformed about coping strategies nor obsessed with getting medical information
Neither worse through lack of social support nor due to pressure from family
Neither prone to learned helplessness nor a scary patient trying to dominate appointments
Neither lacking motivation nor finding it difficult to accept they can't do more
Wouldn't everyone fit one or more of these categories if they got ME? It doesn't say anything about the illness except that humans get it!
BTW I do agree that no illness is 100% psychological or biological. I've studied BioPsychoSocial theory and PsychoNeuroImmunology at uni. I just don't feel like these ideas are being used in an honest way in UK public policy. It is not holistic to then treat everything as psychological. That is the opposite of what they're quoting and leads to very confusing articles like this one.