This is very interesting. I was not aware of this Norwegian study, but I already had the distinct impression that, compared to patients with other diseases, ME/CFS patients are much more interested in reading, learning about, and discussing their condition. And I get the impression that ME/CFS patients have a higher degree of focus, drive and motivation when it come to seeking out, and then testing out, treatments that may help. I wonder why we have such focus and motivation, compared to other conditions with mental or cognitive symptoms. In a way, our behavior is paradoxical, because in other areas of our lives we seem to have considerably less motivation, due in part to the fatigue and brain fog that make participation in life's regular activities difficult, but probably also because we may have lost some of the executive function of the brain,ᐞ which underpins motivated behavior. So why is it that we are so well motivated to tackle ME/CFS and to improve our health circumstances, when we are distinctly under-motivated when it comes to involvement with life's activities in general? That is something I have asked myself more than once. No doubt one answer to this question is that it make perfect logical sense to focus your efforts on the most important issues and obstacles in your life, which in our case is ME/CFS. This is analogous to someone who is in dire financial circumstances focusing most of their energy on earning money, as this is the most appropriate action to take in the circumstances. But there may be other reasons for the strong focus ME/CFS patients have on bettering their state of health. Introspectively, I sense that my own focus on improving my ME/CFS uplifts my mood: that is to say, pinning my hopes on some new drug or supplement that I plan to test out keeps me optimistic, and this optimistic state makes me feel better. Of course, every so often I do find a drug or supplement that helps me a lot, so this focus on improvement does pay dividends; but in addition to these dividends, the sense of hope that this focus provides is in itself beneficial. And when it comes to participation in online forums such as Phoenix Rising, I feel that this actually can give a much needed sense of purpose to life. Such participation makes me feel that I am playing an (albeit small) role in the fight against ME/CFS through my efforts in helping and advising others with ME/CFS on this forum, and through the process of learning more about ME/CFS from others, as well as partaking in discussions about ME/CFS, by contributing to the large repository of valuable tips and information on ME/CFS that the PR forum has become, and, by all these actions, helping to raise general awareness of ME/CFS.