regardless of cause and factors that contribute to the continuation of my illness, like stress, i can always improve using only physical based therapies. to me, diet and physical therapy will always work to imrove my actual health state so i need not concern myself with my neurosis...that will right itself as my gut does. trying to be calm and avoiding stress is helpfull but will never bring the results that diet and physical therapy do. i can improve regardless of external environment causing stress. thinking that folk are better after their initial stage, and hence easier to recover, is not to understand the disease process in me/cfs, imo. its less fight from the body. discomfort can actually indicate that some physical intelligence of the body still remains. when that goes healing is harder in my experience. fog and increased fatigue are good markers that im on the right track. better than this state of physical panic im in at the moment.