Thanks CBS and Jspotila for those links, lots of interesting research material. I appreciate it. Again, I don't want to offend anyone or cause conflict, but that program I mentioned attending included a CBT component too. I'm just presenting what was involved from my experience personally. Note again: it was for FM patients not CFS, and it was a multidiscipline program. I really was the type of patient that Tina referred to. I walked into that program thinking that I was going to be cured, that I could go back to work and I was in a dangerous push/crash cycle. The psychiatrists associated with the program did not think I was ill because I was depressed. They taught me that I needed to do less to avoid a crash and to actually come to terms and admit that I was much sicker than I allowed myself to believe. The OT taught that me that my tolerances for standing and activity were much less than I realized. The social worker helped me file disability claims, once she convinced me that I was legitimately disabled and eligible. They were prepared to take on other doctors who doubted the validity of the illness. So from that standpoint I'm grateful I went through the program because I did learn some things and was given help that I otherwise didn't have. Obviously I didn't fair well on the GET portion, and I can't see how CFS patients would. Ideally the staff should realize there are other co-existing conditions (not just linked to arthritis) to consider. That program did incorporate councelling techniques and 'pacing' too, in many ways that was the main focus of the CBT part, but there was also information presented to challenging false beliefs. If I didn't think a good part of it pertained to me directly, I tend to tune out so there are parts I don't remember. I still have notes/books somewhere, I'll have to look through them again and see just what kind of things were being 'taught'. I can see both pros and cons for a program I went through and it depends greatly on the atmosphere in which it is presented. And I think it is much more a grey/controversial area to use this type of program for CFS than it is for FM. There are also Work Hardening programs here that I have heard about and those focus on 'toughening' the person up to get them back to work. I bet those are pure evil. Also please note: Incase I didn't make it clear, the program I attended focused on trying to control/manage symptoms, not treatment.