Totally agree Stu. I think our problem in the UK is the way in which it has been sold. The way in which ME has been 'marketed' if you like to patients as well as the general public. The comments I posted above from Lord Alerdice would have lent a far better comprehension to the NICE Guideline. Indeed I hope that following the recovery paper, NICE will consider tempering their use of CBT and GET although they may well choose not to. I think from memory they say something like 'the best available treatments' or the best treatments backed by research or something like that. But if this were tempered and made more realistic in terms such as little is understood, these therapies may help patients learn to better manage etc. as per your comment it would be an improvement. Of course therapists and psychiatrists and indeed medical doctors don't like to reveal the limitations of any prescribed treatment I do commend NICE though for at least referring to these therapies as 'management strategies'. I think that is realistic.