I am coming to this discussion a little late, but I wanted to add my two cents.
I am a PWC and a licensed psychotherapist. I am not an expert in the CBT research as it relates to CFS although I am familiar with it.
I just want to share my experience.
Confession: As a psychotherapist, and as a spiritual person, I believe very strongly in the mind-body-spirit connection. I am very aware of the effect that my mental/emotional/spiritual states of being have upon my physical health.
BUT: It can be overstated. There is some research to prove positive thinking can help with colds, and possibly heart diseases. And we all know about the placebo effect. However, there is a lot of research that shows it has minimal effect on a number of other diseases, such as various cancers. There is an article in the recent issue of the magazine Psychotherapy Networker that highlights the lack of substantial scientific evidence for the entire "field" of positive psychology.
I don't blame people who have a strong negative reaction to CBT. I do believe CBT was initially considered for CFS because of a belief CFS has a psychological foundation. CBT is not a medical intervention for physical illness, it is a psychological theory, with associated interventions, for psychological distress. CBT is currently the "in" theory in the psychology research world because the interventions are highly structured and concrete, which makes them easy to research. And governmental agencies concerned with mental health love to pay for research and applied techniques that are structured and concrete.
So underlying the research around CBT and CFS is the belief that there is a psychological element to CFS. The belief would be that by using CBT, patients can change their thoughts (and behaviors), to be more positive --"realistic," in CBT language and thereby eliminate the supposedly psychosomatic symptoms.
Confession: Rightly or wrongly, I believe that anyone who is 100% cured by something like the amygdala training, which to my understanding is simply a re-packaging of already known psycho-spiritual techniques, never had CFS.
Personally, being so mind-body oriented, I did not believe my diagnosis of CFS for a full 6 months afterwards. I figured the doctor was just trying to get me out of the office, because the blood work was inconclusive. I told myself, I'm just not eating right. I'm not exercising right (!), I need to take care of myself, be good to myself, reduce my stress load, etc. etc. I tried all kinds of psycho-spiritual healing techniques.
It was only after all of that failed to cure me, combined with receiving a good talking-to by a caring friend, that I began to consider that maybe I did indeed have a physical illness.
Truly, it would be so much easier if all this were psychological! Then I could control it, as there are many therapies that address emotional issues. Instead, I have a chronic physical illness for which there is no cure.
I want to be clear that I do believe there is a place for CBT, the amygdala training, and other therapies that address the mental/emotional/spiritual aspect of living with a chronic illness. For myself, I know that maintaining attention on my psycho-spiritual health has helped me to better live with the CFS, helping me to function despite my symptoms, reducing stress, improving mood, and (on a good day!) helping me to find meaning in the challenge of living with a chronic physical illness.
I wish for all of us that we not only survive but thrive, despite the CFS. And that a cure is found, soon!
Laura
I am a PWC and a licensed psychotherapist. I am not an expert in the CBT research as it relates to CFS although I am familiar with it.
I just want to share my experience.
Confession: As a psychotherapist, and as a spiritual person, I believe very strongly in the mind-body-spirit connection. I am very aware of the effect that my mental/emotional/spiritual states of being have upon my physical health.
BUT: It can be overstated. There is some research to prove positive thinking can help with colds, and possibly heart diseases. And we all know about the placebo effect. However, there is a lot of research that shows it has minimal effect on a number of other diseases, such as various cancers. There is an article in the recent issue of the magazine Psychotherapy Networker that highlights the lack of substantial scientific evidence for the entire "field" of positive psychology.
I don't blame people who have a strong negative reaction to CBT. I do believe CBT was initially considered for CFS because of a belief CFS has a psychological foundation. CBT is not a medical intervention for physical illness, it is a psychological theory, with associated interventions, for psychological distress. CBT is currently the "in" theory in the psychology research world because the interventions are highly structured and concrete, which makes them easy to research. And governmental agencies concerned with mental health love to pay for research and applied techniques that are structured and concrete.
So underlying the research around CBT and CFS is the belief that there is a psychological element to CFS. The belief would be that by using CBT, patients can change their thoughts (and behaviors), to be more positive --"realistic," in CBT language and thereby eliminate the supposedly psychosomatic symptoms.
Confession: Rightly or wrongly, I believe that anyone who is 100% cured by something like the amygdala training, which to my understanding is simply a re-packaging of already known psycho-spiritual techniques, never had CFS.
Personally, being so mind-body oriented, I did not believe my diagnosis of CFS for a full 6 months afterwards. I figured the doctor was just trying to get me out of the office, because the blood work was inconclusive. I told myself, I'm just not eating right. I'm not exercising right (!), I need to take care of myself, be good to myself, reduce my stress load, etc. etc. I tried all kinds of psycho-spiritual healing techniques.
It was only after all of that failed to cure me, combined with receiving a good talking-to by a caring friend, that I began to consider that maybe I did indeed have a physical illness.
Truly, it would be so much easier if all this were psychological! Then I could control it, as there are many therapies that address emotional issues. Instead, I have a chronic physical illness for which there is no cure.
I want to be clear that I do believe there is a place for CBT, the amygdala training, and other therapies that address the mental/emotional/spiritual aspect of living with a chronic illness. For myself, I know that maintaining attention on my psycho-spiritual health has helped me to better live with the CFS, helping me to function despite my symptoms, reducing stress, improving mood, and (on a good day!) helping me to find meaning in the challenge of living with a chronic physical illness.
I wish for all of us that we not only survive but thrive, despite the CFS. And that a cure is found, soon!
Laura