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Thx
I posted about this a bit in this thread
http://forums.phoenixrising.me/inde...peal-australia-ruled-not-fully-treated.52426/
They are looking for reasons to deny you, so don't give them any ins. Answer all questions succinctly, honestly and without too much detail but enough to get what your trying to explain. Be serious, polite and focused on what your trying to say. Let them see you in your natural state, don't try to hide it. But try not to go in with serious PEM where you can't think straight because you need to be able answer their questions. They will try to trick you with questions that are contradictory, that you already answered or suggesting what they want to believe so if your not sure take your time in answering and if you can have someone with you who knows your condition well try to take them along. repeating yourself is okay and feel free to do it as long as your not sounding like your crazy. If a break is available and you need it, take it. Do you have legal help in this? Since its tomorrow it would be tricky to arrange if you don't, but keep in mind if needed in future for appeals.
They will want to know physical reasons so explain your life from functioning to crashing to PEM, how long, physical symptoms, severity and timings. Also explain your mental symptoms, how they fit in, and don''t let them suggest you could do a mental but not physical job, make sure your explain why you can't do either. Explain how your disease has progressed (in short) and if its still getting worse, but do this bearing in mind they ultimately care nothing about the history of your condition, they care about now and why you can't work. Emphasize the evidence your presenting from tests to doc reports, if you have anything new and are allowed to submit it and it helps your case or is additional to evidence you have already submitted add it. This depends on their rules. You want to think of any objections they have in advance and have answers ready if they are asked. Think of this hearing as being a court room and you have to convince the judge.
Tell them all your difficulties, your adaptions, what you have tried to get better (they want to know you have tried everything possible), and depending on who your speaking with it can be worth going into your history of getting the diagnosis, if your like many of us who took many years, many tests and many doctors.
Don't make this about the system, the state of ME/CFS research, PACE or dismissive doctors or lack of test criteria, this hearing is about you and your ability to not work. If they ask questions relating to exercise/CBT if you have tried it it gets tricky because people who believe lies won't listen to evidence. Use your submitted tests and reports to paint a picture of how exercise makes you worse, especially if a specific episode caused a sudden decline especially if its something normal people can do. As for CBT if you have depression and under care for it or have tried treatments bring this up as evidence, whether its counseling or medication, its still legitimate treatment prescribed by legitimate docs and makes you a compliant patient. Try to minimize discussions of alternative medicine because most officials consider it quackery, if some supplement has helped with a specific symptom and/or you have a test proving its deficient so your taking it its ok to mention it, but don't paint a picture that your only interested in alternative medicine or they might think you would be treatable if you were willing to use modern medicine (even though for this condition modern medicine has nothing for us, but these guys are not ME/CFS specialists, they are hearing specialists who see every disabling condition known to man and many do have treatments with varying levels of effectiveness).
The goal of the hearing is to show them you have this condition, its severe, you have tried hard to find treatments and you can't do anything more about your current situation so you need them to approve your application. If they ask if you would be willing to try new treatments say yes you would definitely consider it. Remember that considering is not the same as as trying anything, if there was a drug that killed 99% of users but cured people who don't die from it your not obligated to take it, your saying you will think about (consider) new treatments.
Now my head is really throbbing so i hope i didn't miss anything and i hope this helps. Just try to remember you can do this, so try not to get overwhelmed even though i know i wrote you a novel.
Stay calm. Take as much time as you need to formulate an answer before speaking. Be convincing. Be consistent. Don't ramble.
If possible, try a 'mock hearing', and practice with a friend. Record it...then play it back...do you sound credible?
It's your job to "sell" the judge about how your life has been impacted. Give specific examples to support your point.