MeSci
ME/CFS since 1995; activity level 6?
- Messages
- 8,235
- Location
- Cornwall, UK
In the UK (and elsewhere) its important to be cautious about claims that CBT and GET can help. Cognitive behavioural therapy and graded exercise therapy have not been shown to produce any substantive improvements in functional capacity, but a small percentage of patients do find they help with their attitude toward their capacity .... but against that a large percentage of patients report they get worse from GET in particular. In surveys this is regularly over 50%. Do investigate this thoroughly if its been offered, there are some great commentaries on this site.
The normal type of CBT, as might be given to anyone with a chronic illness to help them to adjust, adapt, see some positives, etc., may help. But I would stay well clear of the type that usually goes with GET and is designed to persuade patients that their own thoughts and behaviours are keeping them from recovering, and to make them unlearn all the coping mechanisms they have learned. The primary thing they do is to try to break the ('perceived') link between activity and ill-effects, which is exactly what must not be broken.