Sly Saint
Senior Member (Voting Rights)
Have been going thro this.
http://www.bcwomens.ca/health-professionals/professional-resources/complex-chronic-diseases
Clinical Protocol
http://www.bcwomens.ca/health-professionals/professional-resources/complex-chronic-diseases
Clinical Protocol
Graded Exercise Therapy (GET) had previously been recommended as a treatment for ME/CFS; it promoted the idea that patients were simply deconditioned or had false beliefs about their symptoms and that GET would make them better.
o This is no longer recommended to people with ME/CFS, rather, those with ME/CFS are encouraged to pace themselves and keep activities within their tolerance limits
o Formal exercise can be considered if the energy envelope permits and does not cause post-exertional malaise
http://www.bcwomens.ca/Specialized-... Diseases (CCDP)/Clinical Protocol-ME-CFS.pdfThe discredited PACE trial has caused much confusion. It used Cognitive Behaviour Therapy (CBT) as a treatment for ME/CFS; it assumed that ME/CFS was a psychological illness
o While CBT and other psychotherapies are not treatments for ME/CFS, they can help patients develop coping strategies to deal with the emotional consequences of living with a long-term illness, and help with the safe planning of activity and pacing. Along with mindfulness techniques, it is useful in helping patients deal with stress reduction. It can also help when acceptance and identity – among other issues – are barriers to implementing self-management strategies.