David Tuller [13/6/18]: A Curriculum for Treating CFS with CBT

Looks like David's starting to dig into the IAPT stuff, which seems as grim as anyone could fear:

http://www.virology.ws/2018/06/13/trial-by-error-a-curriculum-for-treating-cfs-with-cbt/

 

The Geraghty tweet:


I am so glad that Trudie Chalder is finally getting the 'recognition' she deserves for her major part in the whole CBT scam.

thanks @dave30th

 

"The same crap as always."

<3

 

Under 'our experts'
"
Director, Chronic Fatigue Service |Professor
Professor Chalder is the director of the Chronic Fatigue Service as well as a professor of cognitive behavioural psychotherapy with the Department of Psychological Medicine, at the Institute of Psychiatry, King’s College London.

Other roles
Professor Chalder gives national and international lectures on CFS. She has been closely involved in developing and evaluating treatments for adolescents and adults with CFS. These studies have contributed to recommendations made in the NICE guidelines.

Professor Chalder has also taken part in international collaborations with Professor Hege Erikson (Norway) and Dr John Wells (Ireland).

Background
Professor Chalder qualified as a registered general nurse in 1981 at Grimsby General Hospital. In 1984, she completed her registered mental nurse training at Tooting Bec Hospital, London. She completed her Master of Science (MSc) in 1990 at City University in London. In 1998, she went onto complete her PhD at the Institute of Psychiatry, King’s College London.

Research
Professor Chalder’s research interests are focused on developing cognitive behavioural models and treatments for medically unexplained symptoms and symptoms related to chronic disease."

https://www.national.slam.nhs.uk/about-us/our-experts/trudiechalder/

plus of course she's in a band!
https://www.s4me.info/threads/babcp-band-bedlam-featuring-trudie-chalder-gig.3778/

eta: forgot to mention the CFQ

 

What is useful about flagging up this document is that it makes it completely transparent that those in charge of PACE and IAPT do not understand the difference between reliable evidence/inference and making things up as you go along.

It is revealed. These people do not understand how science works. The essence is 'learn how to put two and two together and make whatever number you like.'

 

I think it needs to be pointed out that treating people for a psychological disorder they don't have actually costs more money then it saves as well as the emotional and physical harm induced.

 

The cumulative (direct and indirect) costs of misdiagnosis and mistreatment must be huge.

 

Indirect costs are not measured on the same chart so they don't matter

 

Of course there are other costs involved in setting up shiny new IAPT clinics - the cost of employing all these barely trained "therapists" who will have holiday pay, national insurance contributions and a public sector pension.

Of course they will be so minimally trained that if the IAPT clinics eventually close they will be virtually useless elsewhere within the NHS.

These clinics will be a massive millstone around the neck of the health service for years, if not decades.

 

Especially as in some cases it is probably going to induce psychological issues they never previously had. A serious suggestion, not (just) sarcasm. Is this a form of harm in itself? 'Treating' someone for a mental illness they do not have feels like it's going to induce its own stresses into a person.

 

I would say definitely. Years ago I met a lady who had MS. It was quite advanced. Although English she was living in poor South African country when she first got sick. This was way back when MS was not as well understood. The doc told her he thought she had MS and that she should return to the UK as she would get better treatment.

On moving back her GP took a few blood tests and told her she didn't have MS. She didn't know you couldn't diagnose it this way. She then embarked on years and years of anti depressants and psych appointments and feeling emotionally numb, unable to connect with either of her children.

By the time she was correctly diagnosed, she felt her life had been destroyed. She had no relationship with her now adult kids. Her career as a musician ended long before - emotionally numb isn't conducive. She felt she had no fight left in her by the time she got the correct diagnosis/and no self confidence left either as people had been denying her symptoms were "real".

So there 's the fairly significant harm to her and the knock on harm to her family.

 

Indeed.
Not being believed makes a big difference to someone's emotional well being and being treated badly because of it will cause harm. Ironically the opposite of what these psychs claim their goal is...
I sometimes wonder how they fall into this trap, part of it is probably their hubris, their faulty beliefs, their unwillingness to listen to patients, their subconscious biases, their need to think they are doing a good job and are in control, victim blaming, the list goes on.

And not being treated for what they really have means their physical condition will get worse because its untreated.

 

Their "treatment" is a huge stressor.

 

Trudie Chalder was clearly in demand after PACE:
BABCP

President Elect: 2011-2012
President: 2012-2014

http://www.babcp.com/About/Past-Executive-Officers-and-Committee.aspx

 

Am trying to find an original/unedited version of this interview with Chalder (post PACE?) which is putting CFS in with MUS.

 

Could be worth contacting Maxwhd on twitter if you have an account - looks like he put it on youtube:

https://twitter.com/maxwhd/with_replies