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As we say here, we are extremely resistant to any move attempting to reclassify M.E. as a "medically unexplained symptom."
I emailed the Countess of Mar last week about the IAPT roll-out and it is on the agenda for our Forward ME meeting tomorrow.
The aim of the IAPT-LTC programme is to ensure that those with long term (physical) conditions (eg. diabetes) have access to psychological therapy, alongside their physical treatment, for comorbid anxiety and depression. This is a positive step given that access to mental health services for this group has been very poor up to now.
However, the guidance being issued (examples here and here) makes it clear that M.E. and/or CFS should be considered as a purely psychological MUS and treated as such.
This needs to be challenged, and we will work with Forward ME to do this. M.E. is not MUS with no organic cause: it is recognised by WHO as neurological and there is mounting evidence of biological abnormalities in patients.
To quote the advocate who sent me these examples: "MUS should not, in any case, imply no organic cause, just insufficient knowledge. Absence of evidence is not evidence of absence. A sicker patient does not need more psychological therapy, they need treatment for their underlying condition." [My bold]
The work we are undertaking to clarify proposed changes around the ICD-10 continues - again, we are working with Forward ME on this.
While the classification of M.E. and/or CFS at WHO level is of course relevant to our international advocacy work, it is only part of it. You can read more about our international advocacy work here, which includes our Millions Missing event in Geneva on 12 May, and a side event at the World Health Assembly - to raise awareness of M.E. and its impact, with a short screening of Unrest - at the end of the month.
So, AfME need to publicly condemn Esther Crawley and bring up all the issues with her on the public record and that will help the WHO and the people in Geneva get a grasp of the kind of issues we are up against.
Will you do that?