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25 days agoMyalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) was originally dismissed by a lot of community doctors as well as more academic medical people. There are still a few who don’t believe in it and dismiss it as a behavioural or attitude problem. Thankfully those people are in the minority now. Unfortunately that doesn’t mean they’re not in influential positions.
One surprising contributor to validating ME/CFS is long covid, which seems to be the same condition but catalysed by a different virus.
I’m not a medical expert and could have mistakes in the above post but it’s generally correct.
I prefer the term post-viral fatigue too. However it’s incorrect to say that we don’t know if it’s a psychological or behavioural issue. GET and CBT have been thoroughly rubbished as interventions. Not only are they ineffective but they are dangerous.
I get to hear the leading experts* once per year talk about this and they have absolutely honed in on immune response and mitochondrial dysfunction as most probable causes. They are at the stage of proposing diagnostic criteria now. Things could get worse before they get better but we can confidently say that this is a medical condition now.