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Letters |1 December 2015

Treatment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

Maik Speedy, MD

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TO THE EDITOR:
Smith and colleagues (1) conclude that “trials of … counseling therapies and graded exercise therapy [GET] suggest benefit for some … whereas evidence for … harms is insufficient.” As a physician bedridden with myalgic encephalomyelitis (ME) for more than a decade who is totally dependent on others, all thanks to a major relapse caused by GET, I am in a unique position to answer how harmful GET and cognitive behavioral therapy (CBT) really are. The basis of these therapies is false illness beliefs, meaning that it is all in the mind. These beliefs ignore all of the evidence that ME is a physical disease, such as intracellular immune dysfunctions, which not only restrict exercise capacity but also worsen with exercise (2).
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Speedy M. Treatment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome. Ann Intern Med. ;163:884–885. doi: 10.7326/L15-5170

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Published: Ann Intern Med. 2015;163(11):884-885.

DOI: 10.7326/L15-5170

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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