knowing that on one level maybe I could do the thing. So the people that are

struggling with this they have that too so you being able to support them in believing themselves and in listening to their body and maybe helping them track, because tracking is a big part of it.

But that would be a way to be supportive of like really helping them come to accept.

One of the treatments that they used to recommend, I mean by used to I mean recently,

this is still a little bit controversial, like I said it was that graded exercise

that now they are not recommending for people even long COVID with post-exertional

malaise it can be counter indicated right to, to push yourself, meaning...

To push yourself, right, that this is not a good idea when you have it.

It can make you worse.

But also, there was a CBT therapy that they were really pushing and saying that there was evidence for that's

again the controversy is that that was not good science you can certainly look

into that yourself but I think where people are settling is the

CBT that they're talking about CBT meaning cognitive behavioral therapy was

helping convince them that it was in their head, right? Helping them push past their own internal barriers,

that also is contraindicated because in fact that's not the case. Now CBT therapy that helps someone accept what's happening and

understand it and get more in touch with their body and listen, that's different and that's

certainly welcome. When you hear people push back about CBT therapy

for this, it's the kind of therapy where basically

the therapist is really trying to convince you

that it's in your head.

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