Discover and read the best of Twitter Threads about #dsm5revision

Most recents (2)

@MrTopple @TheChronicColab Here are some pointers on the previous 2007 #MECFS guideline which recommended antidepressants , activity management , sleep restriction and PEM management with no evidence bace . Have they done the same with the replacement guide twitlonger.com/show/n_1sqlvok
@MrTopple @TheChronicColab Does replacement guide mention post exertional malaise by name & that it objectively tested via 2dayCPET or does it make non evidence based recommendations for setbacks & relapses again? NHS website Still claiming “pacing”no evidence & not explicitly stating all areasno evidence
@MrTopple @TheChronicColab NICE comment on pause of the guide says “The guideline recognises that ME/CFS is a complex, multi-system, chronic medical condition”
Does it state this in the replacement guide . Wasn’t aetiology and pathology excluded from the scope ? Not included in evidence review questions Image
Read 26 tweets
@Hltonjames A lot on reform of the NHS is on Kings Fund website

They expanded IAPT 2 longterm conditions & medically unexplained symptoms #IAPTLTCMUS

To reduce access & utilisation 4 joint private providers of health & social care - (STPs)
@Hltonjames Predominate reseach for IAPT expansion “

Is the misleading research at the heart of disability cuts”- and abuse of the biospychosocial model of disability and rehabilitation - The #pacetrial

See @CBTWatch , Book CBT Tsunami by Farhad Dalal . Cash not Care by Mo Stuart
@Hltonjames @CBTWatch It was a political choice 2 utilise the abuse of the biospychosocial model in integrated & personalised care

To create behavioural management pathways 2 reduce access & utilisation 2 reduce “NHS” provider , welfare , & insurance costs
Read 12 tweets

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