@Hltonjames@CBTWatch MUS pathway refers 2 secondary psychiatric care if no compromise with GP over biospychosocial approach . IMPARTS training includes questioning mental capacity if don’t cooperate
Focus also on engagement & adherence .
@Hltonjames@CBTWatch Aim seem to be 4 all patients to be managed according 2 the abuse of the biospychosocial model & the patient management pathways being created
@Hltonjames@CBTWatch Functional (conversion) neurological disorder is being used in Scottish action plan 4 persistent neurological symptoms .
Can exist alongside diagnosis contributing to disability or to remove longstanding diagnosis
Lerner discovered with increasing work loads gross left ventricular dysfunction occurred. Fatigue of patients #MECFS may be related to subtle cardiac dysfunction occurring at work loads common to ordinary living. “ & that cardiac left ventricular function improved with acyclovir