In Germany there's been a lot of talk about the 'off-label list' for long Covid, which is still in development.

There's a committee of experts looking at it,

and this is what they've come up with until now...:
1/9 They've looked at LDA, LDN and beta-blockers too,

but apparently (for now) found that

agomelatine, a quite ineffective antidepressant,

and vortioxetine, an antidepressant heavily marketed as having positive effects on cognition,

have the broadest evidence base in LC...
2/9

Belgian ideologue prof playing straw man whac-a-mole with long Covid, the mind and the brain in prominent German newspaper @SZ,

also mentioning the already broadly discredited CBT-trial from Kuut and Knoop as a credible source. 😂
1/10

https://twitter.com/SZ/status/1967523516728664116

This guy supervised a thesis by a lung and ICU physician also doing occupational health stuff,

that said most complaints (like evident dysautonomia) were caused and perpetuated by anxiety.
2/10
tbv-online.nl/magazine-artik…

As a mental health professional, now specialized in PAIS,

it remains astounding to me that the level of reasoning,

from medical professionals and others alike,

still goes no further than:

'You don't like the comparison to psych, you stigmatize.'

Utterly primitive.
1/12

https://twitter.com/Musician1980/status/1964326001917251667

Repeat after me:

'It is just as stigmatizing to receive a wrong diagnosis, and to be harmed in the process,

as to not be acknowledged in mental suffering.'

Certainly when both turn out to be the case.

BPS or holism won't ever solve that problem.
2/12

Another gem in @guardian.

The ever marginalized @PaulGarnerWoof is (again) given a podium to conflate (his own) primary psych disorders with LC.

A feat you'd expect from this author,

a 'psychosomatic' neurologist who's made similar mistakes.



1/5theguardian.com/society/2025/m… Left-leaning media platform this 'cause they prefer the idea of the environment and psyche being underestimated,

rather than to face hubris and the unknown.

While complaining about 'biomed reductionism',

all sensible critique is reduced to just that (projection).

2/5

TY all!

As @davidtuller1 referred to at the end, ideologues keep moving the goals posts to remain relevant.

It is part of the answer to David's earlier posed Q om why these dynamics aren't being adressed (enough) by other scientists.

They just don't understand them.

A🧵

1/11

https://twitter.com/davidtuller1/status/1848098810272055427

Opposite the UK/US,

(other) influential European MUS/SSS/FND-researchers won't ever suggest they don't acknowledge the B in BPS.

Using the false-dichotomy straw man as a defense, they'll say everything is important,

while avoiding the clear priority: biomedical research

2

Poor @JimFaas, doing his best by sharing the recent editorial in @TheLancetInfDis on the absence of trials in Long Covid.

Every time he does he gets criticized by a psychiatrist (not on 'X') drowning in ideology. Let's unpack his and his fellow ideologues' claims!

A🧵

1/19 It's not a long text, wouldn't be able to dissect it on twitter if it were.

For context, Jim said on LI that it was strange that a conference the Q was asked if LC pts were screened on burn-out or personality disorders.

I suspect it triggered my colleague's reaction.

/2

@doctorasadkhan @ShaneyWright
Sometimes I just accidentally start a thread when writing a response.

Here is one concerning the FND vs LC/ME/CFS debate.

It turned out to be a bit long 😅
-1/20 It's just really frustrating. There probably are lots of 'structural' abnormalities in somatic symptom disorders (SSD) that we just don't understand yet.

When discovered it depends on the definition if we'll keep calling them functional or not.
-2

In reaction to his questions concerning psych trauma due to the pandemic I accidentally wrote my first ever 🧵. I hope this tweet makes the message more accessible. Thanks @PatientPersists for starting the discussion, hope it will be kept going @LongCovidAdvoc. #Iamvulnerable

https://twitter.com/PatientPersists/status/1571060201637421056

Hi Siebe, what an interesting take on things! I do think society as a whole has been traumatized. On a more personal level I'd think most people have been chronically (micro)traumatized, more than they have full blown PTSD. It makes it harder to detect.
- 1