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Medically unexplained physical symptoms
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==Biopsychosocial model == The [[biopsychosocial model]] (BPS) is usually used to provide treatment for medically unexplained physical symptoms.<ref name="rcpsych" /><ref name="MUSFaults" /> A key part of this model is the use of psychological approaches, often including a form of psychotherapy called [[cognitive behavioral therapy]]. In patients with ME/CFS, patient groups and a number of different authors, have reported that the biopsychosocial approach has led to substantial rates of harm and multiple types of harm have been identified in this patient group.<ref name="Disdain" /><ref name="Geraghtyharm" /><ref name="OxfordBrookesSurvey" /><ref name="OLeary2018b" /> A survey of over 2,000 British patients with ME/CFS was conducted in 2019 to help inform the revision of the [[NHS]] treatment guidelines, and found that the treatment was more harmful then helpful. The survey reported that more than 1 in 5 patients developed new symptoms while undergoing [[cognitive behavioral therapy]] for ME/CFS, 26% said their physical health had deteriorated as a result, with only 16% reporting improved physical health. Alarmingly, 26% found their mental health deteriorated with this psychological approach.<ref name="ForwardMEsurvey">{{Cite web|url = https://www.meassociation.org.uk/2019/04/forward-me-and-oxford-brookes-university-announce-results-of-patient-survey-on-cbt-and-get-in-me-cfs-03-april-2019/| title = Forward-ME and Oxford Brookes University announce results of patient survey on CBT and GET in ME/CFS | last = The ME Association | date = Apr 2019 | authorlink = The ME Association}}</ref><ref name="OxfordBrookesSurvey">{{Cite web|url = https://www.meassociation.org.uk/wp-content/uploads/NICE-Patient-Survey-Outcomes-CBT-and-GET-Final-Consolidated-Report-03.04.19.pdf | title =Evaluation of a survey exploring the experiences of adults and children with ME/CFS who have participated in CBT and GET interventional programmes. FINAL REPORT | last = Oxford Clinical Allied Technology and Trials Services Unit (OxCATTS)|location=Oxford Brookes University | date = Feb 27, 2019}}</ref> The ''[[psychologization]]'' of patients' illness in the absence of psychological symptoms assumes that psychological help must be needed or beneficial in patients with medically unexplained symptoms, despite the fact that an unknown number of patients may have symptoms caused by an undiagnosed medical condition, a medical condition not yet recognized by modern science, or a recognized medical condition like ME/CFS that is not fully understood yet. {{See also|Cognitive behavioral therapy}}
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