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Cognitive behavioral therapy
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== Long term effects == Westen et al (2004) found that psychological therapies in general were ineffective in the long term, although they did not assess ME/CFS separately patients.<ref>{{Cite journal | last = Westen | first = Drew | authorlink = | last2 = Novotny | first2 = Catherine M. | author-link2 = | last3 = Thompson-Brenner | first3 = Heather | author-link3 = | date = 2004 | title = The Empirical Status of Empirically Supported Psychotherapies: Assumptions, Findings, and Reporting in Controlled Clinical Trials. | url = https://dx.org/10.1037/0033-2909.130.4.631 | journal = Psychological Bulletin|language=en|volume=130 | issue = 4 | pages = 631β663|doi=10.1037/0033-2909.130.4.631|issn=1939-1455|pmc=|pmid=|access-date=|quote=|via=}}</ref> ===Reports of harm=== Surveys from patient organizations have found considerable rates of harm from CBT among the patients surveyed.<ref name="Speedy2015" /><ref name="Kindlon2011" /> The largest [[UK]] patient charities, [[ME Association]] and [[Action for ME]], have both called for the use of CBT to challenge "[[illness beliefs]]" to be withdrawn and for [[NHS]] staff to warn patients of the potential for harm.<ref name=":7" /> The largest independent patient survey of patient experiences of CBT and GET in the UK was commissioned by NICE, and found that ME/CFS patients undergoing CBT for their illness were almost twice as likely to have their mental health deteriorate than improve as a result of the course. One in 5 developed new symptoms, physical health was also more likely at show no improvement or be negatively affected than to improve.<ref name="OxfordBrookesSurvey" /> [[Robin Brown]], a British doctor with ME/CFS has created petition that many thousands have signed calling for GET and related CBT to be removed from the UK treatment guidelines immediately.<ref>{{Cite web | url = https://www.change.org/p/nice-stop-harming-me-cfs-patients-take-cbt-get-out-of-me-cfs-guidelines-now | title = NICE stop harming ME/CFS patients - Take CBT and GET out of the CFS guidelines NOW! {{!}} Sign the Petition | last = Brown | first = Robin | authorlink = Robin Brown | date = | website = Change.org|language=en-GB|archive-url=|archive-date=|access-date=2018-11-13}}</ref><ref name=":4" />
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