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Health anxiety
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==ME/CFS == The [[biopsychosocial model]] of [[ME/CFS]] assumes a person with [[ME/CFS]] ''must be'' fearful of increasing their level of activity or [[exercise]], and that this fear is an [[illness beliefs|illness belief]] that is not based on fact, but on exaggerated fears that exercise will be damaging to health.{{citation needed}} Effectively, this model assumes everyone with [[myalgic encephalomyelitis]] or [[chronic fatigue syndrome]] has no ongoing disease process and suffers only the effect of physical [[deconditioning]] and behaviors such as a poor sleep routine. The suggested treatment is [[Cognitive behavioral therapy|Cognitive Behavioral Therapy]] to address these fearful [[illness beliefs]], and/or [[Graded exercise therapy |Graded Exercise Therapy]], a behavioral treatment to gradually increase activity and exercise levels. [[Per Fink]] has proposed that the belief in having a serious physical illness is present in people with this diagnosis.<ref name="FinkHealthyAnxietybook" /> A mental illness does not exist may be incorrectly diagnosed in people with [[ME/CFS]]; some people with [[Severe and very severe ME |severe and very severe ME]], for example [[Sophia Mirza]] and [[Karina Hansen]] have been forcibly treatment in a mental health unit on the assumption that their [[ME/CFS]] symptoms were caused by a psychiatric condition. Some people will have health anxiety in addition to [[ME/CFS]].{{citation needed}} Conversely, in the [[International Consensus Criteria]], a somatoform disorder must be ruled out in order to diagnose ME.
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