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Medical gaslighting
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==Forced treatment == The belief of some health professionals that ME/CFS is entirely or partly psychological/behavioral in nature has led to some patients, including children, being forcibly admitted to locked psychiatric units in order to force them to participate in treatment that they had previously declined. Concerns over forced treatment of [[Severe and very severe ME|severely ill ME patients]] has led to some charities to produce advise for patients and carers about how to avoid unnecessary and harmful forced psychiatric admission.<ref name="PreventUnnecessarySectioning">{{Cite web|url=https://25megroup.org/download/2527/ | title = Knowledge in the Hope of Protecting M.E. Sufferers from Unnecessary Sectioning | last2 = 25% ME Group | first2 = | authorlink2 = 25 Percent ME Group | last = The Grace Charity for M.E. | first = | authorlink = The Grace Charity for M.E. | date = Jan 2019|website=|archive-url=|archive-date=|url-status=|access-date=2019-07-12}}</ref> Patients known to have been subjected to inappropriate forced treatments in psychiatric units include [[Sophia Mirza]], who died of M.E. just a few months after being released,<ref name="sophia">{{Cite web|url=http://www.investinme.org/Article-050%20Sophia%20Wilson%2001.htm | title = The Story of Sophia and M.E. | last = | first = | date = |website=[[Invest in ME Research]]|archive-url=|archive-date=|url-status=|access-date=2018-08-10}}</ref><ref name="SophiaAutopsy">{{Cite web|url=http://www.sophiaandme.org.uk/neuropathologicalreport.html | title = Neuropathological Report | last = | first = | date = |website=Sophia and ME|archive-url=|archive-date=|url-status=|access-date=2018-08-10}}</ref> and [[Karina Hansen]], who was later found to have been illegally detained.<ref name="Kos">https://www.dailykos.com/story/2016/10/26/1587112/-Karina-Hansen-is-Finally-Home-sort-of</ref> ME/CFS is not classified as a psychological disorder, so patients typically have this diagnosis removed and are misdiagnosed with a psychiatric diagnosis that includes physical symptoms instead, e.g., [[bodily distress disorder]], [[functional somatic syndrome]], [[medically unexplained symptoms|somitization or conversion disorder]], or in the case of children, the unrecognised diagnosis of [[Pervasive Refusal Syndrome|pervasive refusal syndrome]].<ref name="PreventUnnecessarySectioning" /> The mental illness diagnosis can be used to claim patients are unable to make their own healthcare decisions or are not able to make decisions in their own best interests, which allows doctors to determine their treatment for them. Forced treatments may include [[exercise]], [[cognitive behavioral therapy]] (if patients can still speak), or behavioral approaches like removing disability aids and leaving food out of reach to "motivate" patients to [[Post-exertional malaise|over-exert]] in order to eat.<ref name="PreventUnnecessarySectioning" />
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