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Medically unexplained physical symptoms
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==Criticism and controversy== The whole MUS concept of ''lumping'' different syndromes or illnesses, or groups of symptoms together - all of which are then regarded as "non-diseases" - has been criticized as unscientific and lacking evidence - especially with wrongly including ME/CFS, which is recognized as a [[neurological disorder|neurological ''disease'']] by the [[World Health Organization]].<ref name="continue" /><ref name="MUSFaults" /><ref name="OLeary2018a" /><ref name="Scott2018" /> In the [[United Kingdom|UK]], the effect of this is that patients regarded as having "MUS conditions" or MUS symptoms are treated under the [[Improving Access to Psychological Therapies]] (IAPT) programme, a [[mental health]]-only approach which does not have the facilities or skills to treat complex and severe physical health problems.{{citation needed}} [[File:ME-is-not-MUS.jpg|alt=ME is not Medically Unexplained Symptoms. M.E. is not MUS, and categorising it as such contradicts the World Health Organisation’s International Classification of Diseases, which states that M.E. is a neurological condition. - Action for ME|thumb]] The inclusion of [[ME/CFS]] under MUS has been heavily criticized by advocates and patients with ME,<ref>{{Cite web|url=https://forums.phoenixrising.me/threads/mus-pps-services-and-iapt-integration-into-nhs-primary-care-whats-happening-across-the-uk.48710/ | title = MUS, PPS services and IAPT integration into NHS primary care - what's happening across the UK? | website = Phoenix Rising ME / CFS Forums|language=en-US|access-date=2019-07-10}}</ref> especially in the [[UK]] which is obliged to follow the World Health Organization's classification system - which recognizes ME / CFS / Post-viral syndrome under [[:Category:neurological diseases and disorders|neurological diseases]], and excludes then from other categories.<ref name="MEA201707" /><ref name="Spoonseeker2018Holes" /><ref name="Marks2018" /> An article in ''Positive Health'' stated that MUS will divert funding from the UK's [[mental health]] system by wrongly including [[ME/CFS]].<ref name="Diverting">{{Cite web|url=http://www.positivehealth.com/article/cfs-me/medically-unexplained-symptoms-diverting-5-year-funding-from-mental-health | title = ‘Medically Unexplained Symptoms’ - Diverting 5-Year Funding from Mental Health | website = positivehealth.com|access-date=2019-07-10}} </ref> The [[Countess of Mar]] has asked questions about the problems of MUS and ME/CFS in the UK parliament's House of Lords.<ref name="MEA201707">{{Cite web|url=https://www.meassociation.org.uk/2017/07/countess-of-mar-and-lord-hunt-defend-mecfs-in-lords-debate-on-medically-unexplained-symptoms-05-july-2018/ | date = Jul 2017 | title = Countess of Mar and Lord Hunt defend ME/CFS in Lords debate on medically unexplained symptoms {{!}} 05 July 2017 | last = The ME Association |language=en-|access-date=2019-07-10}} </ref> Dr [[James Coyne]] revealed that [[Peter White]], lead author of the highly controversial [[PACE trial]] and advisor to the UK [[Department for Work and Pensions]], did not disclose his financial interests with health insurers for the PROSPERO review.<ref>{{Cite web|url=https://jcoynester.wordpress.com/2016/01/05/undisclosed-conflicts-of-interest-in-a-systematic-review-protocol-of-interventions-for-medically-unexplained-symptoms/ | date = May 1, 2016 | title = Undisclosed conflicts of interest in a systematic review protocol of interventions for medically unexplained symptoms (Protected Blog)|website=jcoynester.wordpress.com|access-date=2019-07-10 | last = Coyne | first = James | authorlink = James Coyne}}</ref> Patient advocates have critiqued the basis and motive of the rollout of the MUS concept and treatments in the UK.<ref>{{Cite web|url=https://spoonseeker.com/2018/06/20/a-morass-of-mus/ | title = A Morass of MUS | last = Spoonseeker | first = | date = 2018-06-20 | website = spoonseekerdotcom|language=en|access-date=2019-07-10}}</ref><ref name="Spoonseeker2018Holes">{{Cite web|url=https://spoonseeker.com/2018/07/29/probing-the-holes-in-mus/ | title = Probing the Holes in MUS | last = Spoonseeker | first = | date = 2018-07-29 | website = spoonseekerdotcom|language=en|access-date=2019-07-10}}</ref>
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