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	<title>Comments for Mental Nurse</title>
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	<description>"Philosophical rhetoric when not grounded in reality is nowt but sophistry of the most facile variety." - DeeDee Ramona</description>
	<pubDate>Wed, 23 Jul 2008 17:23:14 +0000</pubDate>
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		<title>Comment on Iris Robinson MP by oldschoolbaby</title>
		<link>http://www.mentalnurse.org.uk/2008/07/23/iris-robinson-mp/#comment-9798</link>
		<dc:creator>oldschoolbaby</dc:creator>
		<pubDate>Wed, 23 Jul 2008 16:30:20 +0000</pubDate>
		<guid isPermaLink="false">http://www.mentalnurse.org.uk/?p=773#comment-9798</guid>
		<description>BTW, my final sentence ( above ) isn`t directed at E.  Self explanatory really as if he thought Iris should be banned he wouldn`t have posted her up.  Just trying to avoid detention.</description>
		<content:encoded><![CDATA[<p>BTW, my final sentence ( above ) isn`t directed at E.  Self explanatory really as if he thought Iris should be banned he wouldn`t have posted her up.  Just trying to avoid detention.</p>
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		<title>Comment on Iris Robinson MP by oldschoolbaby</title>
		<link>http://www.mentalnurse.org.uk/2008/07/23/iris-robinson-mp/#comment-9797</link>
		<dc:creator>oldschoolbaby</dc:creator>
		<pubDate>Wed, 23 Jul 2008 14:15:57 +0000</pubDate>
		<guid isPermaLink="false">http://www.mentalnurse.org.uk/?p=773#comment-9797</guid>
		<description>Mock all you like.  Iris, Peter Robinson, Iain Paisley ( the founder and former leader of the DUP ) and the DUP itself are the products of a troubled land.  I couldn`t understand it all before I went to Northern Ireland but very quickly I got consumed by it.  I strongly suspect that if I`d have been born on the Falls Road, I`d have been in the IRA and if I`d have been born on the Shankill I`d have been a UVF man.  Say what you like about the DUP and the Free Presbyterians ( one and the same thing ) they didn`t pick up arms and kill and maim the opposition.  In reality, I suppose, that makes them better people than me.  Instead they found succour in their, rather too fundamentalist, Christian belief.  Believe me, these people needed to find succour in something.

Now you can look at this superficially and get pompous or you can think about it and learn something.  If you think Iris should be banned, you`re a "blithering idiot".</description>
		<content:encoded><![CDATA[<p>Mock all you like.  Iris, Peter Robinson, Iain Paisley ( the founder and former leader of the DUP ) and the DUP itself are the products of a troubled land.  I couldn`t understand it all before I went to Northern Ireland but very quickly I got consumed by it.  I strongly suspect that if I`d have been born on the Falls Road, I`d have been in the IRA and if I`d have been born on the Shankill I`d have been a UVF man.  Say what you like about the DUP and the Free Presbyterians ( one and the same thing ) they didn`t pick up arms and kill and maim the opposition.  In reality, I suppose, that makes them better people than me.  Instead they found succour in their, rather too fundamentalist, Christian belief.  Believe me, these people needed to find succour in something.</p>
<p>Now you can look at this superficially and get pompous or you can think about it and learn something.  If you think Iris should be banned, you`re a &#8220;blithering idiot&#8221;.</p>
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		<title>Comment on Iris Robinson MP by E</title>
		<link>http://www.mentalnurse.org.uk/2008/07/23/iris-robinson-mp/#comment-9796</link>
		<dc:creator>E</dc:creator>
		<pubDate>Wed, 23 Jul 2008 13:51:26 +0000</pubDate>
		<guid isPermaLink="false">http://www.mentalnurse.org.uk/?p=773#comment-9796</guid>
		<description>I think she is a witch let's throw her in the Thames and see is she floats!</description>
		<content:encoded><![CDATA[<p>I think she is a witch let&#8217;s throw her in the Thames and see is she floats!</p>
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		<title>Comment on Iris Robinson MP by a and e charge nurse</title>
		<link>http://www.mentalnurse.org.uk/2008/07/23/iris-robinson-mp/#comment-9795</link>
		<dc:creator>a and e charge nurse</dc:creator>
		<pubDate>Wed, 23 Jul 2008 13:47:57 +0000</pubDate>
		<guid isPermaLink="false">http://www.mentalnurse.org.uk/?p=773#comment-9795</guid>
		<description>I wonder if Iris remembers this ?
http://uk.youtube.com/watch?v=jxo810k9Urk&#38;feature=related</description>
		<content:encoded><![CDATA[<p>I wonder if Iris remembers this ?<br />
<a href="http://uk.youtube.com/watch?v=jxo810k9Urk&amp;feature=related" rel="nofollow">http://uk.youtube.com/watch?v=.....re=related</a></p>
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		<title>Comment on Iris Robinson MP by a and e charge nurse</title>
		<link>http://www.mentalnurse.org.uk/2008/07/23/iris-robinson-mp/#comment-9792</link>
		<dc:creator>a and e charge nurse</dc:creator>
		<pubDate>Wed, 23 Jul 2008 10:10:07 +0000</pubDate>
		<guid isPermaLink="false">http://www.mentalnurse.org.uk/?p=773#comment-9792</guid>
		<description>My favourite joke is told by an Irishman [Dave Allan].

It is funny, and like the very best lokes contains a serious message........it goes like this.
NB obviously, I make no claims to be able to reproduce Allen's masterly delivery.

Following the death of a hunchback a rather earnest, and pompous village priest is admonishing the parishoners at the mans funeral.
"I don't know how you lot have the nerve to show your faces", snorts the Priest.
"None of you ever had a kind word to say for the hunchback when he was alive".
"When kids weren't throwing rocks at him, adults were either taking the piss, or ignoring him in the pub".
"You lot are a disgrace" concludes the vengeful priest.
"Now, I'm going down to the vault to pay my final respects".

The priest makes his way deep into the bowels of the spooky old church.
The tormented hunchback lies alone in the crypt. 
His final resting place is an open coffin.............heavy coins covering both eyes.
Due to the severity of spinal curvature his chest is bound by a creaking old leather strap.

Suddenly the ligature gives way and the hunchback appears to lurch forward. 
The pennies fall from his eyes as he emits an involuntary gasp of air.

"Holy mother of god", screams the Priest as he turns to run.
But in his frantic attempt to escape the sleeve of his billowing cassock catches on the door handle, impeding his desperate escape.

"Let go, you humpty backed bastard" screams the priest, "get your fucking heathen claws off me".     

Allen was notoriously scathing about religious bigotry in Ireland.
I would much sooner he [or commentators like him, since Allen is sadly no longer with us] dealt with the likes of  Iris Robinson, rather than suppressing the admittedly discriminatory bilge she seems to believe in, or expects others to.</description>
		<content:encoded><![CDATA[<p>My favourite joke is told by an Irishman [Dave Allan].</p>
<p>It is funny, and like the very best lokes contains a serious message&#8230;&#8230;..it goes like this.<br />
NB obviously, I make no claims to be able to reproduce Allen&#8217;s masterly delivery.</p>
<p>Following the death of a hunchback a rather earnest, and pompous village priest is admonishing the parishoners at the mans funeral.<br />
&#8220;I don&#8217;t know how you lot have the nerve to show your faces&#8221;, snorts the Priest.<br />
&#8220;None of you ever had a kind word to say for the hunchback when he was alive&#8221;.<br />
&#8220;When kids weren&#8217;t throwing rocks at him, adults were either taking the piss, or ignoring him in the pub&#8221;.<br />
&#8220;You lot are a disgrace&#8221; concludes the vengeful priest.<br />
&#8220;Now, I&#8217;m going down to the vault to pay my final respects&#8221;.</p>
<p>The priest makes his way deep into the bowels of the spooky old church.<br />
The tormented hunchback lies alone in the crypt.<br />
His final resting place is an open coffin&#8230;&#8230;&#8230;&#8230;.heavy coins covering both eyes.<br />
Due to the severity of spinal curvature his chest is bound by a creaking old leather strap.</p>
<p>Suddenly the ligature gives way and the hunchback appears to lurch forward.<br />
The pennies fall from his eyes as he emits an involuntary gasp of air.</p>
<p>&#8220;Holy mother of god&#8221;, screams the Priest as he turns to run.<br />
But in his frantic attempt to escape the sleeve of his billowing cassock catches on the door handle, impeding his desperate escape.</p>
<p>&#8220;Let go, you humpty backed bastard&#8221; screams the priest, &#8220;get your fucking heathen claws off me&#8221;.     </p>
<p>Allen was notoriously scathing about religious bigotry in Ireland.<br />
I would much sooner he [or commentators like him, since Allen is sadly no longer with us] dealt with the likes of  Iris Robinson, rather than suppressing the admittedly discriminatory bilge she seems to believe in, or expects others to.</p>
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		<title>Comment on Iris Robinson MP by Mr Ian</title>
		<link>http://www.mentalnurse.org.uk/2008/07/23/iris-robinson-mp/#comment-9791</link>
		<dc:creator>Mr Ian</dc:creator>
		<pubDate>Wed, 23 Jul 2008 09:39:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.mentalnurse.org.uk/?p=773#comment-9791</guid>
		<description>More quotes from Iris
&lt;i&gt;"I stand by my faith and the word of God that man was created in the image of God and that woman was created from the rib of Adam to be his helpmeet and companion. That is the natural progression of procreation.
The word of God says that procreation is through a man and a woman"&lt;/i&gt;
Which is biologically correct...
and I'd be the first person to become concerned if homosexuals or lesbians were to conceive a child together... well perhaps the third person.

I wonder if it's worth asking hubby Peter if she ever takes it in the arse?</description>
		<content:encoded><![CDATA[<p>More quotes from Iris<br />
<i>&#8220;I stand by my faith and the word of God that man was created in the image of God and that woman was created from the rib of Adam to be his helpmeet and companion. That is the natural progression of procreation.<br />
The word of God says that procreation is through a man and a woman&#8221;</i><br />
Which is biologically correct&#8230;<br />
and I&#8217;d be the first person to become concerned if homosexuals or lesbians were to conceive a child together&#8230; well perhaps the third person.</p>
<p>I wonder if it&#8217;s worth asking hubby Peter if she ever takes it in the arse?</p>
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		<title>Comment on Encephalomyelitis and Incapacity Benefit by E</title>
		<link>http://www.mentalnurse.org.uk/2008/07/21/encephalomyelitis-and-incapacity-benefit/#comment-9790</link>
		<dc:creator>E</dc:creator>
		<pubDate>Wed, 23 Jul 2008 07:39:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.mentalnurse.org.uk/?p=770#comment-9790</guid>
		<description>"I have little to add to the above, other than to express the opinion that diagnostic opinions should not be based on a brief snippet from a radio interview."

Don't be so sanctimonious Z expressing an opinion is all any of us are doing. Or is it your opionion that no one else has the right to express their opinion except when it agrees with your opinion.  And what is a diagnostic opinion any way?

“Why is advocacy a less acceptable form of voluntary work than any other? Through it, she can acquire valuable transferable skills that would appeal to many employers.”

Advocacy is a perfectly acceptable form of voluntary work and if it were to lead onto paid employment so much the better.  My point is that this lady’s advocacy work has I suspect become an end unto itself rather than a means to a better life.

Lorna,

The point I was trying to make is that trying to “prove” that ME is a real complaint as opposed to a “social construct” is an exercise in futility as so much of what we take for reality is itself socially constructed or constructed in a social setting.

“If she were to spend a 1/10 of the effort she puts into advocating for ME sufferers she might be able to get herself to work and spend a half day a week doing voluntary work and then build on that, which would I suspect do her more good for in the long run.
Thing is, you really don’t know that”

And you don’t know it isn’t

“she can not speak up, and have her life suck, or she can speak up, and be accused of doing too much activism and being able to get better if she only wanted to.”

No one is accusing this woman of doing “too much” activism (how much is too much activism) and whether this woman’s life sucks is I suspect up to her to a large extent.  If she finds meaning and purpose to her life arguing that ME is a “real” illness then good for her I wish her well. I was trying to suggest a more productive way that she might spend her time and energy.

As I said before ME is a cause celebra for some people and like all deeply held political and religious views is not a subject for debate which is a shame.</description>
		<content:encoded><![CDATA[<p>&#8220;I have little to add to the above, other than to express the opinion that diagnostic opinions should not be based on a brief snippet from a radio interview.&#8221;</p>
<p>Don&#8217;t be so sanctimonious Z expressing an opinion is all any of us are doing. Or is it your opionion that no one else has the right to express their opinion except when it agrees with your opinion.  And what is a diagnostic opinion any way?</p>
<p>“Why is advocacy a less acceptable form of voluntary work than any other? Through it, she can acquire valuable transferable skills that would appeal to many employers.”</p>
<p>Advocacy is a perfectly acceptable form of voluntary work and if it were to lead onto paid employment so much the better.  My point is that this lady’s advocacy work has I suspect become an end unto itself rather than a means to a better life.</p>
<p>Lorna,</p>
<p>The point I was trying to make is that trying to “prove” that ME is a real complaint as opposed to a “social construct” is an exercise in futility as so much of what we take for reality is itself socially constructed or constructed in a social setting.</p>
<p>“If she were to spend a 1/10 of the effort she puts into advocating for ME sufferers she might be able to get herself to work and spend a half day a week doing voluntary work and then build on that, which would I suspect do her more good for in the long run.<br />
Thing is, you really don’t know that”</p>
<p>And you don’t know it isn’t</p>
<p>“she can not speak up, and have her life suck, or she can speak up, and be accused of doing too much activism and being able to get better if she only wanted to.”</p>
<p>No one is accusing this woman of doing “too much” activism (how much is too much activism) and whether this woman’s life sucks is I suspect up to her to a large extent.  If she finds meaning and purpose to her life arguing that ME is a “real” illness then good for her I wish her well. I was trying to suggest a more productive way that she might spend her time and energy.</p>
<p>As I said before ME is a cause celebra for some people and like all deeply held political and religious views is not a subject for debate which is a shame.</p>
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		<title>Comment on More on Emo by The &#8220;Sinister Cult of Emo&#8221; &#171; Coloured mind and scattered thoughts</title>
		<link>http://www.mentalnurse.org.uk/2008/05/23/more-on-emo/#comment-9789</link>
		<dc:creator>The &#8220;Sinister Cult of Emo&#8221; &#171; Coloured mind and scattered thoughts</dc:creator>
		<pubDate>Wed, 23 Jul 2008 04:05:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.mentalnurse.org.uk/?p=696#comment-9789</guid>
		<description>[...] have now rather run out of steam, (You should probably read this over at mentalnurse head quarters for a better explanation) I am sure I shall come back to this post [...]</description>
		<content:encoded><![CDATA[<p>[...] have now rather run out of steam, (You should probably read this over at mentalnurse head quarters for a better explanation) I am sure I shall come back to this post [...]</p>
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		<title>Comment on Encephalomyelitis and Incapacity Benefit by Nutty</title>
		<link>http://www.mentalnurse.org.uk/2008/07/21/encephalomyelitis-and-incapacity-benefit/#comment-9788</link>
		<dc:creator>Nutty</dc:creator>
		<pubDate>Wed, 23 Jul 2008 01:44:57 +0000</pubDate>
		<guid isPermaLink="false">http://www.mentalnurse.org.uk/?p=770#comment-9788</guid>
		<description>"If she were to spend a 1/10 of the effort she puts into advocating for ME sufferers she might be able to get herself to work and spend a half day a week doing voluntary work and then build on that, which would I suspect do her more good for in the long run."

But she *is* doing voluntary work, namely her advocacy.  Why is advocacy a less acceptable form of voluntary work than any other?  Through it, she can acquire valuable transferable skills that would appeal to many employers...</description>
		<content:encoded><![CDATA[<p>&#8220;If she were to spend a 1/10 of the effort she puts into advocating for ME sufferers she might be able to get herself to work and spend a half day a week doing voluntary work and then build on that, which would I suspect do her more good for in the long run.&#8221;</p>
<p>But she *is* doing voluntary work, namely her advocacy.  Why is advocacy a less acceptable form of voluntary work than any other?  Through it, she can acquire valuable transferable skills that would appeal to many employers&#8230;</p>
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		<title>Comment on Dr Crippen and the Gallowgate Scandal by Socrates</title>
		<link>http://www.mentalnurse.org.uk/2008/07/22/dr-crippen-and-the-gallowgate-scandal/#comment-9787</link>
		<dc:creator>Socrates</dc:creator>
		<pubDate>Tue, 22 Jul 2008 22:45:38 +0000</pubDate>
		<guid isPermaLink="false">http://www.mentalnurse.org.uk/?p=772#comment-9787</guid>
		<description>I think you'll find shouting "Job Centre" is equally effective.</description>
		<content:encoded><![CDATA[<p>I think you&#8217;ll find shouting &#8220;Job Centre&#8221; is equally effective.</p>
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		<title>Comment on Encephalomyelitis and Incapacity Benefit by zarathustra</title>
		<link>http://www.mentalnurse.org.uk/2008/07/21/encephalomyelitis-and-incapacity-benefit/#comment-9786</link>
		<dc:creator>zarathustra</dc:creator>
		<pubDate>Tue, 22 Jul 2008 22:36:15 +0000</pubDate>
		<guid isPermaLink="false">http://www.mentalnurse.org.uk/?p=770#comment-9786</guid>
		<description>I have little to add to the above, other than to express the opinion that diagnostic opinions should not be based on a brief snippet from a radio interview.</description>
		<content:encoded><![CDATA[<p>I have little to add to the above, other than to express the opinion that diagnostic opinions should not be based on a brief snippet from a radio interview.</p>
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		<title>Comment on Encephalomyelitis and Incapacity Benefit by Lorna</title>
		<link>http://www.mentalnurse.org.uk/2008/07/21/encephalomyelitis-and-incapacity-benefit/#comment-9785</link>
		<dc:creator>Lorna</dc:creator>
		<pubDate>Tue, 22 Jul 2008 22:09:51 +0000</pubDate>
		<guid isPermaLink="false">http://www.mentalnurse.org.uk/?p=770#comment-9785</guid>
		<description>E - 

"The woman with ME who was interviewed on You and Yours’ was I think getting her self caught up in the is ME a natural type and therefore “real” vs is ME a social construct and therefore imaginary debate"

I'm gonna guess that's because she's had to spend a lot of time justifying herself as having a "real illness". What'd it used to be called? "Yuppie flu"?

"If she were to spend a 1/10 of the effort she puts into advocating for ME sufferers she might be able to get herself to work and spend a half day a week doing voluntary work and then build on that, which would I suspect do her more good for in the long run."

Thing is, you really don't know that. And you're doing that thing again, when you say this, where you insinuate that she her disability can't be a real problem if she's got the energy to do X other thing. I mean, you don't know about this woman's life. And I don't know much about ME, but if it's a condition where you get good days and bad days, remission and relapse, that could account for an apparent difference between what she says she can do and what she seems to be able to do. 

"The problem for this unfortunate lady is that ME is what she feels passionate about"

I'd imagine that she knows what her problem is, and I'd imagine she'd say it's ME, rather than her activism. She's caught between a rock and a hard place - she can not speak up, and have her life suck, or she can speak up, and be accused of doing too much activism and being able to get better if she only wanted to. 

I'm sure you didn't mean your points as an attack on this woman, but as someone who's damn sick of explaining that yes, my illness is real, and yes I've tried thinking positive and perseverance and all that, especially to people who probably mean well but should know better, it really does read that way.</description>
		<content:encoded><![CDATA[<p>E - </p>
<p>&#8220;The woman with ME who was interviewed on You and Yours’ was I think getting her self caught up in the is ME a natural type and therefore “real” vs is ME a social construct and therefore imaginary debate&#8221;</p>
<p>I&#8217;m gonna guess that&#8217;s because she&#8217;s had to spend a lot of time justifying herself as having a &#8220;real illness&#8221;. What&#8217;d it used to be called? &#8220;Yuppie flu&#8221;?</p>
<p>&#8220;If she were to spend a 1/10 of the effort she puts into advocating for ME sufferers she might be able to get herself to work and spend a half day a week doing voluntary work and then build on that, which would I suspect do her more good for in the long run.&#8221;</p>
<p>Thing is, you really don&#8217;t know that. And you&#8217;re doing that thing again, when you say this, where you insinuate that she her disability can&#8217;t be a real problem if she&#8217;s got the energy to do X other thing. I mean, you don&#8217;t know about this woman&#8217;s life. And I don&#8217;t know much about ME, but if it&#8217;s a condition where you get good days and bad days, remission and relapse, that could account for an apparent difference between what she says she can do and what she seems to be able to do. </p>
<p>&#8220;The problem for this unfortunate lady is that ME is what she feels passionate about&#8221;</p>
<p>I&#8217;d imagine that she knows what her problem is, and I&#8217;d imagine she&#8217;d say it&#8217;s ME, rather than her activism. She&#8217;s caught between a rock and a hard place - she can not speak up, and have her life suck, or she can speak up, and be accused of doing too much activism and being able to get better if she only wanted to. </p>
<p>I&#8217;m sure you didn&#8217;t mean your points as an attack on this woman, but as someone who&#8217;s damn sick of explaining that yes, my illness is real, and yes I&#8217;ve tried thinking positive and perseverance and all that, especially to people who probably mean well but should know better, it really does read that way.</p>
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		<title>Comment on Dr Crippen and the Gallowgate Scandal by dazedandconfused</title>
		<link>http://www.mentalnurse.org.uk/2008/07/22/dr-crippen-and-the-gallowgate-scandal/#comment-9784</link>
		<dc:creator>dazedandconfused</dc:creator>
		<pubDate>Tue, 22 Jul 2008 19:44:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.mentalnurse.org.uk/?p=772#comment-9784</guid>
		<description>We used to smack them on the nose with a rolled up newspaper as well :)</description>
		<content:encoded><![CDATA[<p>We used to smack them on the nose with a rolled up newspaper as well <img src='http://www.mentalnurse.org.uk/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /></p>
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		<title>Comment on Encephalomyelitis and Incapacity Benefit by DeeDee Ramona</title>
		<link>http://www.mentalnurse.org.uk/2008/07/21/encephalomyelitis-and-incapacity-benefit/#comment-9783</link>
		<dc:creator>DeeDee Ramona</dc:creator>
		<pubDate>Tue, 22 Jul 2008 19:17:52 +0000</pubDate>
		<guid isPermaLink="false">http://www.mentalnurse.org.uk/?p=770#comment-9783</guid>
		<description>On the subject of ME. While I was a grad student, one of the other students in my lab group was diagnosed with (relatively) mild ME. Although this was over 10 years ago, his local PCT had a research group going on the topic and so he got signed up for what was then an experimental treatment, ie CBT.

Not CBT like for depression though. The therapist got him first to write down everything he did and time each activity for 2 weeks, also rating it as easy, medium, hard, and resting. After  weeks, they totted up the total for each category and divided by 14.

That gave him the number of minutes of each type of activity he was to do every day. On days when he found it tough going, he was to push himself to reach that many minutes, on days when he ad more energy, he was not to do more than that. The aim was to know what was a reasonable amount to push himself by and not to overdo it when he was feeling a bit better.

It worked. He was, once more, able to plan his life, set goals, get his thesis finished - albeit at a much slower pace than if he wasn't ill. Every few months, in consultation with the therapist, he'd increase one of his forms of activity daily by 15 minutes. 

It took years, but he was able to continue with his life and eventually the ME went away.

Since lack of energy and mood sensitivity to energy levels are a big problem for me in depressive episodes, I've been using a less strict version of this technique for the past 8 months (eg this week I am going out once after work only, and am getting to bed by 9pm the other days to make up for it, or I won't be able to move by Saturday) and I can definitely give it the thumbs up.

CBT for ME does not mean telling people to think positive or push themselves too hard. In my friend's case, it seemed to be, well, we don't know what causes this and we don't know how to cure it, but we can try and deal with it and have it not get any worse until it hopefully decides to go away.</description>
		<content:encoded><![CDATA[<p>On the subject of ME. While I was a grad student, one of the other students in my lab group was diagnosed with (relatively) mild ME. Although this was over 10 years ago, his local PCT had a research group going on the topic and so he got signed up for what was then an experimental treatment, ie CBT.</p>
<p>Not CBT like for depression though. The therapist got him first to write down everything he did and time each activity for 2 weeks, also rating it as easy, medium, hard, and resting. After  weeks, they totted up the total for each category and divided by 14.</p>
<p>That gave him the number of minutes of each type of activity he was to do every day. On days when he found it tough going, he was to push himself to reach that many minutes, on days when he ad more energy, he was not to do more than that. The aim was to know what was a reasonable amount to push himself by and not to overdo it when he was feeling a bit better.</p>
<p>It worked. He was, once more, able to plan his life, set goals, get his thesis finished - albeit at a much slower pace than if he wasn&#8217;t ill. Every few months, in consultation with the therapist, he&#8217;d increase one of his forms of activity daily by 15 minutes. </p>
<p>It took years, but he was able to continue with his life and eventually the ME went away.</p>
<p>Since lack of energy and mood sensitivity to energy levels are a big problem for me in depressive episodes, I&#8217;ve been using a less strict version of this technique for the past 8 months (eg this week I am going out once after work only, and am getting to bed by 9pm the other days to make up for it, or I won&#8217;t be able to move by Saturday) and I can definitely give it the thumbs up.</p>
<p>CBT for ME does not mean telling people to think positive or push themselves too hard. In my friend&#8217;s case, it seemed to be, well, we don&#8217;t know what causes this and we don&#8217;t know how to cure it, but we can try and deal with it and have it not get any worse until it hopefully decides to go away.</p>
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		<title>Comment on Dr Crippen and the Gallowgate Scandal by zarathustra</title>
		<link>http://www.mentalnurse.org.uk/2008/07/22/dr-crippen-and-the-gallowgate-scandal/#comment-9782</link>
		<dc:creator>zarathustra</dc:creator>
		<pubDate>Tue, 22 Jul 2008 18:52:38 +0000</pubDate>
		<guid isPermaLink="false">http://www.mentalnurse.org.uk/?p=772#comment-9782</guid>
		<description>Hi Wobwill, welcome to the site.


I like the idea of a virtual pint, but not as much as I like the idea of a real one.</description>
		<content:encoded><![CDATA[<p>Hi Wobwill, welcome to the site.</p>
<p>I like the idea of a virtual pint, but not as much as I like the idea of a real one.</p>
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