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31-Mar-2016 17:52

The term "dialectical" means a synthesis or integration of opposites.The primary dialectic within DBT is between the seemingly opposite strategies of acceptance and change.For example, DBT therapists accept clients as they are while also acknowledging that they need to change in order to reach their goals.In addition, all of the skills and strategies taught in DBT are balanced in terms of acceptance and change.Medication with such high rates of adverse events would be withdrawn with immediate effect.There was no difference in long-term outcomes between adaptive pacing therapy, CBT, GET and specialist medical care, and none of them were effective, invalidating the biopsychosocial model and use of CBT and GET for ME/CFS.You might wish that you could just forget about the past and put the pain behind you and perhaps you’ve even tried to do this on your own.

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Holding emotions and fears inside all the time can lead to feelings of tension in the body, sleep problems, or feeling like you’re going to explode.The discovery that an increase in exercise tolerance did not lead to an increase in fitness means that an underlying physical problem prevented this; validates that ME/CFS is a physical disease and that none of the treatments studied addressed this issue.

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