How to manage PEM using a mind-body approach (CFS, Long Covid, TMS)

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In this video, I speak about PEM, Post Exertional Malaise, and things to consider if you are using a mind-body approach for this symptom. PEM can come on 24 hours or more after an activity, and because of this, it can feel more challenging to manage and think of as a mind-body symptom.

Intro (0:00)
What are you already thinking about PEM (2:06)
PEM despite no negative emotions (2:35)
PEM naturally causes fear (3:12)
Thinking about PEM in the same way as any other mind-body symptom (3:59)
How did you feel when you were doing the activity? (4:13)
Our brain and body can react to an activity due to past experiences (5:09)
Response to symptoms (5:54)
what other triggers might be impacting the nervous system? (7:26)
PEM can feel like it is out of your control (9:00)
Responding to PEM like any other mind-body symptom (11:31)
Listing evidence that PEM is a mind-body symptom (12:18)
It is possible to overcome this symptom (14:36)
What have you found helpful for PEM (15:07)
A lot of mind-body books focus on pain (15:25)
Outro (16:34)

I'm not a medical professional; this is not medical advice or mental health advice. Seek help from your primary care doctor or local services if you are concerned about your health or mental health.

On this channel, I speak about topics related to Long Covid, Chronic Fatigue Syndrome and similar conditions. I found the work of Dr. John Sarno and Dr. Howard Schubiner really helpful, in particular the books The Mindbody Prescription and Unlearn Your Pain. I also found Internal Family Systems (IFS) approaches useful for helping me learn how to become more aware of emotions. Dr. John Sarno, coined the term Tension Myositis/Myoneural Syndrome (TMS) - a condition in which unexplained medical symptoms are underpinned by repressed emotions or psychological processes. His work and the work of his colleagues have helped many people including those with chronic fatigue and chronic pain.

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