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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Опубликовано:

2 июл 2024

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Комментарии : 16

@healingjourney722 2 месяца назад

Thank you! Content on PEM is so helpful because like you said it’s not mentioned as much as pain and this can be such a blocker to handling it well.

@LastSongOfTheNight 2 месяца назад

Thx. I've gone from 5 tough hikes and 6 workouts a week to struggling up 20 stairs. This is very useful. You are a kind and honest soul.

@dougmorse 2 месяца назад

Thank you for this great video. I think it's important to talk about the length of time PEM occurs. I found if I knew the length of time it would last (which became predictable if I did the same routine) the time would eventually reduce and I'd know when I could do the activity again. At one point my PEM after 10k steps was three days, but eventually moved down to one and then none. Then I knew I could manage, and begin to increase exertion either in step count or incline.

@Rising497 2 месяца назад

PEM is the one thing that makes me doubt about mind body as it feels like it’s “proof” my body is “broken” so thank you for this. Really helpful.

@mindbodyintegrate 2 месяца назад

I'm glad the video has been helpful :)

@genevievebaril4746 2 месяца назад

I believe that the physical findings of PEM are generated by the CNS or ANS. Which can also cause muscle clots necrosis etc. My scientific analyse would explane it thus way

@Rising497 2 месяца назад

@@genevievebaril4746 very reassuring. Would love to hear more

@gitteolsen8358 2 месяца назад

Amazingly good explanation of the flare ups of symptoms👏👌🙏❤️

@acissej_01 2 месяца назад

Really helpful! Once I saw PEM as a regular mind-body symptom flare-up, things have so much improved. PEM just like any other mind-body symptom can shift and leave the body very fast. It's a lot about knowledge, mindset and thoughts. Think psychologically not physically!

@Josh-if7to 2 месяца назад

Anger seems to be the biggest trigger for me, not sure how to move past out other than gradual exposure to situations that would bring up that emotion.

@julianamoreno2846 2 месяца назад

what techniques do you use?

@me-cfs-strategiesforhealing 2 месяца назад

PEM is caused by the lowered anaerobic threshold in ME/CFS which is itself driven by low blood volume, microclotting, and autoantibodies against Beta-2 receptors that limit blood perfusion into the muscles.

@ezza1236 2 месяца назад

No you are just a very weak victim

@Meowshra 2 месяца назад

The mind/body perspective holds that the biophysical manifestations are THEMSELVES a symptom of a nervous system that is responding to a perceived threat. For example, limited blood perfusion may be the proximal cause of muscle fatigue, and autoantibodies may be an intermediate cause, but the ultimate cause is a mistaken or stuck "danger signal" in the nervous system that perpetuates all the biophysical cascades. By using a mind/body approach to address the perception of danger on the conscious level, we influence the unconscious processes to stop the symptom cascade at its source.

@stephanieduguay3786 Месяц назад

@@Meowshrawow, such a clear explanation, thanks

@me-cfs-strategiesforhealing Месяц назад

@@Meowshra That may - and does - work for some people. For others, the secondary dysfunctions may be so strong and embedded that brain retraining can't shift them. Also the secondary dysfunctions, once established, will feed back into the primary ANS dysfunction: eg low blood volume will stress out the brain further. There are plenty of people who do brain retraining and don't recover, all the while being told that the ANS dysfunction is the only thing that is wrong with them.