Your post highlights some of the disconnect between doctors, patients, and research: Psychosomatic absolutely does not mean &quot;lazy,&quot; but that&#x27;s why so many people are resistant to the idea.<p>Psychosomatic means &quot;of mind and body.&quot; It means physical symptoms that are caused or aggravated by mental conditions. The key phrase here is &quot;or aggravated by,&quot; which doesn&#x27;t rule out a physical cause but does suggest that addressing the psychological aspects can, at minimum, improve some of the situation. The problem is that patients get the wrong impression that their physical concerns are being dismissed and thus they reject anything to do with a psychosomatic suggestion.<p>I&#x27;m not suggesting that CFS is purely driven by mental health, nor are the doctors or studies that show improvements from CBT. What they are suggesting is that CFS patients, for whatever unknown reasons, benefit from CBT and other mental health treatments, regardless of the underlying cause.