While it's true that patient surveys generally report worsening after GET, that isn't quite the same standard of evidence as a Cochrane review. The Cochrane rev

While it's true that patient surveys generally report worsening after GET, that isn't quite the same standard of evidence as a Cochrane review. The Cochrane review had similar conclusions in 2004, long before PACE [1]. A detailed survey by Action 4 ME found that of patients who reported undergoing GET: "11 Had NO professional input (had they therefore paced themselves ?) – mostly with positive outcomes 6 Were supervised by occupational therapists – all with negative outcomes 3 Had been sent to the gym- all negative outcomes!" [2] When GET is done properly, it generally involves reducing activity first of all if the patient is already overdoing it, reducing stress, replacing stressful with non-stressful activity, using heart rate monitors, etc. [1] https://www.ncbi.nlm.nih.gov/pubmed/15266475 https://www.ncbi.nlm.nih.gov/pubmed/15266475 [2] http://web.archive.org/web/20071019011737/http://www.afme.org.uk/res/img/resources/AfME%20members%20survey.PDF http://web.archive.org/web/20071019011737/http://www.afme.or...