⚠️After seeing the response from patients, clinicians and scientists, I think this needs to be said clearly:
Re-promoting an article that has caused so much harm to the Long COVID community is not brave journalism.
It is irresponsible.
This article did not simply “open a difficult conversation.” It amplified a deeply damaging frame: that maybe patients are rejecting the uncomfortable truth that CBT, exercise and “mind-body” approaches are the way forward.
But when you present a complex post-infectious disease through that lens, without properly separating psychological support from biological treatment, you are not helping patients.
You are making their lives harder.
These narratives do not stay inside an article.
They reach families.
They reach employers.
They reach disability assessors.
They reach doctors who already know very little about Long COVID.
They reach people who are looking for an excuse to say: “maybe it is just anxiety,” “maybe you are afraid of exercise,” “maybe you are keeping yourself sick.”
That has consequences.
Social consequences.
Medical consequences.
Workplace consequences.
Psychological consequences.
Patients with Long COVID are already fighting disbelief, lack of biomarkers in routine care, lack of approved treatments, disability, isolation and medical neglect.
Using their suffering to generate clicks while repackaging old psychosomatic narratives in modern “mind-body” language is not courageous.
It is cruel.
The problem is not talking about the nervous system.
The problem is turning nervous system involvement into a story about beliefs, fear, trauma or patients refusing to accept recovery.
The problem is using recovery anecdotes as if they establish causality.
The problem is ignoring those who worsened with exercise.
The problem is presenting PEM caution as dogma.
The problem is being much more generous with “brain retraining” narratives than with the biomedical evidence already showing immune, vascular, autonomic, metabolic and muscular abnormalities in Long COVID.
If a journalist wants to write about Long COVID, they have a responsibility to understand the history of harm done to post-infectious patients.
Because this is not new.
ME/CFS patients have lived this for decades.
“Unexplained” became “psychological.”
“Normal routine tests” became “nothing is wrong.”
“Supportive care” became “cure.”
“Exercise” became “rehabilitation,” even when patients were crashing.
And now the same mistake is being repeated with Long COVID.
Patients are not angry because they reject science.
They are angry because they recognize the pattern.
They have seen what happens when medicine turns biology it cannot yet measure into psychology.
So no, this is not “a way forward.”
A way forward would be stratification, biomarkers, mechanistic trials, antivirals, immunology, dysautonomia research, PEM-safe protocols, autoantibody studies, vascular biology, tissue persistence, metabolism and serious clinical phenotyping.
A way forward would be listening to all patients, including those harmed by exercise and psychologizing narratives.
A way forward would be scientific humility: admitting what we still do not know without turning unexplained biology into psychology.
Not click-driven repetition of the same ideas that have already harmed post-infectious patients for decades.