If I am depressed and jump in front of a train, or if I think that's a safe and normal thing to lie on the tracks, or if somebody pushes me, or if I trip, the result is the same: Splat.
There's little point in saying "Splats are primarily psychological" if accidents and mistaken facts seem to be at play often enough. Or if people splat other ways (e.g. in car crashes, tightrope accidents). The result is the same. Splatty splat splat. The outcome only tells you so much.
I can tell you one thing: Totally overhauling my "motivation, goals, and emotions" did absolutely diddlysquat in making me better because while I started off with a combination of routine infection and "psychological" stress (which, of course, is a kind of misnomer because you can measure it with blood tests)... it did permanent damage to my mechanicals. Splat.
Also, a lot of doctors think FM/ME/CFS are the same thing. And a lot think adrenal fatigue/hypothyroid and CFS are the same thing. Maybe they are separate but cause each other.
Genetics certainly play a part; hypothyroid is incredibly heritable, for example. It causes lots of the same symptoms and may be a symptom/cause (or both) itself.
But nobody claims that hypothyroidism is psychological, not even slightly, much less primarily.
But the cause for an individual almost doesn't matter. You have to cut stress no matter whether it was a primary cause for you or not.
There's little point in saying "Splats are primarily psychological" if accidents and mistaken facts seem to be at play often enough. Or if people splat other ways (e.g. in car crashes, tightrope accidents). The result is the same. Splatty splat splat. The outcome only tells you so much.
I can tell you one thing: Totally overhauling my "motivation, goals, and emotions" did absolutely diddlysquat in making me better because while I started off with a combination of routine infection and "psychological" stress (which, of course, is a kind of misnomer because you can measure it with blood tests)... it did permanent damage to my mechanicals. Splat.
Also, a lot of doctors think FM/ME/CFS are the same thing. And a lot think adrenal fatigue/hypothyroid and CFS are the same thing. Maybe they are separate but cause each other.
Genetics certainly play a part; hypothyroid is incredibly heritable, for example. It causes lots of the same symptoms and may be a symptom/cause (or both) itself.
But nobody claims that hypothyroidism is psychological, not even slightly, much less primarily.
But the cause for an individual almost doesn't matter. You have to cut stress no matter whether it was a primary cause for you or not.