What changes when long COVID is split into medical damage, post-viral fatigue, misattribution, and psychosomatic mechanisms? When symptoms soar while tests stay normal, what should count as evidence? When do surveys without controls manufacture a syndrome we then chase? Does renaming “psychosomatic” to “functional” clarify or conceal? If long COVID and severe COVID affect different populations, what follows for causation and care? How do clinicians explain mind–body pathways without sounding dismissive? When is stopping more tests the most scientific decision? What actually helps once the testing spiral ends - graded activity, distraction skills, or non-reactive awareness? Can early diagnosis break fear–avoidance loops before habits harden? How should we meet chronic pain when anatomy is silent? If suffering is real and causes are mixed, how should we measure success?

Suzanne O'Sullivan is an Irish physician practising in Britain, specialising in neurology and clinical neurophysiology. In addition to academic publications in her field, O'Sullivan is an author of acclaimed non-fiction focusing on medical casework related to neurology and medically unexplained illness.

Links:

• Is It All in Your Head? (Book)

• The Age of Diagnosis: How Our Obsession with Medical Labels Is Making Us Sicker (Book)

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