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Lightning Process
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==Evidence== The Lightning Process is not based on any theory derived by studying patients with ME/CFS, fibromyalgia or any particular illness or disease. LP practioners do not normally have either medical or mental health qualifications or training, they act as life coaches/trainers. The Lightning Process has not been tested with any randomized, controlled trials.ref name="Toussaint2012"/> Evidence of benefits largely comes from personal testimonials, which often mention medical diagnoses that have not been confirmed from medical records, and it is not possible to know if patients later relapsed. Before being accepted on a training course patients are expected to do preparatory work ''and'' to be psychologically "ready to engage" which appears to involve an assessment during a pre-course telephone call which includes already having the belief that change is possibly using the LP, and the belief in their own capability to recover/resolve their own issues.<ref name="Anderson2021" /> These conditions are likely to bias any outcomes when compared with controls or people undertaking a treatment which is open to everyone.
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