“…First, ME/CFS patients can be traumatized by the physical, psychological, and social impact of the acute emergency period [ 55 , 56 , 57 , 58 , 59 , 60 ]. Second, their friends, family, coworkers, and clinicians can be vicariously traumatized by what is happening [ 8 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 ]. Third, these significant others begin to queue up on a continuum that extends from suspicion to support in response to the ME/CFS patient’s observable, decreased participation in activities.…”