Background: Chronic Fatigue Syndrome (CFS/ME) is a condition that appears among children, adolescents and grownups. Both understanding and treatment is debated. In the media Lightning Process (LP) has been promoted as a miracle cure for e.g. CFS/ME.
Problem: First I wanted to find out more about CFS in general, and more specifically in relation to children and adolescents. Secondly I wished to get a picture of what LP is and whether it could become part of the national health care system.
Result: The prevalence for children and adolescents is 0,2–2,6 %, using the diagnostic criteria’s for grownups. The prognosis is better for children than for grownups. Good results have been shown for treatment with CBT and graded exercise. Apart from this there are few consistent findings. Children have been showing good results with cognitive-behavioral family therapy.
LP is a course where different coping strategies are taught. The participants learn to take initiative, to become aware of different possibilities for action and to make conscious decisions. The participant holds the responsibility, and the outcome depends on whether or not the persons apply what they have been taught. The course costs money, and copyright restrictions make it difficult for outsiders to get a clear impression of the content.
Conclusion: For children and adolescents with CFS/ME it is vital to diagnose the condition and initiate interventions on an early stage. CBT and graded training shows the best treatment results up till now. The family has to be engaged in the treatment process. LP is a useful coping tool and several people report good effects. The effect is not documented.