Strides To Solutions

Examines research showing that passive rest can actually worsen symptoms in CFS due to rumination and default mode network overactivity. Presents interventions that improve rest quality and reduce the cognitive burden of constant symptom monitoring.

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References

Barton, A., Sheen, J., & Byrne, L. (2024). The restorative and state enhancing potential of abstract fractal-like imagery and interactive mindfulness interventions in virtual reality. Virtual Reality, 28, 1-20. https://doi.org/10.1007/s10055-023-00916-7

Bhayee, S., Tomaszewski, P., Lee, D., Moffat, G., Pino, L., Moreno, S., & Farb, N. (2016). Attentional and affective consequences of technology supported mindfulness training: A randomised, active control, efficacy trial. BMC Psychology, 4, 168. https://doi.org/10.1186/s40359-016-0168-6

Blasche, G., Szabo, B., Wagner-Menghin, M., Ekmekcioglu, C., & Gollner, E. (2018). Comparison of rest‐break interventions during a mentally demanding task. Stress and Health, 34, 629-638. https://doi.org/10.1002/smi.2830

Brugnera, A., Jacobsen, T., Woodhouse, A., Compare, A., & Jacobsen, H. (2020). Effectiveness of an ACT-based rehabilitation program for the treatment of chronic fatigue: Results from a 12-months longitudinal study. Scandinavian Journal of Psychology, 61, 759-768. https://doi.org/10.1111/sjop.12672

Casson, S., Jones, M., Cassar, J., Kwai, N., Lloyd, A., Barry, B., & Sandler, C. (2022). The effectiveness of activity pacing interventions for people with chronic fatigue syndrome: A systematic review and meta-analysis. Disability and Rehabilitation, 45, 3788-3802. https://doi.org/10.1080/09638288.2022.2135776

Charalambous, A., Giannakopoulou, M., Bozas, E., Marcou, Y., Kitsios, P., & Paikousis, L. (2016). Guided imagery and progressive muscle relaxation as a cluster of symptoms management intervention in patients receiving chemotherapy: A randomized control trial. PLoS ONE, 11, e0156911. https://doi.org/10.1371/journal.pone.0156911

Chmiel, J., Kurpas, D., & Stępień-Słodkowska, M. (2025). The potential of transcranial direct current stimulation (tDCS) in improving quality of life in patients with multiple sclerosis: A review and discussion of mechanisms of action. Journal of Clinical Medicine, 14, 373. https://doi.org/10.3390/jcm14020373

De Doncker, W., Ondobaka, S., & Kuppuswamy, A. (2020). Effect of transcranial direct current stimulation on post-stroke fatigue. Journal of Neurology, 268, 2831-2842. https://doi.org/10.1007/s00415-021-10442-8

Hammerdahl, E., Hilt, L., Draheim, A., Fox, G., & Breister, E. (2025). The role of attention control in a mindfulness-based intervention for rumination: A randomized controlled trial. Mindfulness, 16, 147-160. https://doi.org/10.1007/s12671-024-02499-z

Hehr, A., Huntley, E., & Marusak, H. (2023). Getting a good night's sleep: Associations between sleep duration and parent-reported sleep quality on default mode network connectivity in youth. The Journal of Adolescent Health, 73, 532-539. https://doi.org/10.1016/j.jadohealth.2023.01.010

Lindsay, E., & Creswell, J. (2017). Mechanisms of mindfulness training: Monitor and Acceptance Theory (MAT). Clinical Psychology Review, 51, 48-59. https://doi.org/10.1016/j.cpr.2016.10.011

Mao, L., Li, P., Wu, Y., Luo, L., & Hu, M. (2022). The effectiveness of mindfulness-based interventions for ruminative thinking: A systematic review and meta-analysis of randomized controlled trials. Journal of Affective Disorders, 312, 30-42. https://doi.org/10.1016/j.jad.2022.10.022

Maunick, B., Skvarc, D., Olive, L., & Mikocka‐Walus, A. (2023). Effects of acceptance and commitment therapy on fatigue for patients with cancer and other chronic health conditions: A systematic review and meta-analysis. Journal of Psychosomatic Research, 171, 111366. https://doi.org/10.1016/j.jpsychores.2023.111366

Moghadam, M., & Maleki, A. (2023). Fatigue factors and fatigue indices in SSVEP-based brain-computer interfaces: A systematic review and meta-analysis. Frontiers in Human Neuroscience, 17, 1248474. https://doi.org/10.3389/fnhum.2023.1248474

Mosher, C., Lee, S., Addington, E., Park, S., Lewson, A., Snyder, S., Hirsh, A., Bricker, J., Miller, K., Ballinger, T., Schneider, B., Storniolo, A., Newton, E., Champion, V., & Johns, S. (2024). Randomized controlled trial of acceptance and commitment therapy for fatigue interference with functioning in metastatic breast cancer. Journal of Clinical Oncology, 43, 662-671. https://doi.org/10.1200/JCO.24.00965

Pérez-Peña, M., Notermans, J., Desmedt, O., Van Der Gucht, K., & Philippot, P. (2022). Mindfulness-based interventions and body awareness. Brain Sciences, 12, 285. https://doi.org/10.3390/brainsci12020285

Perestelo-Pérez, L., Barraca, J., Peñate, W., Rivero-Santana, A., & Álvarez-Pérez, Y. (2017). Mindfulness-based interventions for the treatment of depressive rumination: Systematic review and meta-analysis. International Journal of Clinical and Health Psychology, 17, 282-295. https://doi.org/10.1016/j.ijchp.2017.07.004

Querstret, D., Cropley, M., & Fife-Schaw, C. (2017). Internet-based instructor-led mindfulness for work-related rumination, fatigue, and sleep: Assessing facets of mindfulness as mechanisms of change. A randomized waitlist control trial. Journal of Occupational Health Psychology, 22, 153-169. https://doi.org/10.1037/ocp0000028

Roberts, W. (2017). The use of cues in multimedia instructions in technology as a way to reduce cognitive load. Journal of Educational Multimedia and Hypermedia, 26, 373-412.

Schwind, J., Gropalis, M., Witthöft, M., & Weck, F. (2016). The effects of attention training on health anxiety: An experimental investigation. Cognitive Therapy and Research, 40, 245-255. https://doi.org/10.1007/s10608-015-9745-x

Simon, K., McDevitt, E., Ragano, R., & Mednick, S. (2022). Progressive muscle relaxation increases slow‐wave sleep during a daytime nap. Journal of Sleep Research, 31, e13574. https://doi.org/10.1111/jsr.13574

Takamura, M., Okamoto, Y., Shibasaki, C., Yoshino, A., Okada, G., Ichikawa, N., & Yamawaki, S. (2020). Antidepressive effect of left dorsolateral prefrontal cortex neurofeedback in patients with major depressive disorder: A preliminary report. Journal of Affective Disorders, 271, 224-227. https://doi.org/10.1016/j.jad.2020.03.080

Taylor, J., Yamada, T., Kawashima, T., Kobayashi, Y., Yoshihara, Y., Miyata, J., Murai, T., Kawato, M., & Motegi, T. (2022). Depressive symptoms reduce when dorsolateral prefrontal cortex-precuneus connectivity normalizes after functional connectivity neurofeedback. Scientific Reports, 12, 3055. https://doi.org/10.1038/s41598-022-05860-1

To, W., De Ridder, D., Hart, J., & Vanneste, S. (2018). Changing brain networks through non-invasive neuromodulation. Frontiers in Human Neuroscience, 12, 128. https://doi.org/10.3389/fnhum.2018.00128

Toussaint, L., Nguyen, Q., Roettger, C., Dixon, K., Offenbächer, M., Kohls, N., Hirsch, J., & Sirois, F. (2021). Effectiveness of progressive muscle relaxation, deep breathing, and guided imagery in promoting psychological and physiological states of relaxation. Evidence-Based Complementary and Alternative Medicine, 2021, 5924040. https://doi.org/10.1155/2021/5924040

Van Der Velden, A., Scholl, J., Elmholdt, E., Fjorback, L., Hamer, C., Lazar, S., O'Toole, M., Smallwood, J., Roepstorff, A., & Kuyken, W. (2022). Mindfulness training changes brain dynamics during depressive rumination: A randomized controlled trial. Biological Psychiatry, 93, 233-242. https://doi.org/10.1016/j.biopsych.2022.06.038

Xie, H., Wang, F., Hao, Y., Chen, J., An, J., Wang, Y., & Liu, H. (2017). The more total cognitive load is reduced by cues, the better retention and transfer of multimedia learning: A meta-analysis and two meta-regression analyses. PLoS ONE, 12, e0183884. https://doi.org/10.1371/journal.pone.0183884

Yang, M., Jia, G., Sun, S., Ye, C., Zhang, R., & Yu, X. (2019). Effects of an online mindfulness intervention focusing on attention monitoring and acceptance in pregnant women: A randomized controlled trial. Journal of Midwifery & Women's Health, 64, 68-77. https://doi.org/10.1111/jmwh.12944

Disclaimer

This podcast is for educational and informational purposes only and is not intended as medical advice, diagnosis, or treatment. The content presented is based on research findings and should not replace professional medical consultation. Chronic fatigue syndrome is a complex medical condition that requires proper medical evaluation and care from qualified healthcare professionals.

If you are experiencing symptoms of chronic fatigue syndrome or any other medical condition, please consult with your healthcare provider before implementing any interventions discussed in this podcast. Individual responses to treatments vary, and what works for one person may not be appropriate for another.

The interventions discussed may not be suitable for all individuals, and some techniques may require guidance from trained professionals. Do not discontinue any prescribed medications or treatments without consulting your healthcare provider.

If you are experiencing thoughts of self-harm or are in crisis, please contact your local emergency services or a mental health crisis line immediately.

This podcast does not establish a therapist-client or doctor-patient relationship. The host and producers are not responsible for any actions taken based on the information provided in this podcast.

Investigates how disrupted prediction error signaling in the brain creates misalignment between perceived and actual energy availability. Shows why people with CFS feel energetic but then crash, and how faulty interoceptive processing maintains the boom-bust cycle.

Challenges common pacing advice for CFS patients by exploring the neurobiological and psychological factors that make balanced energy management so difficult. Reveals why willpower alone fails and what multi-level interventions actually help people with ME/CFS escape boom-bust cycles.

Reveals research using brain imaging to capture real-time neural changes during equine-assisted activities. Shows how horses provide multisensory, emotionally meaningful experiences that may complement traditional ADHD treatments by training executive function skills in natural contexts with immediate feedback.

Reveals groundbreaking research showing how early experiences create neurological patterns that determine trust capacity for life. Explores why moderate, consistent early care builds secure attachment while intensive handling or frequent caregiver changes can permanently impair relationship abilities—with profound implications for parenting and human development.

This episode reveals what horses teach us about the real foundation of lasting bonds: consistency beats intensity every single time. You'll discover why your small, daily actions matter more than grand romantic gestures, why reliable people are irresistible (even to 1,200-pound animals), and how the same principles that create unbreakable horse-human partnerships can transform your relationships with family, friends, and romantic partners. Based on solid research, this isn't feel-good advice—it's the psychology of how trust actually develops, with practical insights you can apply immediately to become the kind of person others instinctively want to be around.

References

Brubaker, L., Schroeder, K., Sherwood, D., Stroud, D., & Udell, M. (2021). Horse behavior towards familiar and unfamiliar humans: Implications for equine-assisted services. Animals, 11(8), 2369. https://doi.org/10.3390/ani11082369

Hartmann, E., Rehn, T., Christensen, J. W., Nielsen, P. P., & McGreevy, P. D. (2021). From the horse's perspective: Investigating attachment behaviour and the effect of training method on fear reactions and ease of handling—A pilot study. Animals, 11(2), 457. https://doi.org/10.3390/ani11020457

Liehrmann, O., Viitanen, A., Riihonen, V., Alander, E., Koski, S. E., Lummaa, V., & Lansade, L. (2022). Multiple handlers, several owner changes and short relationship lengths affect horses' responses to novel object tests. Applied Animal Behaviour Science, 254, 105709. https://doi.org/10.1016/j.applanim.2022.105709

Lundberg, P., Hartmann, E., & Roth, L. S. V. (2020). Does training style affect the human-horse relationship? Asking the horse in a separation–reunion experiment with the owner and a stranger. Applied Animal Behaviour Science, 231, 105144. https://doi.org/10.1016/j.applanim.2020.105144

Maros, K., Boross, B., & Kubinyi, E. (2010). Approach and follow behaviour – possible indicators of the human–horse relationship. Interaction Studies, 11(3), 410-427. https://doi.org/10.1075/IS.11.3.05MAR

Scopa, C., Greco, A., Contalbrigo, L., Fratini, E., Lanatà, A., Scilingo, E. P., & Baragli, P. (2020). Inside the interaction: Contact with familiar humans modulates heart rate variability in horses. Frontiers in Veterinary Science, 7, 582759. https://doi.org/10.3389/fvets.2020.582759

Stop wasting energy on dramatic relationship gestures that don't actually build trust. This episode reveals what horses teach us about the real foundation of lasting bonds: consistency beats intensity every single time. You'll discover why your small, daily actions matter more than grand romantic gestures, why reliable people are irresistible (even to 1,200-pound animals), and how the same principles that create unbreakable horse-human partnerships can transform your relationships with family, friends, and romantic partners. Based on solid research, this isn't feel-good advice—it's the psychology of how trust actually develops, with practical insights you can apply immediately to become the kind of person others instinctively want to be around.

This episode investigates the remarkable ability of horses to serve as "emotional mirrors" without judgment, providing immediate biofeedback about nervous system states. Examines clinical evidence showing dramatic improvements in social skills, emotional regulation, and trauma recovery through equine-assisted therapy.

Explores cutting-edge research on how interactions with horses and other animals might actually change brain structure and function over time. Examines the neurobiological evidence for why people report feeling more resilient after regular animal contact, while honestly addressing the significant research gaps that still exist.

Traces the developmental journey of human-animal relationships, showing how the same capacity for attachment serves different crucial functions at each life stage. Explains why understanding these patterns could transform how we support people through life transitions.