Yes, we're just catastrophizing.
Yes, I certainly think this is the best way forward for patients. I would recommend cultivating "flow" experiences, as that appears to be one of the factors behind my own recovery, and that of other patients I have seen. Mindfulness is more suited to stress, but most CFS patients aren't under significant stress. The problem is low stress tolerance, so if you find ways of increasing your stress tolerance that will likely lead to recovery.I resisted a lot of this approach until it occurred to me one day that my strongest tool is my brain and I'd like it to be fighting for me instead of always against me. So I made a conscious decision to try some of these mindful approaches. Did it work? Not entirely, but I haven't given up hope. It's really hard for me to change patterns that I built for 40 years. But I don't feel responsible for that, like I haven't tried hard enough, or anything. I just think that it's like anything else - sometimes more and sometimes less successful.