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Ann Arbor – Cognitive behavioral therapy achieved roughly the same effect as the psychostimulant modafinil in a randomized study. According to the results now published in Lancet Neurology (2024; DOI: 10.1016/S1474-4422(24)00354-5), the combination of psychotherapy and pharmacotherapy could not further increase the effect. Up to 90% of all patients with multiple sclerosis develop fatigue as the disease progresses,…