Kate Dharmarajah is a general paediatric consultant at Evelina London children’s hospital. She has always been a passionate generalist, which she believes comes hand in hand with practising biopsychosocial medicine. She has been working in the adolescent space for many years, and specifically in Long Covid since 2023. In this presentation she hopes to explain the current theories of the pathophysiology, the overlap with MECFS and POTS, the evidence base for treatments, and empower you with some tools as a clinician seeing young people with this pattern of illness.