My Chronic Illness Journey: From Graves’ Disease to Fibromyalgia and Everything in Between

This is my story – not just the medical timeline, but the real, messy, complicated journey of how chronic illness crept into every corner of my life and changed everything. If you’re newly diagnosed, struggling with mysterious symptoms, or watching your own health evolve in confusing ways, maybe parts of my story will feel familiar. If you love someone on this journey, this is what it really looks like from the inside – the fear, the grief, the small victories, and the daily adaptation that becomes your new normal.

“I never imagined that something as simple as getting out of bed, going to work, or even just existing could feel like a daily battle against my own body. But here I am, navigating life with a chronic illness, learning how to work, rest, and survive in a world that never seems to slow down.”

The Beginning: When Your Body First Betrays You

The Graves’ Disease Diagnosis

I was first diagnosed with Graves’ Disease after experiencing symptoms from an overactive thyroid. At the time, I was given two options to “fix” my condition: surgery to remove my thyroid or radioactive iodine treatment.

What Graves’ Disease really meant:

  • My immune system was attacking my thyroid gland
  • The overactive thyroid was causing rapid heartbeat, anxiety, weight loss, and heat intolerance
  • This wasn’t just a “thyroid problem” – it was my first encounter with autoimmune disease
  • The treatment options would have permanent, life-altering consequences

The Decision I Regret

I was young and, to be honest, I didn’t realize I should have researched my choices more. I also don’t know what other options were available back in 2008. I chose radioactive iodine treatment because it was the quickest solution and got me back to work faster.

What I wish I’d known then:

  • The long-term consequences of destroying my thyroid
  • How thyroid function affects every system in your body
  • That “quick fixes” in medicine often come with long-term costs
  • The importance of getting second opinions for major medical decisions
  • That asking for time to research wasn’t unreasonable

The pressure to get back to work: This represents a broader problem with chronic illness – the pressure to choose treatments based on productivity rather than long-term health outcomes.

The Immediate Aftermath

A year later, I was diagnosed with depression and anxiety, along with my now underactive thyroid. That’s also when I started struggling with brain fog—something I didn’t even have a name for at the time.

The cascade effect of thyroid destruction:

  • Depression and anxiety: Often linked to thyroid dysfunction
  • Brain fog: Cognitive symptoms that doctors rarely warn you about
  • Underactive thyroid: Requiring lifelong medication replacement
  • Metabolic changes: Affecting weight, energy, and overall health

The Cognitive Struggles Begin

It’s a frustrating mental haze that makes it hard to focus, recall information, or even hold conversations. My husband would get frustrated with me because I couldn’t remember things that once came easily. If I didn’t write things down in a calendar, I’d completely forget important dates that I should have easily remembered.

What brain fog actually feels like:

  • Words disappearing mid-sentence
  • Walking into rooms and forgetting why you’re there
  • Reading the same paragraph multiple times without comprehension
  • Feeling like you’re thinking through thick cotton
  • Forgetting important dates, appointments, and conversations
  • Difficulty following complex instructions or multi-step tasks

The relationship impact: When cognitive symptoms affect memory and communication, loved ones often don’t understand that this is a medical symptom, not carelessness or lack of caring.

The False Hope

At first, I thought treating my thyroid would be the end of my struggles. I knew I’d have to take medication for the rest of my life, but taking one pill daily seemed manageable. And it was… for a little while.

Why I thought it would be simple:

  • Doctors presented it as straightforward hormone replacement
  • I didn’t understand the complexity of thyroid function
  • No one warned me about potential complications
  • I believed medical problems had clear solutions

The reality of thyroid medication:

  • Finding the right dose can take months or years
  • Different brands affect people differently
  • Absorption can be affected by foods, other medications, and illness
  • Many people never feel “normal” again despite “normal” lab values
  • Other health problems can complicate thyroid management

The Escalation: When One Condition Becomes Many

The Respiratory Complications

A few years later, I started having allergy and asthma problems. I needed inhalers, and for years, I relied on over-the-counter allergy medications. Eventually, my body got used to them, and I had to switch to stronger prescription meds just to function.

The connection between thyroid and immune function:

  • Autoimmune conditions often cluster together
  • Thyroid dysfunction can affect respiratory health
  • Chronic inflammation creates a cascade of symptoms
  • The immune system becomes increasingly reactive

The medication treadmill: This pattern of needing stronger and stronger medications to manage symptoms becomes a common theme in chronic illness.

The Turning Point

But it was about 10 years ago that things really started going downhill fast.

Why chronic illness often accelerates:

  • Accumulated damage from ongoing inflammation
  • Stress on body systems from managing multiple conditions
  • Side effects from long-term medication use
  • Aging combined with chronic disease
  • Undiagnosed conditions finally manifesting

The Weight Struggle

I’ve always struggled with my weight, but it suddenly became worse than ever. Carrying around extra weight isn’t just about appearance—it makes everything harder. Basic movements, energy levels, breathing—it all gets impacted in ways people don’t always realize.

How chronic illness complicates weight management:

  • Thyroid dysfunction slows metabolism significantly
  • Medications often cause weight gain as side effects
  • Reduced activity from pain and fatigue leads to muscle loss
  • Inflammation affects metabolism and hunger signals
  • Depression can affect eating patterns and motivation
  • Sleep disruption affects hormones that regulate weight

The physical impact of weight gain with chronic illness:

  • Increased joint stress worsening pain
  • Reduced stamina for daily activities
  • Breathing difficulties during exertion
  • Heat intolerance and sweating
  • Reduced mobility and flexibility
  • Clothing and seating accommodations needed

The Exhaustion That Sleep Can’t Fix

Then came the exhaustion—the kind that no amount of sleep can fix. I’d spend entire weekends sleeping just to recover from the workweek. But instead of feeling rested, I just felt guilty—like I had wasted all my free time. There were so many things I wanted to do, but I just didn’t have the energy.

Understanding chronic fatigue:

  • Different from normal tiredness: Not relieved by rest
  • Post-exertional malaise: Feeling worse after activity
  • Unrefreshing sleep: Waking up exhausted despite hours of sleep
  • Cognitive fatigue: Mental tasks become exhausting
  • Physical heaviness: Feeling like you’re moving through thick mud

The guilt cycle:

  • Guilt about spending weekends sleeping
  • Guilt about missed social activities
  • Guilt about reduced productivity
  • Guilt about being a “burden” on family
  • Guilt about not being the person you used to be

The Symptom Cascade: When Your Body Becomes a Stranger

The Pain Begins

Then the random aches and pains started—ones I had never experienced before. My brain fog got worse, and at the time, I didn’t think that was even possible.

The progression of fibromyalgia symptoms:

  • Widespread pain: Affecting muscles, joints, and soft tissues
  • Worsening cognitive symptoms: Brain fog becoming more severe
  • Sleep disturbances: Both falling asleep and staying asleep
  • Increased sensitivity: To light, sound, touch, and temperature
  • Digestive issues: Often accompanying fibromyalgia

The Sleep Problems Multiply

I started waking up sore from sleeping in one position for too long. I developed Restless Leg Syndrome (RLS), followed by muscle twitches that happened all day and night.

How sleep becomes another source of symptoms:

  • Morning stiffness: Waking up in more pain than when you went to bed
  • Pressure point sensitivity: Unable to lie in one position for long
  • Restless legs: Uncomfortable sensations preventing sleep
  • Muscle twitches: Involuntary movements disrupting rest
  • Temperature regulation: Being too hot or cold affecting comfort

The sleep-pain cycle:

  • Poor sleep worsens pain
  • Pain makes sleep difficult
  • Medications for pain can affect sleep quality
  • Sleep aids can worsen morning grogginess
  • The cycle becomes self-perpetuating

The Escalating Pain Experience

Then came the muscle cramps, the burning sensations, the pinprick pains—sometimes all over my body. The worst spots? My back and feet. Those are the ones that make me jump every time.

Different types of fibromyalgia pain:

  • Muscle cramps: Sudden, intense contractions
  • Burning sensations: Feeling like internal heat or fire
  • Pinprick pains: Sharp, stabbing sensations
  • Allodynia: Pain from normally non-painful touch
  • Hyperalgesia: Increased sensitivity to painful stimuli

The unpredictability factor: Never knowing when or where pain will strike makes planning and daily activities extremely challenging.

The Hand Problems: My Greatest Fear

And now, the problems with my hands scare me the most. My hands are always sore and achy, but now my thumbs have started locking up on me. They’ll freeze in a flexed position, and when I try to stretch them out, sometimes I can, sometimes I can’t. When I do manage to move them, the pain is unbearable, and there’s an awful clicking noise—like bones grinding together.

Why hand problems are particularly frightening:

  • Independence concerns: Hands are essential for self-care
  • Work implications: Most jobs require hand function
  • Daily living impact: Cooking, cleaning, writing, typing
  • Progressive nature: Fear that symptoms will worsen
  • Limited treatment options: Few effective interventions

The practical impact:

  • Difficulty opening jars, bottles, and packages
  • Pain when typing or writing
  • Problems with fine motor tasks like buttoning clothes
  • Weakness affecting grip strength
  • Interference with hobbies and interests

How compression gloves help:

  • Provide gentle pressure to reduce swelling
  • Support joint alignment
  • Improve circulation
  • Reduce stiffness
  • Offer warmth for comfort

The Diagnosis: Finally Having a Name

The Relief and Terror of Diagnosis

After years of dealing with all of this—visiting different doctors and getting different answers—I was finally diagnosed with fibromyalgia.

In one way, the diagnosis made me feel better because I finally had an answer that made sense. But in another way, it terrified me because there isn’t much that can be done about it.

The complex emotions of chronic illness diagnosis:

Relief:

  • Finally having a name for your symptoms
  • Validation that you’re not “crazy” or “making it up”
  • Understanding that others experience similar symptoms
  • Access to specific treatments and resources
  • Connection with support communities

Fear:

  • Learning there’s no cure
  • Uncertainty about disease progression
  • Limited treatment options
  • Impact on future plans and goals
  • Financial implications of ongoing treatment

Grief:

  • Mourning the healthy life you expected
  • Loss of former capabilities and activities
  • Changed relationships and social connections
  • Altered career prospects and goals
  • The person you used to be

Understanding Fibromyalgia

What fibromyalgia actually is:

  • A chronic pain condition affecting the central nervous system
  • Characterized by widespread musculoskeletal pain
  • Often accompanied by fatigue, sleep problems, and cognitive issues
  • More common in women, typically diagnosed between ages 20-50
  • Often coexists with other conditions like depression, anxiety, and autoimmune diseases

Why it’s difficult to treat:

  • No single cause has been identified
  • Symptoms vary greatly between individuals
  • Treatments that work for one person may not work for another
  • Often requires a multi-modal approach
  • Research is ongoing but limited

Accepting Limitations: The Hardest Lesson

Confronting Physical Reality

Coming to terms with my limitations has been one of the hardest parts of this journey. I just can’t do everything I used to. I don’t have the energy, and my body is in so much constant pain that I have to carefully choose what I can and can’t handle every day.

What accepting limitations actually means:

  • Energy budgeting: Treating energy like a finite resource
  • Priority reassessment: Focusing on what’s most important
  • Flexibility planning: Having backup options for bad days
  • Boundary setting: Saying no to activities that worsen symptoms
  • Identity adjustment: Redefining yourself beyond physical capabilities

The Mental vs. Physical Battle

It’s frustrating because, in my mind, I want to do everything—but I’m stuck in a body that won’t let me.

The disconnect between mind and body:

  • Mental capabilities often remain intact while physical abilities decline
  • Desire to maintain previous activity levels
  • Frustration with the gap between intention and capability
  • Grief over lost physical abilities
  • Struggle to adjust expectations and goals

Learning to work with your body instead of against it:

  • Recognizing early warning signs of overexertion
  • Planning activities around energy levels
  • Using assistive devices without shame
  • Modifying rather than abandoning activities
  • Celebrating adapted achievements

Career Adjustments: Health vs. Financial Security

Leaving the Toxic Environment

Recently, I had to leave a job because the toxic work environment, combined with 10-hour days, was completely wrecking my health.

How toxic workplaces affect chronic illness:

  • Stress worsening symptoms: High-stress environments trigger flares
  • Long hours depleting energy: Extended workdays prevent recovery
  • Lack of accommodation: Inflexible policies worsening health
  • Emotional toll: Workplace stress affecting mental health
  • Physical demands: Requirements exceeding physical capabilities

The Difficult Job Search

When I started looking for a new job, I knew I couldn’t take anything that required me to work more than eight hours a day or stand for long periods.

That made the job search even more stressful. It was exhausting trying to find something I knew I’d be able to physically handle.

Chronic illness job search challenges:

  • Limited options: Many jobs incompatible with health needs
  • Disclosure dilemmas: When and how to reveal limitations
  • Accommodation uncertainty: Not knowing if employers will be supportive
  • Energy depletion: Job searching itself being exhausting
  • Financial pressure: Needing income while prioritizing health

The Trade-offs

But after a few months, I finally found a great job with a supportive work environment. The only problem? The pay was much lower than what I was used to.

So, I had to make another adjustment. Finding a part-time job that I could balance with my full-time job.

The chronic illness financial reality:

  • Often having to choose health-friendly jobs over higher-paying ones
  • Need for multiple income sources due to reduced earning capacity
  • Medical expenses increasing financial pressure
  • Difficulty building savings due to health-related costs
  • Constant balance between financial needs and health preservation

Why I Started This Blog: Turning Pain into Purpose

The Vision for Community

I have high hopes for this blog. Not only does it give me a place to share my struggles and wins, but I hope it also becomes a community. Where others can share their stories, too.

The therapeutic value of sharing your story:

  • Processing experiences: Writing helps make sense of complex emotions
  • Reducing isolation: Connecting with others who understand
  • Creating meaning: Finding purpose in difficult experiences
  • Helping others: Using personal experience to support others
  • Building advocacy: Raising awareness about chronic illness realities

The Need for Real Community

It’s not easy navigating a world that runs at full speed when you’re stuck in a body that doesn’t even want to move.

What chronic illness community provides:

  • Validation: Others who truly understand your experience
  • Practical support: Tips and resources from people who’ve been there
  • Emotional support: Understanding during difficult times
  • Advocacy: Collective voices for better understanding and treatment
  • Hope: Examples of others thriving despite challenges

My Goals for This Space

💜 I hope this blog becomes a place where people can connect, support each other, and feel less alone.

💜 I want this to be a safe space. Free from judgment, criticism, and negativity.

💜 Everyone is on their own journey, and we should lift each other up however we can.

Creating inclusive community:

  • Acknowledging diverse experiences: Every chronic illness journey is unique
  • Avoiding competitive suffering: Not comparing whose situation is “worse”
  • Supporting all stages: From newly diagnosed to long-term management
  • Welcoming questions: Creating space for learning and growth
  • Celebrating victories: Recognizing achievements at all levels

Lessons Learned: What This Journey Has Taught Me

About the Healthcare System

What I’ve learned about navigating medical care:

  • You must be your own advocate
  • Second opinions are not just acceptable, they’re necessary
  • Doctors don’t always have answers, and that’s okay
  • Research your conditions and treatment options
  • Find providers who listen and take you seriously
  • Keep detailed records of symptoms and treatments

About Relationships

How chronic illness affects relationships:

  • Some people will surprise you with their support
  • Others will disappoint you with their lack of understanding
  • Communication about your needs is essential
  • Boundaries are necessary for your health
  • Quality relationships matter more than quantity
  • Your true friends will adapt with you

About Identity and Self-Worth

Redefining yourself beyond illness:

  • You are more than your diagnoses
  • Productivity doesn’t determine your worth
  • Adaptation is a form of strength
  • Small victories are still victories
  • Rest is not laziness – it’s healthcare
  • Your experience has value and can help others

About Resilience

What resilience actually looks like:

  • Asking for help when you need it
  • Adapting your goals to match your capabilities
  • Finding joy in smaller moments
  • Continuing to hope despite setbacks
  • Building community and connection
  • Using your experience to help others

For Others on This Journey

If You’re Newly Diagnosed

What I wish I’d known at the beginning:

  • It’s okay to grieve: Mourn the life you expected to have
  • Learn everything you can: Become an expert on your condition
  • Find your people: Connect with others who understand
  • Pace yourself: Recovery and adaptation take time
  • Advocate for yourself: You know your body best
  • Hold onto hope: Treatment and management improve over time

If You’re Still Seeking Answers

For those still looking for diagnosis:

  • Trust your instincts: You know when something isn’t right
  • Keep detailed records: Document symptoms, patterns, and triggers
  • Don’t give up: The right doctor and diagnosis may take time to find
  • Seek specialists: Sometimes general practitioners aren’t enough
  • Get second opinions: Different perspectives can provide new insights
  • Take care of yourself: Manage symptoms even without a diagnosis

If You’re Supporting Someone

How to help a loved one with chronic illness:

  • Listen without trying to fix: Sometimes just being heard helps
  • Learn about their condition: Understanding shows you care
  • Offer specific help: “Can I bring dinner?” vs. “Let me know if you need anything”
  • Be patient with limitations: Symptoms can change day to day
  • Don’t take things personally: Bad days aren’t about you
  • Continue to include them: Adapt activities rather than excluding them

Resources That Have Helped Me

Medical Resources

Finding good healthcare providers:

  • Rheumatologists for autoimmune and pain conditions
  • Endocrinologists for thyroid management
  • Pain management specialists for comprehensive pain care
  • Mental health professionals familiar with chronic illness
  • Patient advocates for complex cases

Educational Resources

Reliable information sources:

  • National Fibromyalgia Association
  • American Thyroid Association
  • Graves’ Disease and Thyroid Foundation
  • Arthritis Foundation
  • National Institutes of Health

Support Communities

Where to find understanding:

  • Online support groups for specific conditions
  • Local chronic illness support meetings
  • Social media communities (#chronicillness, #fibromyalgia)
  • Chronic illness blogs and podcasts
  • Patient advocacy organizations

Practical Tools

Items that have made daily life easier:

  • Compression gloves for hand pain
  • Ergonomic tools for daily tasks
  • Heating pads and ice packs for pain management
  • Organization systems for medications
  • Comfortable seating and bedding options

The Ongoing Journey

What I’m Still Learning

Chronic illness is an ongoing education:

  • Symptom management: Constantly adjusting strategies
  • Treatment options: Staying informed about new developments
  • Self-advocacy: Improving communication with healthcare providers
  • Boundary setting: Getting better at protecting my energy
  • Community building: Finding and creating supportive spaces

Hope for the Future

Why I remain optimistic:

  • Medical advances: New treatments and understanding developing
  • Community growth: More people sharing their experiences openly
  • Awareness increasing: Greater understanding of chronic illness
  • Personal growth: Continued learning and adaptation
  • Purpose found: Using experience to help others

You Are Not Alone

If you’ve made it this far, thank you for reading.

If you’re struggling with your own chronic illness, I want you to know:

✨ You are not alone. Millions of people navigate chronic illness daily, and your experience is valid.

✨ There are people who understand what you’re going through. While your specific situation is unique, the feelings and challenges are shared by many.

✨ They may not be your family or friends, but they are out there. Sometimes understanding comes from unexpected places – online communities, support groups, or blogs like this one.

Additional truths I want you to know:

  • Your pain is real, even when others can’t see it
  • Your limitations are valid, even when they’re invisible
  • Your feelings about your illness are normal and acceptable
  • Your journey is your own, and there’s no “right” way to have chronic illness
  • Your voice matters, and your story could help someone else
  • You are stronger than you realize, and you’re doing better than you think

Moving Forward Together

This blog exists because I needed community and suspected others did too. It’s built on the belief that sharing our real experiences, from the messy, complicated, to the sometimes beautiful reality of chronic illness. This creates connection and understanding.

My commitment to this community:

  • Honesty: Sharing the real experience, not just the highlights
  • Support: Creating space for all experiences and emotions
  • Education: Providing useful information and resources
  • Advocacy: Working to increase understanding and support
  • Hope: Demonstrating that meaningful life is possible with chronic illness

Your chronic illness journey is unique, but you don’t have to walk it alone. Whether you’re at the beginning of diagnosis, years into management, or supporting someone you love, there’s a place for you here.

Together, we can change the narrative around chronic illness from one of limitation and despair to one of adaptation, community, and hope. We can create understanding where there was ignorance, support where there was isolation, and strength where there was only struggle.

Your story matters. Your experience has value. You belong here.


💬 Let’s start a conversation.

✨ What’s your biggest challenge living with chronic illness? ✨

Drop a comment below, and let’s talk. Your experience might help someone else feel less alone in their journey. 💜

The Emotional Toll of Chronic Illness: Understanding and Managing Anxiety, Depression & Isolation

If you live with chronic illness, you know it’s not just about physical symptoms – it’s about the crushing weight of uncertainty, the isolation of cancelled plans, and the exhausting battle against your own thoughts on top of battling your body. If you love someone with chronic illness, understanding that mental health struggles aren’t separate from their condition – they’re part of it – is crucial for providing real support. This isn’t about being “weak” or “not coping well.” It’s about the documented, research-backed reality that chronic illness fundamentally affects mental health, and that addressing both together is essential for overall wellbeing.

Chronic illness doesn’t just affect the body—it affects the mind. The constant pain, fatigue, and uncertainty aren’t just physically exhausting; they take a massive toll on mental health. Some days, it feels like I’m fighting two battles—one against my body and another against my thoughts.

The Hidden Mental Health Crisis in Chronic Illness

The Statistics Tell a Story

Before diving into personal experiences, it’s important to understand how common mental health challenges are for people with chronic illness:

Research shows that people with chronic illness are:

  • 2-3 times more likely to experience depression than healthy individuals
  • At significantly higher risk for anxiety disorders
  • More likely to experience social isolation and loneliness
  • At increased risk for suicidal thoughts and behaviors

Specific conditions and mental health risks:

  • Chronic pain conditions: 30-50% experience depression
  • Autoimmune diseases: 25-35% develop anxiety or depression
  • Diabetes: 2-3 times higher depression rates
  • Heart disease: 15-30% experience clinical depression

These aren’t just numbers – they represent millions of people fighting invisible battles alongside their physical symptoms.

Why Mental Health and Chronic Illness Are Inseparable

The mind-body connection is real and powerful:

  • Physical symptoms create psychological stress
  • Chronic stress worsens physical symptoms
  • Pain pathways in the brain overlap with mood regulation areas
  • Inflammation from chronic conditions affects brain chemistry
  • Sleep disruption (common in chronic illness) significantly impacts mental health

The Anxiety-Chronic Illness Connection

How Chronic Illness Fuels Anxiety

Dealing with chronic illness is a huge weight on your mental health. The uncertainty is incredibly difficult. You never know minute to minute how you’re going to feel, let alone day to day.

The uncertainty creates multiple types of anxiety:

Health anxiety: Constant monitoring of symptoms, worry about flares, fear of getting worse

Future anxiety: One of the most difficult parts of a chronic illness isn’t the thought of when we’ll get better; it’s the thought of how much worse it can get. I constantly have the thought, “If I feel this bad now, what am I going to feel like in 5 years? 10 years? 20 years?”

Social anxiety: Worrying about having to cancel plans, explaining invisible symptoms, being judged for limitations

Financial anxiety: Medical costs, reduced work capacity, insurance battles, treatment expenses

Medical anxiety: Fear of doctors dismissing symptoms, anxiety about test results, trauma from medical gaslighting

The Physical Manifestation of Anxiety

Anxiety doesn’t just feel mental – it creates physical symptoms that can worsen chronic illness:

  • Muscle tension that increases pain
  • Rapid heartbeat that feels concerning
  • Digestive issues that complicate existing conditions
  • Sleep disruption that prevents healing
  • Shallow breathing that reduces oxygen delivery

This creates a vicious cycle: Chronic illness causes anxiety, anxiety worsens physical symptoms, worse symptoms increase anxiety.

The Depression-Chronic Illness Spiral

Why Depression Develops with Chronic Illness

Multiple factors contribute to depression in chronic illness:

Grief and loss: Mourning the life you had before illness, lost abilities, changed relationships, abandoned dreams

Chronic stress: The constant challenge of managing symptoms creates sustained stress that depletes mood-regulating neurotransmitters

Inflammation: Many chronic conditions involve inflammation, which directly affects brain chemistry and mood

Sleep disruption: Poor sleep quality (common in chronic illness) is both a symptom and cause of depression

Social isolation: Reduced social connections due to illness limitations

Identity changes: Struggling with who you are now versus who you were before illness

The Diagnostic Challenge

I know that my chronic pain has a major connection to my mental health, but what am I supposed to do when multiple doctors have told me that there’s nothing that they can find that’s causing the pain? Then, my current doctor diagnosed me with fibromyalgia. I finally have a diagnosis that makes sense for most of my symptoms, but there’s no cure and not many medications that are used to treat the pain of fibromyalgia.

The depression often gets complicated when:

  • Doctors can’t find a cause for physical symptoms
  • You’re told “it’s all in your head”
  • Treatments don’t work as expected
  • You face medical gaslighting or dismissal
  • The diagnosis process takes years

The Interconnected Cycle

To top it off, my doctor tells me that my pain, depression, and anxiety make each other worse. This whole thing is just an ugly circle that doesn’t end. People who live with chronic pain are at a greater risk for anxiety and depression. A common symptom of anxiety is pain, and depression can make a person more sensitive to pain. (More information about this here).

The cycle works like this:

  1. Chronic illness causes physical symptoms
  2. Physical symptoms create stress and mood changes
  3. Stress and depression worsen physical symptoms
  4. Worse symptoms increase mental health challenges
  5. The cycle continues and intensifies

Breaking this cycle requires addressing both physical and mental health simultaneously.

The Isolation Factor: When Chronic Illness Shrinks Your World

Beyond COVID: Chronic Illness Creates Long-Term Isolation

Then we get to deal with the isolation factor, not just because of COVID-19. This is our lives. Some days we might be able to manage getting out and doing things, but, again, we don’t know how we’re going to feel minute to minute, let alone for whatever plans or appointments we’ve made.

Chronic illness isolation happens because:

  • Unpredictable symptoms make planning difficult
  • Energy limitations require choosing between activities
  • Physical limitations restrict where you can go
  • Financial constraints from medical costs limit social activities
  • Medication side effects can affect social comfort
  • Sleep schedule changes put you out of sync with others

The Friend Loss Reality

I’ve lost a lot of friends over the years. I had to keep canceling plans because I just couldn’t keep the plans made. They just got tired of me canceling all the time, and they just didn’t understand what I was going through.

The pattern of losing friendships often includes:

  • Initial understanding that gradually fades
  • Friends who take cancellations personally
  • Social circles that revolve around activities you can’t do
  • People who don’t understand invisible illness
  • Gradual drift as life experiences diverge

The Guilt and Misunderstanding

I lost track of the times I heard, “Just come out with me/us. You’ll feel better not being stuck at home.” I would feel so guilty, and then I’d get angry because they just didn’t understand the pain and fatigue that I was experiencing.

Common hurtful comments that increase isolation:

  • “You’ll feel better if you get out”
  • “You’re always making excuses”
  • “You seem fine when I see you”
  • “You just need to think positive”
  • “Maybe you’re depressed because you stay home too much”

These comments hurt because they:

  • Minimize the real physical limitations
  • Suggest the person isn’t trying hard enough
  • Ignore the energy cost of social activities
  • Create guilt about necessary self-care

The Emotional Coping Struggles: What It Really Feels Like

The Guilt Cycle

Oh! The guilt keeps on coming around, doesn’t it? How many times have you been lying in bed trying to get some rest, and you’re lying there thinking about all of the things that you should be getting done? I think I’ve made this a profession at this point.

The guilt manifests in multiple ways:

  • Rest guilt: Feeling lazy for needing more rest than others
  • Productivity guilt: Not accomplishing as much as before illness
  • Social guilt: Canceling plans or declining invitations
  • Family guilt: Not being the partner/parent/child you want to be
  • Financial guilt: Medical costs and reduced earning capacity

The Internal Dialogue

Then I start feeling lazy and guilty about what I’m not getting done, while at the same time just getting more tired. Heaven forbid someone says something like, “It’s all in your head,” or “You’ll feel better if you get up and move around.” Then we just feel worse about ourselves.

The negative self-talk includes:

  • “I should be doing more”
  • “Other people manage better than I do”
  • “I’m letting everyone down”
  • “Maybe I am just lazy”
  • “I’m a burden on my family”

This internal dialogue is often made worse by:

  • Societal messages about productivity and worth
  • Comparison to pre-illness capabilities
  • Lack of understanding from others
  • Internalized ableism and health stigma

Comprehensive Strategies for Managing Mental Health with Chronic Illness

So how do we cope with all of this? While there’s no one-size-fits-all answer, here are evidence-based strategies that can help:

Setting Boundaries: The Foundation of Self-Care

Learn to set boundaries. It’s ok to say no and not feel guilty about it. This is still a work in progress for me. I’ve gotten good at saying no; I just still feel guilty every time that I do.

Types of boundaries to consider:

  • Energy boundaries: Limiting activities based on current capacity
  • Social boundaries: Saying no to events that would trigger symptoms
  • Communication boundaries: Not explaining your health status to everyone
  • Medical boundaries: Choosing which treatments to pursue
  • Work boundaries: Requesting accommodations or reducing hours

How to set boundaries effectively:

  • Be clear and direct rather than making excuses
  • Don’t over-explain your health situation
  • Offer alternatives when possible (“I can’t meet for dinner, but could we video chat?”)
  • Remember that “no” is a complete sentence
  • Practice boundary-setting with less important situations first

Building Support Networks

Online Support Communities: Find an online support group. In-person support groups sound great in theory, but we fail in execution. So I’m not even going to recommend them. If you can actually handle something like that, I think it’s a great idea. For me, this would end up being another appointment that I don’t make it to. I feel like I’d be setting myself up for failure.

Benefits of online support:

  • Access from home during flares
  • Available 24/7 when symptoms are worst
  • Connect with people who have your specific condition
  • No pressure to attend at specific times
  • Anonymity options if desired

Where to find online support:

  • Facebook groups for specific conditions
  • Reddit communities (r/ChronicIllness, r/Fibromyalgia, etc.)
  • Mighty.com chronic illness communities
  • Condition-specific organization forums
  • Apps like Alike for chronic illness networking

Professional Mental Health Support

Take the time to find a good therapist (online, of course). One benefit of COVID-19 is that therapy has become a lot more accessible. There’s even an app for that. It really helps having someone outside of the situation and with no opinion to talk to. There’s no judgment (if there is, you didn’t find a good one), just someone to talk to and sometimes even vent to.

What to look for in a therapist:

  • Experience with chronic illness or medical trauma
  • Understanding of the mind-body connection
  • Flexibility with appointment scheduling
  • Telehealth options for bad symptom days
  • Approaches that don’t blame you for your illness

Types of therapy that help with chronic illness:

  • Cognitive Behavioral Therapy (CBT): Helps change negative thought patterns
  • Acceptance and Commitment Therapy (ACT): Focuses on living meaningfully with limitations
  • Mindfulness-Based Stress Reduction (MBSR): Reduces stress and improves pain management
  • Trauma-informed therapy: Addresses medical trauma and PTSD
  • Chronic illness-specific counseling: Therapists who specialize in health-related adjustment

Reframing Rest and Recovery

Let yourself rest with no guilt or shame (or, like me, thinking about everything you should be doing). Resting is NOT being lazy—it’s necessary. If we’re tired, we need to support our bodies and give them the rest they need.

Reframing rest as healthcare:

  • Rest is prescribed medicine, not optional downtime
  • Recovery time prevents worse flares
  • Rest allows your body to heal and repair
  • Taking breaks maintains long-term functioning
  • Rest is an active choice, not passive laziness

If I’ve learned one thing from my illness, it’s that I don’t want to “push through it.” I’ve regretted it every time that I did. I’d always feel much worse and longer than if I had just rested to begin with. I’m stubborn, and it took a few times to get the message, but I’ve finally gotten it.

Pain and Symptom Management Strategies

On bad pain days, I try to find something to do to try and distract myself. I like to read a good book, listen to music, or color. Sometimes it helps and sometimes it doesn’t. It’s always something that doesn’t take a lot of energy or movement.

Low-energy coping activities:

  • Audiobooks or podcasts when reading is difficult
  • Gentle music or nature sounds for relaxation
  • Adult coloring books for mindful distraction
  • Meditation apps for pain and anxiety management
  • Breathing exercises to reduce stress response
  • Essential oils for aromatherapy comfort

I also like to use my oil diffuser necklace with my favorite essential oil on my bad days.

Additional pain coping strategies:

  • Heat therapy (heating pads, warm baths)
  • Cold therapy for inflammation
  • Gentle stretching or yoga
  • Progressive muscle relaxation
  • Visualization techniques
  • Journaling about feelings and symptoms

Medication and Treatment Considerations

When considering mental health medications with chronic illness:

  • Work with providers who understand drug interactions
  • Consider how medications might affect chronic illness symptoms
  • Be aware that some chronic illness medications can affect mood
  • Don’t assume antidepressants will solve everything
  • Combine medication with therapy and lifestyle approaches

Alternative treatments to consider:

  • Acupuncture for pain and stress
  • Massage therapy for relaxation
  • Yoga or tai chi for gentle movement
  • Meditation and mindfulness practices
  • Nutritional approaches to mood support

Crisis Management: When Mental Health Becomes Critical

Recognizing Warning Signs

Signs that professional help is urgently needed:

  • Thoughts of self-harm or suicide
  • Complete inability to function for days/weeks
  • Severe panic attacks that interfere with medical care
  • Substance abuse to cope with symptoms
  • Complete social withdrawal and isolation
  • Inability to care for basic needs

Creating a Crisis Plan

Elements of a mental health crisis plan:

  • List of emergency contacts (family, friends, healthcare providers)
  • Crisis hotline numbers
  • Medication list and dosages
  • Preferred hospital or emergency contact
  • Self-care strategies that have worked before
  • Warning signs that indicate you need help

Crisis resources:

  • National Suicide Prevention Lifeline: 988
  • Crisis Text Line: Text HOME to 741741
  • SAMHSA National Helpline: 1-800-662-4357
  • Your local emergency services: 911

For Family and Friends: How to Support Mental Health with Chronic Illness

Understanding the Connection

What family and friends need to know:

  • Mental health struggles are a normal response to chronic illness
  • Depression and anxiety are medical conditions, not character flaws
  • Recovery isn’t linear – there will be good days and bad days
  • Supporting mental health helps physical health too
  • Professional help is often necessary and beneficial

What TO Do

Provide emotional support:

  • Listen without trying to fix everything
  • Validate their feelings and experiences
  • Avoid comparing their situation to others
  • Learn about their specific condition
  • Offer practical help (groceries, rides to appointments)

Support their treatment:

  • Encourage therapy and medication compliance
  • Help with appointment scheduling and transportation
  • Respect their healthcare decisions
  • Understand that treatment takes time

Be flexible and understanding:

  • Don’t take mood changes personally
  • Adjust expectations for activities and commitments
  • Create low-energy social options
  • Check in regularly but don’t be pushy

What NOT to Do

Avoid these harmful approaches:

  • Don’t say “think positive” or “just try harder”
  • Don’t suggest they’re making it worse by being sad
  • Don’t compare them to other people with chronic illness
  • Don’t take their limitations personally
  • Don’t assume they’ll get better if they just try hard enough

Professional Resources for Mental Health Support

Specialized Therapy Services

Synergy eTherapy – Specializes in online therapy for people dealing with medical conditions and chronic pain, focusing on holistic treatment approaches.

River Oaks Psychology – Provides online therapy services tailored to individuals living with chronic illnesses, helping them navigate emotional challenges and improve well-being.

Talkspace – A widely-used online therapy platform connecting users with licensed therapists experienced in various conditions, including chronic illnesses.

Support Groups and Peer Resources

Center for Chronic Illness – Offers free virtual peer support groups and educational resources for those impacted by chronic illnesses, aiming to reduce isolation and promote well-being.

7 Cups – An online emotional support platform offering free, anonymous chat support with trained volunteer listeners, as well as affordable online therapy with licensed professionals. It also provides community forums and support groups for those struggling with chronic illness, mental health, and life challenges. Available 24/7, it’s a great option for immediate support.

Additional Mental Health Resources

Apps for mental health support:

  • Headspace or Calm for meditation
  • Sanvello for anxiety and mood tracking
  • PTSD Coach for trauma symptoms
  • Mindshift for anxiety management
  • Youper for mood tracking and CBT techniques

Books for chronic illness and mental health:

  • “How to Be Sick” by Toni Bernhard
  • “The Mindful Body” by Ellen Langer
  • “Full Catastrophe Living” by Jon Kabat-Zinn
  • “The Illness Narratives” by Arthur Kleinman

Frequently Asked Questions

Is it normal to feel depressed about having chronic illness? Yes, absolutely. Depression and anxiety are common and normal responses to chronic illness. The grief, uncertainty, and daily challenges create legitimate stress that can lead to mental health struggles.

Will treating my depression help my physical symptoms? Often, yes. Mental health and physical health are interconnected. Treating depression and anxiety can improve pain tolerance, energy levels, sleep quality, and overall functioning.

Should I see a regular therapist or someone who specializes in chronic illness? If possible, choose someone with experience in chronic illness or medical conditions. They’ll better understand the unique challenges and won’t try to separate your mental and physical health.

How do I know if my symptoms are from depression or my chronic illness? Often they overlap and influence each other. Work with healthcare providers who understand both aspects. Don’t worry about separating them – focus on treating both.

What if I can’t afford therapy? Look into community mental health centers, sliding-scale fee therapists, online support groups, crisis hotlines, and apps that provide mental health support. Many resources are available at low or no cost.

How do I explain to family that this isn’t just “being sad”? Share educational resources about chronic illness and mental health. Explain that depression with chronic illness involves brain chemistry changes, not just emotional responses to circumstances.

Building Long-Term Mental Health Resilience

Developing Coping Skills

Daily mental health maintenance:

  • Regular check-ins with yourself about mood and stress
  • Consistent sleep schedule (as much as possible with chronic illness)
  • Gentle movement when able
  • Social connection, even if virtual
  • Engaging in meaningful activities within your capabilities

Creating Meaning and Purpose

Finding purpose with chronic illness:

  • Advocating for others with your condition
  • Sharing your story to help others feel less alone
  • Pursuing interests that work with your limitations
  • Contributing to research or awareness efforts
  • Mentoring newly diagnosed individuals

Accepting the New Normal

Adjustment involves:

  • Grieving what you’ve lost while building what you have
  • Redefining success and achievement
  • Finding joy in smaller moments
  • Building identity beyond illness
  • Accepting that some days will be harder than others

The Bottom Line

If you’re struggling with the emotional weight of chronic illness, please know this: You are not weak. You are not lazy. You are doing your best, and that is enough.

The mental health challenges that come with chronic illness are:

  • Normal and expected responses to difficult circumstances
  • Medical conditions that deserve proper treatment
  • Not signs of personal failure or weakness
  • Treatable with the right support and resources
  • Part of the chronic illness experience that needs attention

Remember:

  • Your mental health is just as important as your physical health
  • Seeking help is a sign of strength, not weakness
  • You don’t have to suffer in silence
  • There are people who understand what you’re going through
  • Recovery and better management are possible

The intersection of chronic illness and mental health is complex, but you don’t have to navigate it alone. With the right support, treatment, and self-compassion, it’s possible to find ways to thrive emotionally even while managing chronic physical conditions.

Your journey with chronic illness and mental health is valid, your struggles are real, and your resilience in facing both challenges every day is remarkable. Take it one day at a time, be patient with yourself, and remember that asking for help is one of the bravest things you can do.


✨ How has chronic illness affected your mental health? What helps you cope? Let’s support each other in the comments below. ✨

Wellness on Your Terms: Redefining Health with Chronic Illness (And Why Traditional Wellness Culture Fails Us)

If you live with chronic illness, you’ve probably been bombarded with wellness advice that feels impossible or even harmful: “Just exercise more!” “Try this superfood!” “Manifest your health!” Meanwhile, some days getting out of bed IS your exercise. If you love someone with a chronic illness, understanding why traditional wellness culture doesn’t work for them is crucial. This isn’t about giving up on health – it’s about redefining what wellness looks like when your body has different rules, different limitations, and different needs.

Because wellness doesn’t always mean green smoothies and gym sessions—it’s about doing what’s right for YOUR body.

Why Traditional Wellness Culture Fails People with Chronic Illness

The Problem with One-Size-Fits-All Wellness

Traditional wellness culture promotes a narrow definition of health that typically includes:

  • Intense daily exercise routines
  • Restrictive diets and “clean eating”
  • Productivity optimization and hustle culture
  • The belief that you can control your health through willpower
  • Shame for not meeting arbitrary wellness standards

But here’s the reality: Most wellness tips focus on diet, exercise, and productivity, but what about those of us with chronic illnesses? I don’t know about you, but there are days when getting out of bed IS my exercise for the day.

The Toxic Messaging We Face

“You’re just not trying hard enough” – This ignores the reality that chronic illness creates legitimate physical limitations that can’t be overcome through willpower alone.

“If you really wanted to be healthy, you’d find a way” – This places moral judgment on health outcomes and ignores the complex factors that affect chronic conditions.

“Everyone can exercise/diet/meditate their way to health” – This assumes all bodies work the same way and have the same capabilities.

“Your health is entirely in your control” – This dismisses genetic factors, autoimmune processes, and other elements beyond personal control.

The Diversity of Chronic Illness Experience

This is different for everyone suffering from a chronic illness:

  • Some people can do light exercise such as yoga or walking
  • Others, like me, getting out of bed is their exercise some days
  • Some people can walk through the grocery store with few problems
  • Others just want to cry at the thought of navigating a busy store
  • Some can work full-time with accommodations
  • Others are disabled and unable to work

The key point: There is no universal chronic illness experience, and wellness approaches must be individualized.

Redefining Rest: It’s Medicine, Not Laziness

Breaking the Rest Guilt Cycle

I can’t emphasize this enough: resting isn’t being lazy—it’s necessary. If you have a chronic illness, please read that again and believe it.

We need to shift our internal dialogue from:

  • ❌ “I’m being lazy”
  • ❌ “I should be doing more”
  • ❌ “I’m wasting the day”
  • ❌ “I’m not productive enough”

To:

  • ✅ “I’m taking necessary steps to manage my health”
  • ✅ “Rest is part of my treatment plan”
  • ✅ “I’m listening to my body’s needs”
  • ✅ “Recovery time helps prevent flares”

The Science Behind Rest as Medicine

For chronic illness, rest serves multiple medical purposes:

  • Pain management: Rest can reduce inflammation and muscle tension
  • Energy conservation: Prevents post-exertional malaise in conditions like ME/CFS
  • Stress reduction: Lowers cortisol levels that can worsen symptoms
  • Immune function: Allows the body to repair and regenerate
  • Cognitive recovery: Helps with brain fog and mental fatigue

Rest is not the absence of productivity – it’s active healthcare management.

What Wellness Really Means for Chronic Illness Warriors

Learning the Hard Way: Why “Pushing Through” Doesn’t Work

“Pushing through” is not an option for us and only makes things worse. I have learned this the hard way, as I’m sure many others have also. When I first started having severe problems with pain and fatigue, I tried to keep up the pace of my life. The longer that I refused to admit that I had problems, the worse my symptoms got. It took quite a while to recuperate from this foolishness. I finally had to admit that I just couldn’t keep doing what I had always done before.

The Real Consequences of Ignoring Limitations

What happens when we push through:

  • Symptom flares: Overexertion often leads to worse pain, fatigue, or other symptoms
  • Extended recovery time: What might take a healthy person a day to recover from could take us weeks
  • Accumulated damage: Repeatedly ignoring our body’s signals can worsen underlying conditions
  • Mental health impact: Constant failure to meet unrealistic expectations damages self-esteem
  • Relationship strain: Burning out affects our ability to maintain connections

The New Definition of Strength

Strength with chronic illness looks like:

  • Listening to your body’s signals instead of ignoring them
  • Saying no to commitments when you need to rest
  • Advocating for accommodations you need
  • Asking for help when necessary
  • Adapting your goals based on current capabilities
  • Celebrating small victories and progress

Personalized Wellness: Defining Health on Your Terms

Creating Your Own Health Goals

It is so important that we pay attention to what our bodies tell us. Each one of us has to define our own health goals, not listen to what the media or society as a whole tries to tell us. Our goals should focus on:

Flexibility over rigidity:

  • Having backup plans for bad symptom days
  • Adjusting expectations based on current capacity
  • Choosing approaches that can be modified as needed

Self-care over self-improvement:

  • Focusing on comfort and symptom management
  • Prioritizing activities that bring joy and peace
  • Accepting where you are instead of constantly trying to “fix” yourself

Progress over perfection:

  • Celebrating any forward movement, no matter how small
  • Recognizing that progress isn’t always linear
  • Understanding that maintenance can be an achievement

Small, Sustainable Changes That Actually Work

When making small, sustainable changes with a chronic illness, focus on incorporating tiny adjustments to your sleep habits and stress management, prioritizing what works best for your body on any given day.

Examples of sustainable changes:

  • Drinking an extra glass of water each day
  • Adding 5 minutes of gentle stretching when you feel up to it
  • Going to bed 15 minutes earlier
  • Taking three deep breaths when you feel overwhelmed
  • Preparing easy meals on good days to use on bad days

Rest and sleep when your body tells you. This alone can work for feeling a little better.

Stress Management: A Unique Challenge with Chronic Illness

Work on stress management. I don’t know about many of you, but stress is probably one of the things that I struggle the most with. I have all this time to sit around and stress about everything that I can’t do anymore. I hate the feeling of helplessness that this creates because there is nothing that I can do about it.

Why stress management is complicated with chronic illness:

  • Physical symptoms create stress
  • Stress worsens physical symptoms (vicious cycle)
  • Financial concerns from medical costs and work limitations
  • Social isolation from cancelled plans and limited energy
  • Grief over lost abilities and changed life plans
  • Uncertainty about the future

Chronic illness-appropriate stress management:

  • Accepting that some stress is inevitable and valid
  • Finding techniques that work with physical limitations
  • Building support networks that understand chronic illness
  • Professional counseling with therapists familiar with chronic conditions
  • Mindfulness practices adapted for physical discomfort

Dismantling Toxic Wellness Culture

What Toxic Wellness Culture Looks Like

We all need to get rid of the toxic wellness culture and the shame associated with it. As Equip Director of Lived Experience JD Ouellette explains:

“Wellness culture as we are sold it today is the idea that we are solely responsible for and able to significantly change our health, and that pursuit of health through rigorous focus on diet and exercise confers moral superiority to those who pursue it.”

Toxic wellness culture promotes:

  • Health as a moral obligation
  • The idea that illness is a personal failing
  • Expensive solutions as necessary for health
  • Comparison and competition around health metrics
  • Shame for not meeting arbitrary standards

A Healthier Approach to Wellness

Equip Registered Dietitian Gabriela Cohen, MS, RD, LDN offers better guidance: “Focus more on what you can add, rather than what you can take away. Think about your hydration, your sleep, your anxiety levels. And always remember there is no need to change anything — you are more than fine the way you are. Do the work and define what being ‘well’ and ‘healthy’ means to you, taking into account that there are more aspects to health besides your food intake and the way you move your body.”

This approach emphasizes:

  • Addition rather than restriction
  • Multiple dimensions of health
  • Individual definition of wellness
  • Acceptance of current state
  • Holistic rather than narrow focus

Practical Wellness Strategies for Chronic Illness

🌿 Gentle Movement Ideas

Movement doesn’t have to mean gym workouts or intense exercise. For people with chronic illness, gentle movement can provide benefits without triggering flares:

Chair-based exercises:

Low-impact options:

  • Taking short walks if possible (even 2-3 minutes counts)
  • Gentle stretching when you wake up
  • Standing and sitting exercises
  • Water-based activities if accessible

Energy pacing principles:

  • Energy pacing & rest-based exercise
  • Start with less than you think you can handle
  • Rest before you’re exhausted
  • Plan recovery time after activity
  • Listen to your body’s feedback

🍽️ Nutrition Without Overwhelm

Nutrition with chronic illness isn’t about perfect eating – it’s about nourishing your body in ways that are sustainable and realistic.

Simple, nourishing snacks that help sustain energy:

  • Yogurt, fruit, and granola
  • Peanut butter and banana sandwich
  • Hummus and vegetables
  • Cottage cheese with fruit
  • Easy salad – salad mix, cherry tomatoes, ham or chicken cubes, and salad dressing

Principles for chronic illness nutrition:

  • Eating without guilt – because restriction isn’t the answer
  • Convenience is okay – pre-prepared foods can be lifesavers on bad days
  • Hydration matters – often easier to manage than complex meal planning
  • Blood sugar stability – regular, balanced meals can help with energy
  • Anti-inflammatory focus – when possible and practical

Practical nutrition strategies:

  • Batch cooking on good days
  • Keeping easy backup meals available
  • Using grocery delivery when shopping is overwhelming
  • Focusing on adding nutrients rather than restricting foods

😴 Prioritizing Rest & Recovery

Sleep and rest are crucial for chronic illness management, but they can also be challenging due to pain, medication side effects, and anxiety.

Rest strategies:

Sleep optimization:

🧠 Mental Wellness & Self-Care

Mental health is inseparable from physical health, especially with chronic illness.

Managing wellness overwhelm:

Developing sustainable self-care:

  • Developing self-care routines
  • Self-care that works with limited energy
  • Free and low-cost self-care options
  • Self-care during flares vs. stable periods

Managing mental health when your body won’t cooperate:

  • Dealing with grief over lost abilities
  • Managing anxiety about symptoms and future
  • Coping with social isolation
  • Finding purpose and meaning despite limitations

💧 Hydration: The Foundation of Chronic Illness Wellness

I’m always trying to drink plenty of water because I know that hydration is super important. I love using an insulated tumbler to make sure I drink enough water. I take it with me wherever I go.

Why hydration is especially important with chronic illness:

  • Many medications can cause dehydration
  • Dehydration can worsen fatigue and brain fog
  • Proper hydration supports pain management
  • Helps with digestion and medication absorption
  • Can improve mood and cognitive function

Practical hydration strategies:

  • Using marked water bottles to track intake
  • Setting phone reminders to drink water
  • Adding electrolytes if needed (consult healthcare provider)
  • Eating water-rich foods when drinking is difficult
  • Finding beverages you actually enjoy

Creating Your Personal Wellness Framework

Step 1: Assess Your Current Reality

Questions to consider:

  • What does a good day look like for me?
  • What does a bad day look like for me?
  • What activities consistently make me feel better?
  • What activities consistently make me feel worse?
  • Where am I being too hard on myself?

Step 2: Identify Your Non-Negotiables

Examples might include:

  • Getting enough sleep (even if it’s more than “normal”)
  • Taking medications as prescribed
  • Having one day per week with no scheduled activities
  • Eating regularly to maintain blood sugar
  • Having access to comfortable seating/lying positions

Step 3: Create Flexible Goals

Instead of rigid rules, create flexible guidelines:

  • “I will move my body gently when I’m able”
  • “I will eat nourishing foods when possible and convenient foods when necessary”
  • “I will rest without guilt when my body needs it”
  • “I will ask for help when I need it”

Step 4: Build Your Support System

Your wellness team might include:

  • Healthcare providers who understand chronic illness
  • Family and friends who support your approach
  • Online communities for your specific condition
  • Mental health professionals familiar with chronic illness
  • Other people with chronic illness who “get it”

For Family and Friends: Understanding Chronic Illness Wellness

What “Healthy” Looks Like for Someone with Chronic Illness

It might mean:

  • Resting when they need to without explaining why
  • Eating in ways that work for their body and energy levels
  • Moving in gentle ways rather than intense exercise
  • Prioritizing symptom management over productivity
  • Having good days and bad days without it being their “fault”

How to Support Without Judging

DO:

  • Ask what wellness means to them
  • Support their choices even if they’re different from yours
  • Offer help with practical tasks
  • Celebrate their victories, no matter how small they seem
  • Learn about their specific condition

DON’T:

  • Suggest they try the latest wellness trend
  • Comment on their activity levels or eating habits
  • Compare them to other people (with or without chronic illness)
  • Assume they’re not doing enough to help themselves
  • Take their limitations personally

Understanding the Emotional Aspect

Chronic illness wellness includes emotional processing:

  • Grief over lost abilities
  • Frustration with limitations
  • Joy in small improvements
  • Anger at unfair circumstances
  • Hope for better management strategies

Supporting someone’s emotional wellness around chronic illness means validating these feelings rather than trying to fix or minimize them.

Frequently Asked Questions

Is it giving up to lower my expectations for exercise/diet/productivity? No, it’s being realistic and kind to yourself. Adapting your expectations to match your current capabilities is smart healthcare management, not giving up.

How do I deal with people who judge my wellness choices? Set boundaries around health discussions. You don’t owe anyone explanations for your healthcare decisions. Consider limiting time with people who consistently make you feel bad about your health management.

What if my doctor doesn’t understand my limitations? Seek providers who have experience with chronic illness. Bring detailed symptom logs and explain how activities affect your symptoms. Don’t be afraid to get second opinions.

How do I know if I’m doing enough for my health? Focus on whether your current approach helps you feel better, manage symptoms, and maintain quality of life. “Enough” is individual and can change based on your current condition status.

What if I can’t afford expensive wellness treatments? Many effective wellness strategies for chronic illness are free or low-cost: rest, gentle movement, stress management, hydration, and social connection. Don’t let financial limitations prevent you from caring for yourself.

How do I handle good days vs. bad days? Develop different wellness strategies for different symptom levels. Plan easier backup activities for bad days and gentle challenges for good days. Avoid the boom-bust cycle of overdoing it on good days.

Resources for Chronic Illness Wellness

Condition-Specific Wellness Resources

Fibromyalgia:

  • National Fibromyalgia Association (fmaware.org)
  • Fibromyalgia self-care strategies

Autoimmune conditions:

  • American Autoimmune Related Diseases Association (aarda.org)
  • Anti-inflammatory nutrition resources

Chronic fatigue/ME/CFS:

  • Solve ME/CFS Initiative (solvecfs.org)
  • Energy pacing resources

Chronic pain:

  • American Chronic Pain Association (theacpa.org)
  • Pain management strategies

General Chronic Illness Wellness

Books:

  • “The Spoon Theory” by Christine Miserandino
  • “How to Be Sick” by Toni Bernhard
  • “The Illness Lesson” by Clare Beams

Apps:

  • MySymptoms (symptom tracking)
  • Insight Timer (meditation)
  • Waterllama (hydration tracking)
  • Sleep Cycle (sleep optimization)

Websites:

  • But You Don’t Look Sick (butyoudontlooksick.com)
  • The Mighty (themighty.com)
  • Invisible Disabilities Association (invisibledisabilities.org)

Professional Support

Finding the right providers:

  • Look for healthcare providers experienced with chronic illness
  • Seek mental health professionals who understand chronic conditions
  • Consider functional medicine or integrative approaches
  • Ask for referrals from chronic illness communities

The Bottom Line

Wellness with chronic illness isn’t about achieving some external standard of health – it’s about finding what works for your unique body, limitations, and circumstances. It’s about rejecting the toxic messages that tell you you’re not doing enough and embracing approaches that actually help you feel better.

Your wellness journey might include:

  • Days when getting dressed is an accomplishment
  • Choosing rest over productivity without guilt
  • Eating in ways that work for your body, not Instagram
  • Moving gently instead of intensely
  • Asking for help when you need it
  • Celebrating small victories
  • Adapting your goals as your condition changes

What does wellness look like for YOU with chronic illness? It might look completely different from traditional wellness culture, and that’s exactly as it should be.

Remember: You are not broken and don’t need fixing. You need support, understanding, and approaches that work with your body rather than against it. You deserve wellness strategies that honor your reality rather than shame you for not meeting impossible standards.

Let’s break the stereotype and redefine wellness in ways that actually serve people with chronic illness. Because true wellness isn’t one-size-fits-all – it’s deeply personal, endlessly adaptable, and entirely yours to define.


What does wellness look like for YOU with chronic illness? Let’s break the stereotype and share real ways we take care of ourselves in the comments below.

Things I Wish People Knew About Living with Chronic Illness: The Reality Behind Invisible Conditions

If you live with chronic illness, you’ve probably heard every dismissive comment in the book: “But you don’t look sick,” “Have you tried yoga?” or “It’s probably just stress.” If you love someone with chronic illness, you might not realize how these well-meaning comments land. Chronic illness affects over 133 million Americans, yet it remains widely misunderstood. This isn’t just about being tired or having a bad day – it’s about navigating a completely different reality where simple tasks become monumental challenges, where looking “normal” masks invisible suffering, and where finding understanding can feel impossible.

Chronic illness isn’t just ‘being tired’—it’s waking up exhausted after 10 hours of sleep, pushing through pain no one else can see, and still hearing, “But you don’t look sick.”

The Hidden Reality: What Chronic Illness Actually Looks Like

Before we dive into what I wish people understood, let’s establish what chronic illness really means. According to the CDC, a chronic condition is one that:

  • Lasts one year or more
  • Requires ongoing medical attention
  • Limits activities of daily living

But this clinical definition doesn’t capture the daily reality of living with conditions like fibromyalgia, autoimmune diseases, diabetes, chronic pain, mental health conditions, and countless others.

The Numbers Behind the Experience

Chronic illness affects:

  • 6 in 10 adults in the United States
  • 40% of children and adolescents
  • People of all ages, races, and socioeconomic backgrounds

Common chronic conditions include:

  • Heart disease, cancer, diabetes
  • Autoimmune conditions like lupus, rheumatoid arthritis
  • Mental health conditions like depression, anxiety
  • Neurological conditions like multiple sclerosis, fibromyalgia
  • Digestive conditions like Crohn’s disease, IBS

Yet despite how common these conditions are, misconceptions and stigma persist.

What My Community Told Me: The Real Struggles

I recently conducted a poll in the chronic illness community asking what their biggest challenges were. The responses revealed the most frustrating aspects of living with chronic conditions:

The Top Challenges Identified:

1. Pain and symptoms that others can’t see or understand 2. People not understanding (tied for second place) 3. Managing daily tasks (tied for second place)
4. Medical bills and costs (tied for second place)

These responses tell a story about more than just physical symptoms – they reveal the social, emotional, and financial toll of chronic illness that often goes unrecognized.

Common Misunderstandings That Hurt

Here’s why these misunderstandings are so frustrating and harmful:

“You Don’t Look Sick” – The Invisible Illness Problem

What people think: If someone looks healthy, they must feel healthy.

The reality: Just because I look good doesn’t mean I feel good. Many people don’t realize that chronic illness can be invisible but still greatly impact our lives.

Let’s be honest—we don’t want to look how we feel. If we did, I’d be a complete and total mess…ALL. THE. TIME. We put tremendous effort into appearing “normal” because:

  • Society expects us to look sick to be believed
  • We don’t want to be defined by our illness
  • Looking put-together helps us feel more like ourselves
  • We’ve learned that people treat us differently when we “look sick”

The Energy Misconception

What people think: Everyone gets tired; chronic fatigue is just being lazy or out of shape.

The reality: Many people struggle just to get around. Walking through the grocery store can feel like climbing Mt. Everest. Most people can work, do chores, and manage hygiene with ease. For us, these things often require help or significant recovery time.

Examples of what “simple” tasks actually involve:

  • Showering: May require sitting, planning around energy levels, and recovery time afterward
  • Grocery shopping: Might need to use mobility aids, shop online, or have someone else do it
  • Work: May require accommodations, flexible schedules, or working from home
  • Social events: Often require choosing between the event and other activities, planning recovery time

The Assumption of Lifestyle Blame

What people think: Chronic illness is somehow caused by poor lifestyle choices.

The reality: Assuming that my lifestyle is somehow to blame for how I feel dismisses the complex, often genetic or autoimmune nature of many chronic conditions.

This assumption is particularly harmful because:

  • Many chronic conditions have genetic components
  • Autoimmune diseases attack healthy bodies regardless of lifestyle
  • Environmental factors beyond our control can trigger conditions
  • Blaming lifestyle creates shame and guilt on top of physical suffering

The Most Harmful Comments We Hear

These common misconceptions turn into hurtful comments that people with chronic illness hear regularly:

Health and Lifestyle Myths

“Chronic illness can be prevented by eating right and exercising”

  • Reality: While lifestyle factors can help manage some conditions, many chronic illnesses are genetic, autoimmune, or triggered by factors beyond our control

“Overweight people just need to eat less and get off the couch”

  • Reality: Many medications cause weight gain, conditions affect metabolism, and chronic pain can severely limit physical activity

“People with diabetes just need to stay away from sugar, and they’ll be fine”

  • Reality: Diabetes management is incredibly complex, involving multiple factors beyond sugar intake

Age-Related Assumptions

“Chronic illness only happens to old people”

  • Reality: Millions of children, teenagers, and young adults live with chronic conditions
  • Many autoimmune diseases peak in diagnosis during reproductive years
  • Young people often face additional disbelief because of their age

Medical Gaslighting

“The doctor couldn’t find a reason for the pain, so it must be in my head”

  • Reality: Many chronic conditions don’t show up on standard tests
  • Medical knowledge is constantly evolving
  • “Normal” test results don’t mean symptoms aren’t real
  • This attitude delays proper diagnosis and treatment

Dismissive “Solutions”

“Just get up and move around, and you’ll feel better”

  • Reality: For many chronic conditions, overexertion can cause symptom flares lasting days or weeks

“Just manage your stress, and you’ll be fine”

  • Reality: While stress management is important, chronic illness isn’t caused by poor stress management

“My chronic pain is just because I’m getting older”

  • Reality: Pain that significantly impacts daily life isn’t a normal part of aging and deserves investigation

What We Really Wish People Would Understand

About Our Daily Experience

When I say I’m tired or in pain, please don’t tell me I look fine. I just want people to believe me, not look at me like I’m crazy.

It doesn’t matter how I look; I’m tired and in crazy pain. Always. The effort it takes to look “normal” is often exhausting in itself.

Every day requires strategy and planning. We constantly make decisions about energy allocation:

  • Should I shower today or save energy for work?
  • Can I handle this social event or will it trigger a flare?
  • Do I need to take medication now or try to push through?

About Support Systems

Many people don’t have the understanding and support of their family. Family members may:

  • Minimize symptoms they can’t see
  • Expect the same level of participation as before illness
  • Struggle to understand the unpredictable nature of chronic conditions
  • Feel frustrated by the changes chronic illness brings to family dynamics

Not everyone has access to comprehensive care. Many of us don’t have the financial resources to try everything that might work:

  • Specialists often aren’t covered by insurance
  • Alternative treatments are usually out-of-pocket
  • Time off work for medical appointments affects income
  • Prescription costs can be overwhelming

About the Emotional Toll

We’re grieving the life we used to have. Chronic illness often involves:

  • Loss of career goals or changes in work capacity
  • Reduced ability to participate in hobbies or activities
  • Changes in relationships and social connections
  • Constant adaptation to new limitations

We’re stronger than we look, but we shouldn’t have to prove it. Living with chronic illness requires incredible resilience, but we shouldn’t have to demonstrate our suffering to receive understanding and support.

How to Be More Supportive: What Actually Helps

Instead of Dismissive Comments, Try Understanding Responses

❌ Instead of saying, “It could always be worse” ✅ Try: “That sounds frustrating; how can I help?”

❌ Instead of offering unsolicited advice ✅ Try: Sometimes, we just need someone to listen—not offer solutions

❌ Instead of assuming what we need ✅ Try: Don’t assume you know what I need—ask how you can help

Education and Awareness

Take time to research the condition instead of making assumptions. If you have questions, just ask. Good resources include:

  • Reputable medical websites
  • Condition-specific organizations
  • Patient advocacy groups
  • Academic medical centers

Understand that every person’s experience is different. Even people with the same diagnosis can have vastly different symptoms and limitations.

Communication That Helps

Saying “Just push through it” or “It can’t be that bad” dismisses my struggle and makes me feel unheard. Instead, acknowledging what I’m going through means a lot.

Please don’t tell me that you’re worse off than I am. This isn’t a competition, and everyone’s suffering is valid.

Ask specific questions instead of general ones:

  • Instead of “How are you?” try “How are your energy levels today?”
  • Instead of “Can you come?” try “What would help you participate if you’re feeling up to it?”

Practical Support

Offer specific help rather than general offers:

  • “Can I pick up groceries for you?” instead of “Let me know if you need anything”
  • “Would it help if I drove you to your appointment?”
  • “I’m making dinner – can I bring you some?”

Be flexible with plans:

  • Understand that symptoms can change rapidly
  • Don’t take last-minute cancellations personally
  • Consider low-energy alternatives for activities

Include us in planning:

  • Ask about accessibility needs
  • Consider timing (some people feel better at certain times of day)
  • Provide options that accommodate different energy levels

The Workplace Reality

What Employers and Coworkers Should Know

Chronic illness affects work performance unpredictably:

  • Good days and bad days can vary significantly
  • Cognitive symptoms (“brain fog”) can affect concentration
  • Medical appointments may be frequent and non-negotiable
  • Symptoms can worsen under stress

Accommodations often cost little but mean everything:

  • Flexible start times for morning stiffness
  • Work-from-home options during flares
  • Ergonomic equipment to reduce strain
  • Understanding about medical absences

We want to contribute meaningfully: Most people with chronic illness want to work and contribute. Accommodations help us do our best work, not avoid work.

For Healthcare Providers: What We Need

Better Understanding of Chronic Conditions

Listen to the whole story: Symptoms that seem unrelated might be connected in chronic illness.

Understand the impact on daily life: Ask how symptoms affect work, relationships, and activities.

Don’t dismiss “normal” test results: Many chronic conditions don’t show up on standard tests.

Consider the whole person: Chronic illness affects mental health, relationships, and quality of life.

Improved Communication

Validate experiences: Even if you can’t find a cause immediately, acknowledge that symptoms are real.

Explain your thinking: Help patients understand why you’re ordering (or not ordering) certain tests.

Be honest about limitations: It’s okay to say “I don’t know” and refer to specialists.

Include patients in decisions: We know our bodies and often have valuable insights about our symptoms.

The Financial Reality of Chronic Illness

The Hidden Costs

Medical expenses add up quickly:

  • Specialist copays and deductibles
  • Prescription medications
  • Medical equipment and supplies
  • Alternative treatments not covered by insurance

Work impacts affect income:

  • Reduced hours or need for part-time work
  • Career limitations due to symptoms
  • Time off for medical appointments
  • Potential disability if unable to work

Daily living costs increase:

  • Prepared foods when cooking is difficult
  • Delivery services for groceries and necessities
  • Household help for cleaning and maintenance
  • Transportation when driving isn’t possible

Insurance Challenges

Coverage limitations are common:

  • Prior authorization requirements for medications
  • Limited specialist visits per year
  • Exclusions for certain treatments or devices
  • High deductibles that must be met annually

Fighting for coverage takes energy: The appeals process for denied claims can be exhausting when you’re already dealing with health challenges.

The Mental Health Impact

The Emotional Toll of Chronic Illness

Chronic illness significantly increases the risk of:

  • Depression and anxiety
  • Social isolation
  • Grief and loss reactions
  • PTSD from medical trauma

The relationship between physical and mental health is complex:

  • Chronic pain can cause depression
  • Depression can worsen physical symptoms
  • Anxiety about symptoms can increase symptom severity
  • Social isolation worsens both physical and mental health

Coping Strategies That Help

Building a support network:

  • Online communities for your specific condition
  • Local support groups
  • Counselors who understand chronic illness
  • Friends and family who listen without judgment

Developing self-advocacy skills:

  • Learning to communicate with healthcare providers
  • Understanding your rights as a patient
  • Keeping detailed symptom records
  • Researching your condition from reputable sources

Practicing self-compassion:

  • Accepting that some days will be harder than others
  • Celebrating small victories
  • Adjusting expectations based on current capabilities
  • Treating yourself with the same kindness you’d show a friend

The Importance of Representation and Awareness

Why Visibility Matters

Chronic illness advocacy helps:

  • Reduce stigma and misconceptions
  • Improve healthcare provider education
  • Increase research funding for treatments
  • Create better workplace policies
  • Build supportive communities

When we share our stories:

  • Others feel less alone in their experiences
  • People without chronic illness gain understanding
  • Healthcare providers learn about patient experiences
  • Policymakers understand the need for support

How to Be an Ally

If you don’t have chronic illness, you can help by:

  • Listening to and believing people’s experiences
  • Educating yourself about chronic conditions
  • Supporting chronic illness advocacy efforts
  • Checking your assumptions and language
  • Being inclusive in social and work situations

Frequently Asked Questions

How can I tell if someone’s chronic illness is “real” or serious? This isn’t your determination to make. Believe people when they tell you about their experiences. The validity of someone’s illness isn’t dependent on your understanding or approval.

What if I say something wrong or offensive? Ask how you can do better. Most people appreciate genuine efforts to understand, even if you make mistakes. The key is listening and learning.

Should I treat someone with chronic illness differently? Treat them as a whole person, not just their illness. Be considerate of their limitations while recognizing their capabilities and contributions.

How do I know when to offer help vs. when to give space? Ask! “Would it be helpful if I…” or “What kind of support would be most useful right now?” are good ways to check in.

What if their condition affects our friendship/relationship? Chronic illness does change relationships, but it doesn’t have to end them. Communication, flexibility, and understanding can help relationships adapt and even grow stronger.

Is it okay to ask questions about their condition? Generally yes, if you ask respectfully and are genuinely interested in understanding. Follow their lead – if they don’t want to discuss details, respect that boundary.

Resources for Understanding and Support

Educational Resources

Condition-specific organizations:

  • American Autoimmune Related Diseases Association (aarda.org)
  • National Fibromyalgia Association (fmaware.org)
  • Lupus Foundation of America (lupus.org)
  • National Multiple Sclerosis Society (nationalmssociety.org)

General chronic illness resources:

  • Invisible Disabilities Association (invisibledisabilities.org)
  • But You Don’t Look Sick (butyoudontlooksick.com)
  • The Mighty (themighty.com)
  • Chronic Illness Bloggers (chronicillnessbloggers.com)

For Families and Friends

Books about supporting someone with chronic illness:

  • “When the Body Says No” by Gabor Maté
  • “The Illness Narratives” by Arthur Kleinman
  • “Being Mortal” by Atul Gawande

Online support for caregivers:

  • Family Caregiver Alliance (caregiver.org)
  • Caregiver Action Network (caregiveraction.org)

For Healthcare Providers

Continuing education resources:

  • Institute for Healthcare Improvement (ihi.org)
  • Agency for Healthcare Research and Quality (ahrq.gov)
  • Patient-Centered Outcomes Research Institute (pcori.org)

The Bottom Line

Living with chronic illness means navigating a world that often doesn’t understand or accommodate invisible disabilities. It means making difficult choices about energy, dealing with unpredictable symptoms, and advocating for yourself in medical, work, and social situations.

What we need most is simple: to be believed, understood, and supported.

This doesn’t require medical degrees or special training. It requires:

  • Listening without judgment
  • Believing people’s experiences
  • Offering practical support
  • Educating yourself about chronic conditions
  • Being flexible and understanding

For those living with chronic illness: Your experiences are valid, your struggles are real, and you deserve understanding and support. You’re not alone in this journey, even when it feels isolating.

For those supporting someone with chronic illness: Your understanding and support make an enormous difference. Thank you for taking the time to learn about experiences that might be very different from your own.

Chronic illness affects millions of people, yet it remains largely invisible in our society. By sharing our experiences and educating others, we can create a world that’s more understanding, inclusive, and supportive for everyone living with chronic conditions.

Together, we can change the narrative from “but you don’t look sick” to “I believe you, and I want to understand how I can help.”


💬 What’s something you wish people understood about chronic illness? Drop your thoughts in the comments below – your perspective might help someone else feel less alone or help others understand better.

How to Advocate for Yourself in the Doctor’s Office: A Chronic Illness Patient’s Complete Guide

If you’ve ever left a doctor’s appointment feeling dismissed, unheard, or like your symptoms weren’t taken seriously, you’re not alone. Medical gaslighting and patient dismissal are unfortunately common experiences, especially for people with chronic illness, women, and marginalized communities. Whether you’re newly diagnosed, seeking answers for mysterious symptoms, or managing an established condition, learning to advocate for yourself in medical settings isn’t just helpful – it’s essential. This guide will give you the tools, language, and confidence to get the healthcare you deserve.

Navigating the healthcare system with a chronic illness can be frustrating and exhausting. Many patients experience medical gaslighting, where their symptoms are dismissed or downplayed, leaving them feeling unheard. Doctors don’t always fully understand invisible illnesses or chronic conditions, making it crucial for patients to advocate for themselves. Learning to confidently communicate your symptoms, concerns, and needs can make a significant difference in the quality of care you receive.

Why Self-Advocacy Matters More Than Ever in Healthcare

The Reality of Modern Healthcare

Healthcare has changed dramatically over the past few decades, and not always for the better when it comes to patient care:

Time constraints: Most primary care appointments are scheduled for 15-20 minutes, barely enough time to discuss complex chronic conditions

Insurance limitations: Providers may be restricted in what tests they can order or specialists they can refer to

Defensive medicine: Some doctors avoid ordering tests or making referrals to protect themselves from liability

Lack of chronic illness education: Many medical schools still don’t adequately cover complex chronic conditions

Systemic bias: Research shows that women, people of color, and younger patients are more likely to have their symptoms dismissed

The Cost of Not Advocating

When patients don’t advocate for themselves, the consequences can be serious:

  • Delayed or missed diagnoses
  • Inappropriate treatments that don’t address the root cause
  • Worsening symptoms and quality of life
  • Mental health impacts from feeling dismissed and unheard
  • Financial costs from ineffective treatments and repeated appointments

What Good Medical Advocacy Looks Like

Effective self-advocacy isn’t about being difficult or confrontational. It’s about:

  • Clearly communicating your symptoms and concerns
  • Asking informed questions about your care
  • Ensuring your healthcare needs are met
  • Building collaborative relationships with providers
  • Knowing when to seek additional opinions or care

The Complete Preparation Strategy

1. Document Everything: Your Medical History Arsenal

One of the most effective ways to advocate for yourself is to be thoroughly prepared before your appointment.

Create a comprehensive symptom journal:

  • Dates and times: When symptoms occur and how long they last
  • Intensity scale: Rate pain or discomfort on a 1-10 scale
  • Triggers: What seems to make symptoms better or worse
  • Impact on daily life: How symptoms affect work, relationships, and activities
  • Associated symptoms: Everything that happens together
  • Medication effects: How treatments are or aren’t working

I use a binder to keep everything organized. I like having the pockets on both sides. It makes it easy to bring with me and lets me bring test results from one doctor to another easily.

Prepare your questions list:

  • Write down concerns ahead of time so you don’t forget in the moment
  • Prioritize your most important questions in case time runs short
  • Include questions about next steps, follow-up care, and treatment options

Gather your medical documentation:

  • Complete medication list with dosages and frequencies
  • Test results from previous doctors
  • Imaging reports and lab work
  • Previous diagnoses and treatment attempts
  • Insurance information and referral requirements

2. Build Your Support Team

Bring a support person when possible:

  • They can help reinforce your concerns
  • Take notes during the appointment
  • Remember important information you might forget
  • Provide emotional support during difficult conversations
  • Witness any dismissive behavior

Choose your advocate wisely:

  • Someone who understands your condition
  • A person who can speak up assertively but respectfully
  • Someone who won’t minimize your symptoms or contradict you

Communication Strategies That Work

1. Use Specific, Clear Language

Doctors have limited time during appointments, so making the most of it is essential.

Instead of vague descriptions, be specific:

  • ❌ “I’m tired all the time”
  • ✅ “I experience severe fatigue that prevents me from working full-time and leaves me exhausted after simple activities like showering”
  • ❌ “My stomach hurts”
  • ✅ “I have sharp, stabbing pain in my upper abdomen that occurs 2-3 hours after eating and lasts for about 30 minutes”
  • ❌ “I can’t think straight”
  • ✅ “I’m experiencing cognitive difficulties including memory problems, trouble finding words, and inability to concentrate for more than 15 minutes at a time”

2. Quantify Your Symptoms

Use measurable terms whenever possible:

  • Pain scales (1-10)
  • Frequency (daily, weekly, monthly)
  • Duration (minutes, hours, days)
  • Functional impact (can’t work, need help with daily tasks)

Examples of effective symptom descriptions:

  • “My joint pain averages 7/10 most mornings and interferes with my ability to get dressed”
  • “I have migraines 15-20 days per month that require me to miss work”
  • “My fatigue is so severe that I need to rest for 2 hours after a 20-minute grocery store trip”

3. Don’t Downplay or Apologize

Many patients, especially women, tend to minimize their symptoms or apologize for taking up the doctor’s time. Stop doing this.

Instead of:

  • “I’m sorry to bother you, but…”
  • “It’s probably nothing, but…”
  • “I don’t want to be dramatic, but…”
  • “Maybe I’m overreacting, but…”

Try:

  • “I need to discuss some concerning symptoms”
  • “I’m experiencing symptoms that are significantly impacting my life”
  • “These symptoms are preventing me from functioning normally”
  • “I need help managing these health issues”

Recognizing and Responding to Medical Gaslighting

What Medical Gaslighting Looks Like

Medical gaslighting occurs when healthcare providers dismiss, minimize, or question your symptoms without proper investigation. Common phrases and behaviors include:

Dismissive language:

  • “It’s just stress”
  • “You should lose weight”
  • “Your labs are normal, so you’re fine”
  • “You’re too young to have that”
  • “It’s all in your head”
  • “You just need to relax”

Problematic behaviors:

  • Interrupting you when describing symptoms
  • Spending more time looking at the computer than at you
  • Attributing all symptoms to mental health without investigation
  • Refusing to order tests or provide referrals
  • Making assumptions based on appearance, age, or gender

How to Respond to Medical Gaslighting

Stay calm but assertive:

  • “I understand you think it might be stress, but my symptoms are significantly affecting my daily life, and I need further evaluation”
  • “I’d like to explore other possible causes—what other tests or specialists would you recommend?”
  • “These symptoms are new for me and different from my normal stress response”

Ask for documentation:

  • “Can you note in my chart that you’re declining to order the test I requested?”
  • “I’d like a copy of today’s visit summary for my records”
  • “Please document that I reported [specific symptoms] today”

Request alternatives:

  • “If you don’t think this test is necessary, what do you recommend instead?”
  • “What would need to happen for you to consider further testing?”
  • “Who would you refer me to for a second opinion on these symptoms?”

My Personal Journey: Finding a Doctor Who Listens

The Frustrating Search for Answers

I know firsthand how frustrating it is to be dismissed by doctors. I switched doctors multiple times because they kept telling me my labs were “fine” and they didn’t know what else to do. It was exhausting to keep searching for answers, only to feel unheard and ignored.

What I experienced with dismissive doctors:

  • Being told my pain was “normal” without investigation
  • Having symptoms attributed to stress without considering other causes
  • Feeling rushed through appointments
  • Being made to feel like I was wasting their time
  • Having my concerns minimized or ignored

The Doctor Who Changed Everything

My current doctor, however, took a different approach. Every time I went back, he ran different tests, systematically ruling out possibilities until he finally said, “I’ve removed the possibility of everything else, so I believe you have fibromyalgia, and we’ll move forward with that assumption.”

What made him different:

  • He listened to my complete symptom description
  • He took my pain and fatigue seriously
  • He had a systematic approach to diagnosis
  • He explained his thinking process
  • He was willing to keep investigating when initial tests were normal
  • He treated me as a partner in my healthcare

While the journey was frustrating, finally finding a doctor who listened made all the difference. It shouldn’t take this much effort to be heard, but for many of us, it does.

Lessons Learned from My Experience

Don’t give up: If one doctor dismisses you, find another. Your symptoms are real and deserve investigation.

Trust your instincts: You know your body better than anyone else. If something feels wrong, keep pushing for answers.

Document everything: Keep records of what each doctor said and did (or didn’t do).

Find the right fit: Not every doctor will be a good match for your needs and communication style.

Persistence pays off: It took multiple doctors and several years, but I finally got the answers and care I needed.

Know Your Rights as a Patient

Understanding your rights empowers you to advocate more effectively:

Fundamental Patient Rights

Right to informed consent: You have the right to understand your diagnosis, treatment options, risks, and alternatives before agreeing to any treatment.

Right to ask questions: You can ask about anything related to your care, including why certain tests are or aren’t being ordered.

Right to second opinions: You can seek additional medical opinions, especially for serious diagnoses or major treatment decisions.

Right to your medical records: You can request copies of your medical records for personal documentation and to share with other providers.

Right to change doctors: If you feel unheard or dismissed, you have the right to switch to a different healthcare provider.

Right to refuse treatment: You can decline any treatment you don’t want, though you should understand the potential consequences.

How to Exercise These Rights

Requesting second opinions:

  • “I’d like to get a second opinion before proceeding with this treatment”
  • “Can you provide a referral to another specialist?”
  • “I want to explore other options before making this decision”

Accessing medical records:

  • Most healthcare systems now have patient portals for easy access
  • You can request paper copies if needed
  • Records can be transferred directly between providers

Changing providers:

  • Research new doctors who specialize in your condition
  • Get referrals from other patients or advocacy organizations
  • Check insurance coverage before switching

Advanced Advocacy Strategies

1. Use Technology to Your Advantage

Voice recording (with permission): While I’m talking to my doctor I use a voice recorder so that I can go back and listen to it later. My brain fog is horrible MOST days, so by the time I get home, I’ve forgotten half of what my doctor told me. That’s why I use a voice recorder while I’m talking to my doctor.

Always ask permission before recording: “Would it be okay if I record our conversation so I can remember the details later?”

Patient portals and apps:

  • Use portal messaging to follow up on appointments
  • Track test results and trends over time
  • Document questions between visits
  • Request prescription refills and appointment scheduling

2. Research and Preparation Strategies

Do your homework (but don’t overdo it):

  • Research your symptoms and potential conditions
  • Come with informed questions, not self-diagnoses
  • Understand the difference between reliable medical sources and random internet advice
  • Be open to possibilities you haven’t considered

Prepare for pushback:

  • Have responses ready for common dismissive comments
  • Know what follow-up questions to ask
  • Understand your insurance coverage for tests and specialists
  • Have backup plans if your first request is denied

3. Building Long-term Relationships

Find providers who specialize in your condition:

  • Seek out doctors who have experience with chronic illness
  • Look for providers who take a collaborative approach
  • Consider academic medical centers or specialty clinics

Maintain good relationships:

  • Be respectful even when advocating firmly
  • Follow through on treatment recommendations when appropriate
  • Communicate changes in symptoms promptly
  • Express appreciation when you receive good care

Special Considerations for Different Populations

For Women

Women are more likely to have their symptoms dismissed or attributed to mental health issues. Specific strategies:

  • Bring symptom documentation to counter “emotional” stereotypes
  • Consider bringing a male advocate if you’re consistently dismissed
  • Don’t let providers attribute everything to hormones without investigation
  • Know that heart attack symptoms in women are often different from men

For Young People

Young patients often hear “you’re too young to have that.” Counter this with:

  • Emphasizing how symptoms affect your life and goals
  • Bringing documentation of symptom severity and duration
  • Asking specifically what age-related factors they’re considering
  • Requesting referrals to specialists regardless of age

For People of Color

Racial bias in healthcare is well-documented. Advocacy strategies include:

  • Bringing detailed documentation to counter assumptions
  • Seeking providers who have cultural competency training
  • Advocating firmly for pain management and symptom investigation
  • Connecting with community health advocates when possible

For Chronic Illness Patients

People with existing chronic conditions may have new symptoms dismissed as “part of your condition.” Combat this by:

  • Clearly distinguishing new symptoms from baseline condition
  • Keeping detailed logs of symptom changes
  • Asking for investigation of new symptoms regardless of existing diagnoses
  • Seeking specialists who understand your primary condition

When Self-Advocacy Isn’t Enough

Red Flags That Indicate You Need a New Provider

  • Consistently dismissing your concerns without investigation
  • Refusing to order tests or provide referrals without explanation
  • Making you feel ashamed or guilty for seeking care
  • Spending less than a few minutes actually listening to you
  • Attributing all symptoms to weight, stress, or mental health without consideration of other causes
  • Not responding to your questions or concerns

Finding Better Healthcare

Research strategies:

  • Check provider reviews and ratings
  • Look for specialists in your condition
  • Ask for recommendations from support groups
  • Consider academic medical centers or teaching hospitals

Questions to ask potential new providers:

  • How much experience do you have with [your condition]?
  • What’s your approach to investigating unexplained symptoms?
  • How do you prefer patients to communicate concerns between visits?
  • What’s your philosophy on pain management?

When to Seek Emergency Care

Don’t let previous dismissive experiences prevent you from seeking emergency care when needed. Go to the ER or call 911 for:

  • Severe chest pain or difficulty breathing
  • Signs of stroke (facial drooping, arm weakness, speech difficulties)
  • Severe abdominal pain
  • High fever with severe symptoms
  • Any symptom that feels life-threatening

Building Your Medical Advocacy Toolkit

Essential Documents to Maintain

Medical binder organization:

  • Current medication list with dosages
  • Recent test results and lab work
  • Symptom tracking logs
  • Provider contact information
  • Insurance cards and information
  • Medical history summary
  • List of allergies and reactions

Communication Templates

Email follow-up template: “Thank you for seeing me today. I wanted to follow up on our conversation about [symptoms/concerns]. You mentioned [treatment plan/next steps]. I have a few additional questions: [list questions]. Please let me know the best way to follow up on [specific items discussed].”

Symptom summary template: “I’m experiencing [specific symptom] that [frequency/duration]. This symptom [impact on daily life]. I’ve tried [previous treatments] with [results]. I’m seeking [specific request for testing/referral/treatment].”

Technology Tools

Symptom tracking apps:

  • MySymptoms Food Diary
  • ArthritisPower
  • Migraine Buddy
  • Flaredown

Voice recording apps:

  • Built-in smartphone voice recorders
  • Rev Voice Recorder
  • Otter.ai for transcription

For Family and Friends: How to Support Someone’s Medical Advocacy

What TO Do

Offer to accompany them to appointments:

  • Take notes during the visit
  • Help remember important information
  • Provide emotional support
  • Witness any dismissive behavior

Help with preparation:

  • Assist with organizing medical records
  • Help research symptoms and conditions
  • Practice explaining symptoms clearly
  • Support their decision to seek additional opinions

Validate their experience:

  • Believe their symptoms even when tests are “normal”
  • Support their decision to keep seeking answers
  • Acknowledge how exhausting medical advocacy can be
  • Don’t minimize their concerns

What NOT to Do

Don’t undermine their advocacy:

  • Don’t suggest they’re being “too demanding”
  • Don’t tell them to “just accept” a dismissive doctor’s opinion
  • Don’t minimize their symptoms or suggest they’re overreacting
  • Don’t pressure them to stop seeking answers

Don’t take over their healthcare:

  • Let them lead conversations with providers
  • Support their decisions even if you disagree
  • Don’t speak for them unless they ask you to
  • Respect their privacy about medical information

Frequently Asked Questions

What if my doctor gets angry when I advocate for myself? A good doctor won’t get angry at respectful advocacy. If a provider becomes defensive or angry, this may be a sign that they’re not the right fit for you.

How do I know if I’m being too demanding? Advocating for your health is never “too demanding.” You have the right to ask questions, request tests, and seek second opinions. If you’re being respectful and focused on your health concerns, you’re not being unreasonable.

What if I can’t afford to keep changing doctors? Look into community health centers, teaching hospitals, and sliding-scale fee programs. Some areas also have patient advocates who can help you work with your current providers more effectively.

Should I bring research to my appointments? Yes, but present it appropriately. Say something like, “I’ve been reading about [condition] and wondering if this might explain my symptoms. What do you think?” rather than insisting on a specific diagnosis.

How do I handle it if my doctor says “it’s all in your head”? Respond with, “I understand you think there might be a psychological component, but I’d like to make sure we’ve ruled out physical causes first. What tests would help us do that?”

What if my symptoms don’t fit neatly into one condition? Many chronic conditions have overlapping symptoms. Ask for referrals to specialists who can help differentiate between similar conditions or identify if you have multiple conditions.

Resources for Medical Advocacy

Patient Advocacy Organizations

National Patient Advocate Foundation: npaf.org – Provides case management and financial assistance

Patient Advocate Foundation: patientadvocate.org – Helps with insurance and access issues

The National Academy of Elder Law Attorneys: naela.org – For older patients needing advocacy support

Condition-Specific Resources

Autoimmune conditions: American Autoimmune Related Diseases Association (aarda.org)

Rare diseases: National Organization for Rare Disorders (rarediseases.org)

Women’s health: Society for Women’s Health Research (swhr.org)

Chronic pain: American Chronic Pain Association (theacpa.org)

Educational Resources

Agency for Healthcare Research and Quality: ahrq.gov – Evidence-based healthcare information

National Library of Medicine: medlineplus.gov – Reliable medical information

Patient portal guides: Most healthcare systems provide tutorials for using patient portals effectively

The Bottom Line

Your health and well-being matter. You shouldn’t feel dismissed or ignored by healthcare providers. If a doctor isn’t taking you seriously, it’s not only okay to advocate harder or find someone who will – it’s essential for your health and well-being.

Effective medical advocacy isn’t about being confrontational or difficult. It’s about being prepared, communicating clearly, and persistently pursuing the healthcare you deserve. It’s about knowing your rights as a patient and exercising them when necessary.

Remember these key principles:

  • You know your body better than anyone else
  • Your symptoms are real and deserve investigation
  • You have the right to ask questions and seek second opinions
  • Good healthcare providers welcome informed, engaged patients
  • Persistence often pays off in getting proper diagnosis and treatment

The healthcare system can be frustrating and sometimes fails patients, especially those with chronic illness or complex conditions. But with the right advocacy strategies, preparation, and persistence, you can get the care you need and deserve.

Don’t give up on yourself. Keep pushing for answers. Keep advocating for your health. You deserve to be heard, believed, and properly cared for.


💬 Have you experienced medical gaslighting or had to fight for proper healthcare? Share your story in the comments below – your experience might help someone else feel empowered to advocate for themselves.