How do you cope with an invisible illness?

You look so good! You can't be as bad as you say. You look perfectly healthy." "You think you have fatigue? Try working full time plus having four children! Then you'll know what chronic fatigue is." "I think you're spending too much time thinking about how you feel. You need to just get out more." "If you really wanted to get well, you'd at least try that juice drink I gave you last week. It won't hurt to try it."

And the remarks go on ... and on. And our heart aches.

You may be surprised to hear that nearly one in two Americans has a chronic illness or physical condition that affects their daily life.* The range of diseases include everything from back pain to fibromyalgia, arthritis to cancer and migraines to diabetes. Oftentimes, one of the largest emotional stumbling blocks for people who suffer from illness is the invisibility of the pain.

About 96 percent of illness is invisible. This means that the person who suffers from the chronic condition shows no outward signs of physical pain or disability, nor does he or she use an assistive device like a walker or wheelchair. But the incredible pain each day can be disabling within the confines of the home.

If you have an invisible illness here are five tools to help let go of some of the frustrations:

[1] Let go of expectations.

Surrendering over expectations of others may be a life-long process, but if you have high expectations you will consistently find that people will always disappoint you. No one is perfect, including you! Remember that you may not understand the difficulties that your friends are going through, whether it's a divorce, the death of a loved one, a loss job, an ill child, etc. Your illness is significant in your life. Even when people care, they still will have significant things going on in their own lives. When they don't meet your expectations it is rarely intentional.

[2] Find supportive friends.

Is there someone in your circle of friendship who is constantly belittling you or suspicious about your illness? Is he beyond listening and instead spreading gossip about how he saw you at the grocery last week and you looked perfectly fine? This should be a relationship to let go of. If it is someone like a relative that you will still see occasionally, distance yourself as much as possible. Illness can help us easily prioritize our friendships; that way we can spend our limited energies with those that mean the most to us.

[3] Search for the joy in your blessings.

Instead of dwelling on thinking about how badly you feel, find ways to bring more joy into your life, even if it's just appreciating the small things. Explore what makes you happy and what you are doing when your natural adrenaline seems to take over some of the fatigue, and you have extra energy. That's likely where your passions are!

Focus on bringing more of this into your life. And don't let your limitations stop you. For example, maybe you once loved to garden. Now you could grow a few potted flowers or hire a neighborhood teenager to plant some vegetables and set up an automatic sprinkler system for them. You could even start a garden consulting business. Think beyond what you once did, but find ways to replicate the things you love in new ways.

[4] Use your talents and skills for things you care about.

If you're no longer able to work because of your illness, you may feel like your skills are going to waste. Maybe you've always wanted to write children's books or be a business consultant. Find a place to plug in and do some volunteer or part-time work for to be able to use these skills in an area where you feel passionate. Instead of focusing on what others aren't providing you with that you want so much, follow your dreams and give that gift to yourself.

[5] Encourage someone else.

You personally know how hard it is to live with illness and to feel like no one understands. So take time to be vulnerable with someone else who is going through this. Whether you meet someone through an online group such as National Invisible Chronic Illness Awareness Week's message boards, or through your local support group, volunteer your time and expertise (yes, you're an expert on living with invisible illness!) and use it to make someone elses journey easier. You will find your own journey more enjoyable too.

None of us can change another person or make someone care, but we can educate and give gentle advice. We must also continue to work on ourselves. You'll find that even when you want to change it can be a real challenge, requiring discipline and motivation for a better life. You owe it to yourself to find joy despite your illness, and by focusing on how you can change your circumstances -- instead of change other people -- you'll be much more personally rewarded.

I really needed this! I almost posted a discussion about this this morning and decided not to, that I was just being dramatic. My boss asks me every time he sees me if my head is hurting. He doesn’t know that I lie and say no, it’s a good day, whether it is or not. I don’t want him to feel sorry for me or think I can’t do my job. When it gets really bad, I hide in the bathroom until the bad throbbing goes away, which thankfully, is usually pretty quick, then the dull ache comes back and I go back to work. I had a high school friend who heard about my CM ask me in the grocery yesterday how I was. I told her fine, and she replied with ‘well, you look great! Can’t tell anything is wrong at all!’ I know she meant well, but it’s hard sometimes not to just blurt out that of course you can’t see my brain or my pain, how else am I supposed to look? I know everyone means well, but the simplest comments sometimes set me off. I don’t want to be pitied. I’m not dying. I have a malformation of my brain. That doesn’t mean I can’t still wear cute clothes, put my make up on, go to work, go to the store and live my life as normally as possible. I know I haven’t quite came to terms with it all yet, but it’s like I’m in a constant limbo of getting frustrated bc people care, and then getting annoyed when people like my parents and family never even ask how I am. I just told my mom today about the tremors I had been having, hopefully due to the topamax, and she just brushed it off and said sometimes those things happen. I don’t wanna be pitied but I also don’t want those closest to me to just ignore the issue and pretend its not there. My mom won’t even discuss what surgery would involve with me and says I’m being silly, surgery isn’t needed, even though that’s a very real option per my NL. Ugh, it’s just confusing and hard to deal with for everyone involved, I suppose!

Sometimes I find it might not be a good thing to always hide the way we really feel.If we’re asked and we always say we’re fine then we can’t expect others to get involved in our world.There seems to be a fine line to tread on,most of the time I do say,I’m good,because if we’re asked us how we are it’s a given they do not want to hear about all our aches and pains, that might take an hour or two!!If things are really bad I might say I’m not feeling well,some will be concerned enough to talk about it,if not that’s always all right with me.I’m not going to take it personally and let it make my day any worse,except when I’m having one of those pity party days I’m not sure anyone of you have those,when that happens I give myself a set amount of time for feeling sorry for myself,then I say, time’s up.There have not been many of those since my surgery now I have thanking God days,all day long.There are issues still to deal with but things are so much better than before ,complaints are not so many now,2012 was my best year for at least 28 previous ones.

One problem I find crops up for me is that I rarely complain but when I'm having a bad day and actual mention it to someone I get them trying to one up me! Suddenly every bone in their body hurts and they are in way worse shape than I'll ever be. They'll go so far as to say things like "at least it's just your neck having a spasm my entire back hurts!" Not saying that they might not actually be in worse shape than me I just think it's weird that they never mention it until someone else has an ailment. I guess I just don't understand why people do this. I feel like they are playing a game of who is the sickest and honestly who wants to win that game? lol

Thank you again for amazing material & discussion. I am up late (in Australia) can't sleep - fearing headaches from lying down that occur almost every night after I fall asleep & I wake in pain with them.

My small input into this discussion is this point: I work as a nurse. I have had to leave my job (unpaid leave at this stage). I have been there for >2yrs. I have NO support from my friends there who are nurses - just DO NOT want to know me & not contacted me. The cleaner from the ward invited me out to dinner with some mutual friends - which was so kind, but as for the nurses - it is like they cannot even imagine dealing with sickness in someone else. It makes me ponder my job. Because I have lost weight (actually 4kg) but it has come off in my face - they kept telling me I looked great (this was when I would vomit 36hrs straight every two weeks!). I was certainly NOT great & I am not great enough to do the hard physical work I had been. I guess a little of my anger at dealing with chronic illness is coming out! I had expectations that were not met - feels better to have written this down.

My wonderful 12 year old reminded me today that I could be "out of spoons". It took me a moment to get it, but what a kid for remembering the spoon theory!


Thank you so much for shared & interesting posts.

Thank you so much for this very informative post! I relate to so much of it and to what you all say. I guess we are all in this together :slight_smile: It’s really good to know that I have a group of friends that understand and care, especially when it feels like no one else does.

We do have a great group of people just so much accurate information.Thanks to you all so much for your support since I’ve been here.You have supported me through my surgery and I have made some good friends and that is priceless! Abby,you have been so great to make posts that explains the way this illness really is thanks again to everyone of you who are so helpful.Thanks to my friends.

As I lie here in bed, unable to fall back asleep, I’m reminded of the reactions i get from a very close family friend…every time I mention having a headache or neck/back ache or being exhausted or that I took a nap, he brushes it off like it’s nothing. Like it’s all in my head and tells me that I don’t need to dwell on it, that will make it worse. If I tell him about taking a nap, he says “oh, must be nice to be able to just take a nap whenever you want!” I replied back, “yeah, must be nice to not NEED a nap!” And he just laughed and said, “whatever”.
My husband and other friends are very supportive. I don’t usually go into details, I’ll just say “it’s a good day today” or “it’s a bad day today”. My husband and children are a tremendous help. My husband does have his days as well where he comes home from work and gets mad at me because I haven’t “done anything” when I was pretty proud of myself to have just washed the dishes on a bad day! I don’t know…this post may not be making any sense anymore. I’m so tired, just lifting my arms to type is a chore… Hope everyone else is having a good night!

Abby,

Thank you so much for your reply. It actually made me tear up a little, to have someone completely understand what I'm talking about. I don't want to be babied, but I also don't want everyone to act like I'm faking it! I get so made because I have an MRI proving that something is wrong! It's not just me saying it anymore; I have a picture. The problem is that most of the people who are judgmental about this "disease?", I have found, are the same ones who won't read the articles or watch the slide shows that I have posted on Facebook in order to educate them. They are the worst kind of uneducated people.....they are the kind who think they already know everything. They are the kind that think positive thinking will make this go away. Now, I am all for positive thinking....I actually got the nickname "PollyAnna" years ago because no matter how bad something seemed, I tried to come up with a positive reason for it. I have tried to be positive about my CM as well......even on bad days, I think to myself, well, this gives me a chance to cuddle with my boys and my puppy and watch movies with them. I get defensive and angry when people brush off my bad days as me just being lazy. That they don't feel good either or have a headache too or are way more tired than I am because they work out in the sun all day long or on the tractor all day long.....and yet they are able to keep on working through it, so they want to know why can't I? It's ridiculous that I spend so much time defending myself.....I know I should just stop and let them think what they want.....unfortunately, I'm not a very good quitter.....

Hope you all are haveing a better day it hurts me to see the suffering we go through when there are certain NSs who know what to do and it seems the reg medical Dr.s are comfortable with fighting against those surgeons.If you’re trying to get help from reg.NSs the odds are not good,my answer came through a specialist and I would recommend that you get to a chiari NS please do what ever it takes to get there.We have a specialist in my area who is one of the pioneers in this field and he has felt the wrath of those who don’t know that he is so far ahead of them in his knowledge.It is so great to wake up and be able to face the day even though there are other issues the chiari has gotten so much better,GET A SPECIALIS! that may be your answer too,if you have done the homework and feel you understand that the symptoms may be chiari you will have to find that specialist for yourself.Praying for you all.