Do You Feel Like a Burden?

I have counseled hundreds of patients with chronic pain and chronic illness. Most of them have said “I feel like a burden to my friends and family”. I too have felt that way at times. It’s a common feeling for those of us with chronic pain or a chronic illness. Chronic conditions affect not only the patient but those close to the patient as well. Even though we didn’t do anything to cause our condition, we feel like it’s our fault and that we are making the lives of those around us more miserable. So what can you do to feel like less of a burden to your friends and family? I hope the following suggestions will help.

Contribute what you can, when you can. You may not be able to do as much as you used to, but that doesn’t mean there isn’t anything you can do. You also may not be able to do things as quickly as you used to. But that’s okay too. Take inventory of the chores and activities you can do and help out in those ways. So you may not be able to wash the heavy pots anymore. But can you wash the small dishes or load some of the dishes in the dishwasher? You may not be able to mop the floors anymore, but can you wipe down some of the counters? You may not be able to fold the laundry, but can you load the washer? Anything that you can still do will be appreciated.

Keep the lines of communication open. We can’t expect the people in our life to read our minds. They may not know if you are in pain or are not feeling well. It’s important to communicate about the way you feel, not only physically but emotionally, so your loved ones and the other people in your life know how they can help you or if you even want the help or if you just to be left alone. Also, in addition to educating yourself about your illness or chronic pain, educate those in your life as well so they know what to expect and there are few surprises.

Make your spouse, significant other, friends, etc. the center of attention at times. Do something nice for the close people in your life once in a while to show them how much you appreciate them. It can be as simple as telling them how much you appreciate them or telling them to go out for the afternoon and enjoy themselves. Talk to them about what they are going through to see if there is anything you can do for them. It’s important for us, the patients, to remember that we aren’t the only ones affected by our illness and that our caregivers need attention too.

Maintain a positive attitude. This is particularly hard on the days you are experiencing a lot of pain or just feel horrible. And I’m not advocating that you hide your emotions or act like someone you are not, especially on days that are particularly hard. But maintaining a positive attitude as much as possible is not only good for your well-being but for the well-being of others around you. It can help you better cope with your pain or illness and it can help you avoid taking out your frustrations on the people around you who are only trying to help and care for you.

Focus on something other than your illness/pain. No one wants to hear about how terrible someone feels all the time and no one wants to talk about how terrible they feel all the time. I know I sound like I’m contradicting myself because I told you above to communicate with the people in your life about your illness/pain and how you feel, but there is a time and place for that and you don’t want it to consume you or them. When you are around your loved ones, try focusing the attention on something other than your illness or pain if you can. If you are asked by someone how you are doing and you don’t want to get into it you can simply say “I’m fine thanks”, and then redirect the conversation to something else. Even if you aren’t feeling well on that particular day, it is important for you to have things in your life to focus on other than your pain or illness. This will help distract you from your pain or illness, at least for the time being, and will bring a sense of normalcy to your life.

Is there anything else you have done which has helped you feel like less of a burden?

How Can Psychotherapy Help with Chronic Pain and Chronic Illness?

Although pain is a natural function of the human body, millions of people experience pain that is chronic, debilitating and that interferes with their daily lives. The same can be said for illness. Everyone gets sick here and there. But there are millions of people who suffer from chronic, sometimes invisible, illnesses that can be incapacitating.

If you ask anyone who experiences chronic pain or illness, you will find that, for most, dealing with chronic pain or illness means not only physical burdens, but mental burdens as well. It may mean not only unrelenting doctor visits, procedures and/or surgeries, but also difficulties with employment, an inability to engage in once enjoyable activities, anxiety about the future, friends and family who do not understand, etc. The list goes on.

So how can psychotherapy help you with your chronic pain or chronic illness?

Many individuals with chronic pain or chronic illness grieve for the life they once had and the person they once were. This grieving process is normal and it is a very important part of learning to accept ones condition. Psychotherapy can help you through this process by helping you deal with the anger, frustration, and loss that often accompanies chronic pain and chronic illness. Psychotherapy can also teach you coping skills that will help you minimize the stress, anxiety and depression you may be experiencing and move toward acceptance.

Chronic pain and chronic illness can change a person’s thought process. The once cheerful, outgoing, positive person may find themselves feeling sad and negative, isolating themselves and unable to enjoy life. Psychotherapy can help you identify and adjust negative thinking patterns so that you are able to focus on the positive aspects of your life, redefine who you are, and make accommodations in your life that will help you reestablish a sense of self control.

Having chronic pain and/or a chronic illness can often make you feel isolated from friends and family. Not only do they not understand what you are going through, having chronic pain or a chronic illness often makes it hard to engage in social activities. It may make it difficult to complete household chores, which can be frustrating to you and your significant other. You may find it difficult to talk about anything other than your chronic pain or chronic illness with your friends and family because it is always on your mind. Psychotherapy can help you learn to pace your activities and chores which will help you accomplish your goals, it will help you with the anxiety that often accompanies social activities, and it will help you learn to deal with the constant ruminations about your illness that make it so difficult to think about anything else.

Many people suffering from chronic pain and chronic illness have difficulty sleeping. It has been proven that lack of sleep exacerbates pain. Therefore, adequate sleep is extremely important. Psychotherapy can help patients with sleep hygiene, which involves developing or redefining a bedtime ritual, relaxation techniques, thought stopping techniques, and identification of environmental factors that may contribute to difficulty sleeping.

If you can relate to anything I have talked about above, don’t hesitate to seek help! It can help you gain back your self-control and begin enjoying life again!

My Invisible Illness is Real

Most people who have an invisible illness (a chronic medical condition that shows no outward signs) have experienced these words at one point and time: "But you don't look sick." These words can be extremely frustrating. I often ask my clients, "What is the most difficult thing for you about having (Crohn's Disease, ulcerative colitis, IBS…)?" I can't tell you how many times I have heard the answers "It's hard to talk to people about what I'm going through because they tell me I don't look sick", or "My family doesn't always believe how bad I feel because I don't look sick", or "I've been told it's all in my head". I could go on. This is one of the difficulties those of us with chronic illnesses need to learn to overcome. The idea that people don't believe us because they cannot see our illness like they can see someone in a wheelchair or a like they can hear a chronic cough can feel isolating and depressing. Sometimes it can make us feel like maybe it really is in our heads. Maybe we aren't really as sick as we think. Instead of giving in to this, we need to fight back! Understand that these people aren't saying these things to be insensitive. They just don't get it. So educate them! Explaining to them what you are going through and why you don't look sick will not only educate them on something they are unfamiliar with, it can be empowering for you too. Also, trust yourself. You know how you feel. You know your illness. You know that it is not in your head. It is real.

Raising Awareness About Lupus

Recently I was contacted by a representative of Healthline, a fantastic medical website which offers information and resources on just about any illness or medical issue you can think of. I highly recommend you check it out. The reason I was contacted was because their goal this year is to raise awareness about Lupus, a chronic autoimmune disease that can affect any part of a person's body. The representative who contacted me was hoping I would help them raise awareness. Of course, I jumped at the chance. First of all, it is my goal to raise as much awareness about chronic illness and chronic pain as possible. Second of all, I have been dealing with chronic illnesses since I was 18 months old and I know how empowering education and resources can be.

When I was 18 months old, I was diagnosed with Juvenile Rheumatoid Arthritis. It went into remission when I was six years old and came back when I was fifteen. At that time it was difficult to control my symptoms, so my rheumatologist wanted to test me for Lupus. I remember being so afraid of that word and what it meant. I didn't have a great understanding of what Lupus was. All I knew was what I had seen from a woman on T.V. who had Lupus. She said that she was extremely tired all of the time and that she was in a lot of pain. At the time, there was not a lot of information available about Lupus. I wish I had a resource like Healthline. It would have made that possible diagnosis a little less scary. If you or someone you know has Lupus, or you think you may have Lupus, please check out this link:

http://www.healthline.com/health/lupus/effects-on-body

It is a virtual guide of the symptoms of Lupus and how it affects the body. It's a great resource.