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in Health &middot March 27, 2017

How To Talk about Your Chronic Illness + Free Printable

I asked on my Twitter what part of living with chronic illness you would like help with and one response was how to talk about your chronic illness and the way it affects your life without seeming like you’re complaining. This is something that I think a lot of people can relate to, which is why I’ve decided to dedicate an entire post to it and I even made you a free printable worksheet to help you organize your thoughts when it comes to it (scroll down to get it!).

Common Spoonie Conversational Issues

What you need to know to help you talk about your chronic illness in a way that doesn't make people think you only ever talk about your health.

The problem: When we talk about our chronic health problems, it’s easy for the people we’re talking to to feel like it’s all we’re talking about. Finding the balance can be difficult, so it’s important that we identify why and how much we’re talking about it. At the same time, it isn’t always on us to change what we talk about, as sometimes it’s on the people we talk to to change their attitude.

I think that the first thing needed before we move on is for you to think about how you talk about your chronic illness. When do you discuss it? Proportionally, how much of what you talk about is about it? For example, if 50% of your daily life is about your chronic illness because of medical appointments, procedures, etc., it would make sense that 50% of your conversation is about it. What else do you talk about? How much do you think you hold back when it comes to sharing about your chronic illness?

What they need to change: There is a chance that the people you interact with need to remember that your chronic illness is a part of your life and you’re going to talk about it. Some people need to get that you’re not going to avoid talking about it just because they think that you shouldn’t. One of the problems is that, for a really long time, almost no one talked about things like their health, so it’s hard for some people to wrap their minds around the fact that you can talk about your chronic health problems without it being your entire life. That’s on them.

[bctt tweet=”How To Talk about Your Chronic Illness” username=”kmitchellauthor”]

What you need to know: You need a support system, including at least one person who you can talk with about everything regarding your health without much filtering. You shouldn’t have to hide all of it inside you. But make sure that you pick someone who seems to be fine with hearing all about your health. If you can’t find someone who you can talk to about this, I strongly suggest finding a therapist, especially one who specializes in chronic pain or chronic illness (yes, these specialized therapists exist!). You might want to find one even if you have a strong support system because living with chronic illness can be a lot and you need to look out for your mental health, too.

Talking about chronic illness can be tricky because you might worry that you're making your entire conversation about yourself. Here are several tips to help you walk that fine line.

How To Talk about Your Chronic Illness

There are a couple of different situations in which you might talk about your chronic illness. First, you might be updating people on your health developments. Second, someone could ask you what you’ve been up to that day or week and your health affects your answer. Third, you might have something really great or really bad happen and you want to talk about it. So how can you talk about your health in these situations without the people you talk to feeling like your health is all you talk about?

I’ll address each of these issues in a row. First, if something has changed in your health life but you don’t want to feel like all you talk about is your health, mentally create different versions of the update with varying level of detail. For example, I was diagnosed with endometriosis at the end of January/beginning of February. When I told some people, I just mentioned that I had a new diagnosis and what it is. When I told others, I went into a bit more detail and explained how it affects me and my treatment process. When I told other people (the people I’m closest to), I explained the entire diagnosis process and how I feel about it.

Second, when someone asks how you’ve been or what you’ve been up to, mentally figure out how much detail they actually want. Sometimes, people ask how you’ve been because it’s the polite thing to do, and not because they actually care how you’re doing. In these cases, you can give them a non-committal answer or just say something like, “Well, I’ve spent a lot of time at the doctor’s office this week, but that’s just how my life is,” and then you move on. Other times, they do want to know how you are, but they’ll think you’re being narcissistic if you spend a lot of time talking about your health, in which case you should do what I talked about with the previous issue: mentally evaluate how much they probably actually want to know (usually based on how close you are with them) and tell them the appropriate amount of information. If you’re talking to someone who you’re close with and they ask you what you’ve been up to, tell them as much as you want. If they ask you what you’ve been up to and they don’t want to hear the answer, then you shouldn’t be good friends with them any way.

Finally, if something really great or really awful has happened, you might want to talk about it with people. Like with what I said for the previous 2 conversational topics, how much detail you provide might depend on how much the person you’re talking to cares. However, everyone likes good things more than they like negative ones, so if you have good news, shout it from the rooftops! Fewer people will care about you talking about that than if you’re talking about bad ones.

[bctt tweet=”If someone accuses you of talking about your health too much, here’s what you can say” username=”kmitchellauthor”]

If someone tells you, “You sure talk about your health a lot,” here are some possible response:

  • “Well, it takes up a lot of my life. You talk about [x] a lot, and my health is like that in my life.”
  • “Do I? I don’t mean to, but it’s a big part of my life right now.”
  • “Being sick/chronically ill can be a full-time job. I don’t want to talk about it a lot, but this is what’s happening right now.”

Talking about My Chronic Illness Symptoms Free Printable

Check Out:

Accepting Your Body with Chronic Illness, 4 Questions To Ask Before Traveling with Chronic Health Problems, Relationships and Chronic Pain

Kate Mitchell

Kate Mitchell is a blogger, chronic illness patient, and advocate who helps people understand chronic illness and helps chronic illness patients live their best lives.

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Comments

  1. Lauren says

    March 29, 2017 at 10:15 am

    Thank you for this- it’s nice to know other people struggle with this balance too. I have a genetic connective tissue disorder that unfortunately affects several facets of my health, and I feel so guilty having to take time off of work for doctor’s appointments, but I have to remind myself it’s not something I have any control over.

    Lauren | Boston Belle

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  2. Alura- Petite Chai says

    April 7, 2017 at 4:06 am

    This sort of thing can be difficult to talk about. You want to be honest and let the other person know it hasn’t been easy lately, but most of the time they aren’t really interested. I’ve found I need to have at least one person I can be completely honest with, then the rest of the time I just mention it briefly

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Dos and don'ts for when someone in your life is di Dos and don'ts for when someone in your life is diagnosed with autoimmune arthritis! What are some that you would add?⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: "So someone you know was diagnosed with Autoimmune Arthritis". Under the Do column (indicated with a green checkmark) is:⁣
"As how they feel about it⁣
Offer specific ways to help⁣
Treat them normally⁣
Ask follow-up questions⁣
Wear a mask around them when sick."⁣
Under the don't don't column (indicated with an x in a red circle) is:⁣
"Say “At least it’s not xyz!”⁣
Say that and not follow through⁣
Assume nothing about their lives has changed⁣
Conflate autoimmune arthritis with osteoarthritis⁣
Pass your cold to an immunosuppressed person".⁣
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#AutoimmuneDisease #RheumatoidArthritis #PsoriaticArthritis #AnkylosingSpondylitis #JuvenileArthritis
Weekj 26 of 2026 Weekly Scenes of a summer week Weekj 26 of 2026 Weekly 

Scenes of a summer week in Maine! So glad I work from home, which means I can work from my real home (Maine, if that wasn’t clear)

1️⃣ Lots of Harley time
2️⃣ Working from home means saving my PTO for fun things!
3️⃣ Lots of duck families (📸 my dad)
4️⃣ What a lot of my days look like - Harley and my current project (needlepoint). And, yes, I’m still in a cast.
5️⃣ Learned how to play Mahjong, which my parents love
6️⃣ Lake views on the 4th

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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣⁣⁣⁣

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IDs:
1️⃣ Harley the golden retriever on a deck as seen through some plants
2️⃣ Kate takes a selfie
3️⃣ A duck with little ducklings following on a lake
4️⃣ Harley coming up to Kate. Her legs are out on an ottoman, 1 foot in a walking cast, and an in-progress needlepoint project
5️⃣ Looking down at a Mahjong table with the game set up
6️⃣ A kayak on the shore of a lake 

#MaineTheWay #MaineSummer #Needlepoint #MaineLife
Living with chronic pain is really hard. You’re wi Living with chronic pain is really hard. You’re winning every day you’re still here.⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: The background image is a lake at sunset. Text reads what's above the first square and also "katethealmostgreat".⁣
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#ChronicIllness #ChronicPain #RheumatoidArthritis #Fibromyalgia #Endometriosis
I've been spending a fair amount of time at my foo I've been spending a fair amount of time at my foot surgeon's office this year, and boy has it been messing with my head. ⁣
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I spent a lot of time from 2001-2010 dealing with my left foot. Long story short, it took until this foot surgeon saw me in 2010 after fixing this foot for me to be diagnosed with rheumatoid arthritis. But I spent those 9 years going from doctor to doctor, having surgery after surgery, trying to figure out what was causing my pain and to fix it. ⁣
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Was it the tarsal coalition? Did I have another chronic health issue? Etc. ⁣
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I spent from age 10 to 19 unsure what exactly was wrong with me and in huge amounts of pain. We thought we figured it out, and then something else happened. ⁣
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We know exactly what is wrong with this foot this time around: in 2024, I got 3 stress fractures, and no one put me in a boot. They almost fully healed before breaking in 2025, and then the same thing happened in 2026. ⁣
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This is a different part of the foot than I used to deal with, but any problems with my feet and especially my left foot messes with me. While this doctor eventually fixed the problems and even got me diagnosed with RA, every time I go back to his office, I have to fight not to become 17 again. ⁣
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PTSD is a bitch.⁣
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(PS - if you want to know why I'm going back to this guy when it messes with me, it's because I don't trust anyone else to fix my foot.)⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: Kate takes a selfie in a doctor's office. ⁣
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#PTSDAwareness #ChronicallyIll #TarsalCoalition #RheumatoidArthritis #Osteoporosis
Week 25 of #2026Weekly Happy to be in Maine for Week 25 of #2026Weekly 

Happy to be in Maine for a few weeks! I didn’t get up to a lot, so another week of very few pictures

1️⃣ IVIG 
2️⃣ Lots of beautiful birds have been coming to my mom’s bird feeder!

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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣⁣⁣⁣

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IDs: 
1️⃣ Looking at Kate’s lap. Tubes are coming out from under her shirt and there’s a Kindle
2️⃣ Birds arriving at a bird feeder as seen through a window

#ChronicallyIll #InvisibleIllness #ChronicPain #IVIG
What do you have to do every day for your chronic What do you have to do every day for your chronic illnesses? ⁣
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For context, I have rheumatoid arthritis, fibromyalgia, endometriosis, POTS, heart disease, osteoporosis, and more. ⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: ⁣
Things I Do Every Day for My Chronic Illnesses⁣
Take pills at least 4 times a day⁣
Don’t eat gluten, dairy, corn, soy, or eggs⁣
Sleep 7+ hours a night⁣
Consume 80-100 grams of protein, 120 mg of calcium, 5-10 grams of sodium⁣
Wear a mask whenever I leave the house⁣
Do pilates 4+ days a week⁣
Work from home⁣
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#ChronicallyIll #InvisibleIllness #RheumatoidArthritis #Fibromyalgia
Filmed this back in April (hence the sweater) but Filmed this back in April (hence the sweater) but it applies to whenever I have appointments! 

Video: Kate talks to the camera while holding a purse. She holds up individual items mentioned in the video before putting them in the bag. There are captions. 

#ChronicallyIll #RheumatoidArthritis #Osteoporosis #ChronicPain
There are a lot of medical advancements that I'm g There are a lot of medical advancements that I'm grateful for, but one of them is the ability to do IVIG at home. ⁣
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I'm on IVIG - or, in my case, subcutaneous immunoglobulin replacement therapy - because I have to kill the better part of my immune system. There are, in fact, some parts of my immune system that don't attack me, which is why we add them back in. This helps reduce my chance of serious infection and also made my rheumatologist feel comfortable enough to increase my Rituxan dose. ⁣
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This is a weekly treatment that I do, but it's so much better that I can do it at home than going into the hospital. It takes around 2.5 hours from taking my pre-meds to tossing my needles into a Sharps container. While it's another thing that I have to do, because I do it at home, I don't have to risk exposure to infections at the hospital or deal with Boston traffic, which would add another hour to the process. ⁣
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I can finish my treatment and then go about my day, which I'm very grateful for.⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: A Kindle on Kate's legs. There are tubes for an infusion coming out of her shirt.⁣
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#IVIG #ChronicallyIll #RheumatoidArthritis #Autoimmune #AutoimmuneDisease
Weeks 23 and 24 of 2026 Weekly! The last two wee Weeks 23 and 24 of 2026 Weekly! 

The last two weeks were prepping for my infusion, having/recovering from my infusion, and getting caught up after. This meant things were very busy but also I don’t have a lot to show for them. 

1️⃣ New glasses! I really like having multiple pairs so I can switch them as I want.
2️⃣ One of my current projects. I got this standing hoop for my birthday and I’m working on an alphabet (uppercase and lower, although I’m still working on the lower) with extra floss.
3️⃣ Infusion time! I got my higher dose so hopefully my symptoms improve a lot in the upcoming weeks🤞🏻

⬛⁣⁣⁣⁣⁣⁣⁣⁣

I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣⁣

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IDs: 
1️⃣ Kate takes a selfie. Her new glasses are thin silver circles
2️⃣ An in-progress cross-stitched alphabet in a special hoop stand that Kate is sitting on.
3️⃣ Kate takes a selfie in an infusion chair.

#ChronicallyIll #RheumatoidArthritis #AutoimmuneDisease #CrossStitcher
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