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in Health, Lifestyle &middot March 8, 2019

Building Self Confidence When Chronically Ill

I have been very blessed in that I have always had a very strong sense of self and my value. (I found my 7th grade diary and read that a girl called me ugly, and not only did I laugh it off then and write how wrong she was, I didn’t even remember it 10+ years later.) But being chronically ill has definitely made that difficult over the years. I started experiencing pain at the age of 10, although I wasn’t diagnosed until 9 years later, and those are very formative years for your self-confidence. So today I’m breaking down tips for building self confidence when chronically ill in the hopes that it will help some of you struggling with this.

I am not a medical professional (including a mental health professional). This is my advice after being chronically ill for a very long time.

Chronic pain and illness patient Kate the (Almost) Great shares her tips for building self confidence when chronically ill.

Building Self Confidence When Chronically Ill

Take selfies – I know that this seems silly and narcissistic, but it helps. Take pictures of yourself that you like. Take pictures of yourself dressed up, in sweatpants, looking amazing, looking terrible, it doesn’t matter. Take selfies of you looking completely healthy or even completely ill. Especially when you look ill. You don’t have to embrace being chronically ill or disabled, but being chronically ill isn’t necessarily something you should hide. I know that for me, personally, being ill affects so much of my life that hiding it or pretending it isn’t there feels disingenuous. Sometimes you need a cane, and that’s okay. Take pictures of yourself with your cane; rock it like Selma Blair did at the Vanity Fair Oscar party.

Is chronic illness a disability?

View this post on Instagram

A post shared by Selma Blair (@selmablair) on Feb 24, 2019 at 10:23pm PST

Follow disabled people online – A lot of abled people mean well, but they say ableist things and perpetuate ableist norms. Even if you don’t realize it, it can hurt your self-confidence. Or at the very least, it might not help you build your confidence the same way that following disabled people does. It makes me feel like my feelings and experience are valid. (Asides from learning SO much from following these people.) I personally follow Annie Segarra, Jessica Kellgren-Fozard, Imani Barbarin, Matt Cortland, Rebecca Cokley, Nyle DiMarco, Kirsten Schultz, Eman, and more.

Engage with other chronically ill people on social media – Reach out! Build a network! Talk to people who get what you’re going through and can advise you if you need it. At the very least, it can do wonders to have concrete ideas of what living with chronic illness looks like. Your own understanding of what is “good” or “normal” will change – and that’s a good thing. Even if you don’t realize it, your subconscious might think that living with a chronic illness will only look or live one way. The reality is that we are all different, living similar but different lives, lives that are often different from those of our abled loved ones. So make sure that you see how actual chronically ill people are living, as that will affect your own personal opinion of your own life.

Get fun clothes, accessories, and mobility aides – Embrace your life as it is! Get things that make you happy and are fun. If your illness means you spend a lot of time on the couch, get patterned leggings. If you have to exercise a lot to feel okay, get brightly colored workout clothes. If you use a cane, get a bright one! You get the idea.

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Give yourself a pep talk – This might sound so silly, but giving yourself a pep talk can actually help! If mirrors aren’t something that bother you, face one and pretend that you’re talking to your best friend and pep that friend up. Do this every day or every few days, but I advise doing it multiple times a week. It will feel really ridiculous the first few times, but the act of doing it will help get you in a good mood. It’s kind of like how smiling will trick your brain into happiness.

Make a list of all the things you like about yourself or that you’re good at – Imagine you’re trying to convince someone else that you’re great. Make a list of everything you would use to convince them. Maybe you have a great sense of style, or you always hold the door open for other people, or you admit when you’re wrong about something. I suggest making a physical list, as then you can put it somewhere you’ll regularly see it.

Date yourself – You deserve love and affection, especially from yourself. Go to the movies or out to eat by yourself. Take a book to a coffee shop. Go to a museum. Basically, take yourself out for a date every now and then. Spend some time doing something you enjoy purely for the sake of doing something you enjoy.

How has being chronically ill impacted your self-confidence?

Like this post? Check out:

How Is Chronic Pain Different from Acute Pain?, Chronic Illness and Mental Health, Chronically Ill Tips: Preparing for Medical Appointments + Freebies To Help, 10 Simple Self Care Methods That Will Improve Your Life

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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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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⬛⁣⁣⁣⁣⁣⁣⁣⁣⁣
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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🤞🏻

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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 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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