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in Health &middot January 14, 2016

Accepting Your Body with Chronic Illness

Interestingly, today’s blog post topic was decided on weeks ago. I say “interestingly” because Tuesday was the worst pain day that I’ve had since I had knee surgery, and Wednesday was the after effect of Tuesday. No hyperbole; that’s the truth. So how can I accept this body that’s trying to destroy itself – quite literally – and not hate it while living with chronic illness? How can I accept the excruciating pain that comes with that body?

In 2022, an updated version of this post was posted. Read it here: 6 Tips for How to Accept Your Chronic Illness

This post contains affiliate links. Thank you for supporting Kate the (Almost) Great!

Living with Chronic Illness

What Do I Mean By Accepting It?

First of all, I do not mean that I believe that there is nothing I can do for my body. Not at all. I believe that I should fight for finding a treatment that works, that I should everything I can to feel better, that I should treat my body well. However, I believe that living with chronic illness – in my case living with an autoimmune disease where my body attacks itself – doesn’t mean that I should not love my body or that I should hate it. I accept that this is what’s going on. And besides, as of right now there’s no cure, so it doesn’t make sense to reject the reality of my body.

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Why Should I Accept My Body?

Because everyone deserves to love themselves. Everyone is worthy of that, including you. Accept that your body is sick, and accept that just because you are sick does not mean that you are not worthy of love, especially from yourself. You deserve it. You really do.

But even more than that, I want to pour my limited energy into productive means. I would rather spend my time researching treatments, anti-inflammatory foods, the best exercise for people with arthritis, etc. than by being angry at my body for not working correctly. We’re not sure exactly why I developed inflammatory arthritis, but there’s no way to erase it, so there’s no point in spend a large amount of time angry with my body. If I only have a certain number of “spoons” per day, I would rather spend them in physical therapy than by hating my body.

Now, if you don’t have an official diagnosis yet – or at least one that you think fits your symptoms – I would advise accepting the things you can’t change but also fighting tooth and nail to find a doctor who takes you seriously and helps you find your correct diagnosis. Accept that maybe you can’t change certain things with a diagnosis or medication because you deserve it.

How Can I Accept My Body?

First of all, identify what you are mad at – because you are 100% allowed to feel mad about your chronic illness. Be mad at the disease itself, psoriatic arthritis in my case. But don’t blame your body as a whole. The way I explain it, my immune system is broken. It thinks that my joints are an invading army like bacteria, and so my immune system attacks my joints. I hate this disease, I really do, but I don’t hate my joints. Occasionally, I do hate my body. But I try to save that for the bad days.

So how can you accept your body while living with chronic illness? Identify the specific issues and what’s causing them and be mad at those if you have to be mad at something. Also, treat your body right, and treat yourself. Your life is hard enough; you deserve nice things when you can. Loving your body regardless of how you feel is important. You deserve love, especially from yourself.

Read more in the 2022 version of this post.

Like this post? Check out:

How To Talk about Your Chronic Illness, Relationships and Chronic Pain, Chronic Illness as a Grad Student, On Living with 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. Chelsea W says

    January 14, 2016 at 10:39 am

    Still trying to accomplish this after suffering from a chronic illness for years. I do think you’ve touched on a good point–it’s still okay to hate the disease but love your body at the same time. I can get mad at my disease for making me feel ____, but that doesn’t mean I have to be mad at my body for it since that’s what I’m fighting to take care of and heal!

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    • Kate Mitchell says

      January 14, 2016 at 3:30 pm

      Yes! Love and take care of yourself while still fighting the disease.

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      • Miriam says

        June 25, 2023 at 11:23 pm

        It’s very hard. CVID, Ankylosing Spondylitis, constipation, hypothyroid. But, all of this is nothing compared to my sister who is in the final stages of Lewy Body Dementia.

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  2. Lily Seymour says

    January 14, 2016 at 3:29 pm

    It was painful reading this because I know you’re quite young. I”m 56 and I decided that I wasn’t going to live with back pain, I joined a gym and hired their trainer, learned how to lift weights correctly to build muscle to support my bones, now I am pain free. Do some research on how building muscle makes the bones stronger and don’t settle on living with pain.

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    • Kate Mitchell says

      January 14, 2016 at 3:45 pm

      Hi Lily, I understand you mean well, but you seem to have missed the crucial point here: I have psoriatic arthritis, an autoimmune disease where my immune system attacks my joints. I have a severe case of it where there is inflammation and some permanent joint damage in 56 joints, so there are a few things about me and what I am speaking about here that you should know. First, this post is not about me trying to convince people to not fight to feel better. Second, because I have an autoimmune disease, building muscle to support my bones will not make me pain free. Yes, I exercise in ways that are approved by multiple physical therapists and doctors. Yes, I have muscle. No, that has not improved my pain. No, that will never prevent me from future pain. Exercise and building muscle may help some arthritis patients. Hell, it may dramatically improve them. But we caught my case approximately 9 years too late. I’m not sure how you found my blog, but you must not be a regular reader or else you would not be telling me that I’m settling for living in pain. Please read this post on things that upset people with chronic illness: https://katethealmostgreat.com/how-to-help-someone-who-has-a-chronic-illness/. Please read my health story: https://katethealmostgreat.com/year-14-of-pain/. If you have any questions that do not imply that I’m not doing enough to help myself and it is my fault that I still live with pain, let me know.

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      • Sam says

        January 6, 2026 at 1:43 am

        I’m so grateful that you were willing to respond to this. My mom is a physical trainer, she helps people lose weight and lift weights. She is certain that just lifting more weights would make it so I feel better, and that I’m just being lazy or careless with my health. No matter how many times I try to explain to here that I have chronic, genetic, degenerative illnesses, and that in fact, when I was lifting weights 6 days a week and running 5 days a week it was making it worse! I’m fatter now, and that’s all she sees, even though I am just about the healthiest I can be and feel the best I can feel with my illnesses, RA Fibro, chronic migraines, POTS, hypermobility and Lyme.

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  3. Ashley says

    January 14, 2016 at 6:03 pm

    Reading your blog makes me feel a little less hopeless and crazy. Some people just assume I’m being dramatic and I can just get over it…no. I WISH that’s how it works and it was that easy. Thank you for being so honest. You’re an inspiration to keep fighting against what is fighting us instead of fighting against ourselves.

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    • Kate Mitchell says

      February 1, 2016 at 11:06 am

      You are so welcome! I’m so glad that I can help in some way. It can definitely be hard thinking that you’re crazy. It’s not that easy! I hope that by being open and upfront about my experiences, I can help other people realize what others are dealing with. Keep fighting!

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  4. Katy says

    January 18, 2016 at 9:34 pm

    So glad I just stumbled upon your blog today. I’ve suffered from chronic joint pain due to joint space narrowing and muscle, ligament, and tendon tightness for a little over two years now (diagnosed sometime in early November 2013). Because everyone else I know that has chronic joint pain is older (40s, 50s, and 60s) it’s so comforting to know that there are other younger people going through a similar struggle.

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    • Kate Mitchell says

      February 1, 2016 at 11:08 am

      There are so many younger people living with chronic pain (unfortunately). The hard thing is that most of us either don’t talk about it or are kind of stuck away from the world. With social media and the Internet in general, hopefully that will change. For now, though, just know that you are not alone. There’s a great Twitter community, too! Try checking out the hashtags for chronicpain, rheum, chroniclife, spoonie, etc. and you’ll find plenty of vocal people like us.

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      • Meia_Ti says

        February 4, 2016 at 3:40 am

        on Tumblr too 🙂

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  5. Brandi Clevinger says

    March 24, 2016 at 10:31 am

    I strongly believe that accepting your body and illness is the first step in recovery. You put this so blatantly clear, yet gently firm. I’d like to share this at tomorrow’s Chronic Friday Linkup. If it’s not okay to share, please let me know and I’ll remove it from the linkup.

    Thank you for an encouraging, positive post! I’m also sharing this on my group board, Chronic Illness at http://www.pinterest.com/beingfibromom/chronic-illness-group-board/

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  6. Brittany says

    April 19, 2016 at 11:47 pm

    Hi Kate, I just came across your post via Pinterest when I searched “chronic illness”. I have hypothyroidism, but this year despite my efforts my body is rebelling in a way as I can describe as chronic illness. I’ve visiting a new doctor now and being tested for many things in search for an official diagnosis. I have been very angry at my body. It’s depressing seeing photographs of myself when I was healthy before and had dreams that I could chase without the fear of my body exhausting itself to the point of being so fatigued, trembly, and achy. I’m discovering new dreams now– #1 fighting for my body– but I mourn the person I thought I would be. It’s also frustrating having this invisible illness that the people around me can’t understand. What I despise hearing most from well-meaning people is “It must be depression or anxiety driven.”

    In the end I know I’ll be okay, but it’s hard on my worst days to feel worthy. My favorite quote you wrote: “…everyone deserves to love themselves. Everyone is worthy of that,
    including you. Accept that your body is sick, and accept that just because you are sick does not mean that you are not worthy of love, especially from yourself. You deserve it. You really do.”

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  7. jenny says

    June 28, 2016 at 9:17 am

    I also have psoriatic arthritis and fibromyalgia, and damage to my lower back, sacroiliac joints and hips, and my diagnosis didn’t happen until I was nearly 40. I do understand your pain, the emotional fatigue that goes with it, and the will to fight for a better tomorrow. Looking back I can see pretty clearly how much of my life has been stolen by this disorder, but I am so grateful to have a name for it, something to call it on those really uncomfortable days, and also the reason why I have to be vigilant about caring for myself. I can’t say that I love my body, but I do respect it a great deal and I do my best to care for it, broken bits and everything. I want to applaud you for facing this down while you are young, I wasted vital years thinking I was just a hypochondriac because nothing made sense. Keep fighting for a better tomorrow, your tomorrow self will thank you 🙂

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  8. Lisa Kallas says

    December 21, 2016 at 8:57 pm

    Love this. I have fibro and CFS. Granted I am a loot older than you, 51 now, but accepting my limitations has been one of the hardest things for me. I was once a professional dancer, I had total control over my body and it was capable of beautiful and amazing things. To realize it now has control over me and unable sometimes to do basic things is difficult and frustrating and sad. But accept it I must if I am to move on with my life. Thanks for posting. http://www.sugarloafdream.com

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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🤞🏻

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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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