Chronic illness is a mentally, emotionally, spiritually, and physically difficult experience due to that fact that is threatens an individual’s sense of self and feelings of well-being, competency, mastery, and productivity. On top of challenging one’s relationship with oneself, chronic illness often challenges the interpersonal relationships caught within its tangled web, including relationships with family members, co-workers, and friends. Through e-mails and on my formspring page, I am often asked questions that are centered around why friends either seem to lack compassion or totally disappear after a life-altering diagnosis. I was asked to write this in the form of a letter to the friends of those with chronic disease, but before I tackle that, there are some important points I’d like to make. I want you to consider the often and famously ignored point of view of your friends and family members. This isn’t going to be a friend bashing post, so if that is what you were expecting, you may not want to read ahead. The points I address may not be the things you want to consider, but they are what you need to hear.
During the acute phase of an illness, friends often rally around to support their beloved while he/she heals, but once disease reaches a chronic state, some may find it too overwhelming of a personal struggle to continue to provide support. To the sick, this takes the form of apathy or lack of concern and can be devastating, but it may just be that the concern is present without proper action. Most individuals have no clue how to interact with someone who is ill, and disease can be terrifying to someone who is healthy because it creates an urgent need to face one’s own and often denied morbidity and mortality. Most people’s biggest fears are loss of control, feelings of helplessness and vulnerability, feelings of inferiority, and ultimately, death or annihilation. No wonder chronic, acute, and terminal illnesses scare the pants off of most individuals.
Severe upset, fear, terror, anxiety, depression, anger, and even suicidal ideation often accompany chronic disease based upon feelings of injustice, loss of control, and helplessness, and this emotional turmoil can put a profound strain on your support system. This may be a controversial statement, so please, try to put yourself in the position of your loved ones – just as you do not want to be around Negative Nelly or Debbie Downer, neither do they (even if your reasons for feeling upset are extremely valid). Your loved ones need to preserve their health, too, and if you are constantly complaining or clinically depressed, they may need to remove themselves to maintain their well-beings. This is not a blame game, so take an honest look at yourself and decide whether or not your mood disturbances are affecting your life negatively. If they are, please enlist the help of a licensed mental health professional, spiritual counselor, clergy member, etc. (whoever you would typically go to for counsel).
Finding non-illness related subjects to talk about at times can help take some of the stress off of your strained friendships. Allow yourself a few minutes to discuss what is happening in your life concerning your disease, and then move on. Think about it, you know that friend that NEVER stops talking about her annoying, unhealthy relationship with that guy that you despise? Constantly complaining about your health challenges can have that same effect. Even though you can’t dump your disease like she can cut her boyfriend loose, with some work, you can dump the negative point of view.
For some time, friends will still expect you to be the same person they knew and loved before the diagnosis occurred, so allow them a grace period as they become reacquainted with the new you. Their attempts at socializing with you may seem callous when they invite you to do something you can no longer do, so communicate your new limitations clearly and firmly and suggest activities that you can participate in. Some family members and friends will never be able to accept your limitations, and this may require you to stretch and strengthen your forgiveness and compassion muscles. Just as you must accept your limitations, you will also have to accept the limitations of others. I have a rule I live by when it comes to this – Don’t expect something from someone that they will never be able to give you. Forgive and move past it because the only person your anger and resentment is hurting is you. Under anger are usually feelings of deep sadness and profound hurt, so getting in touch with those feelings will help you in your journey toward emotional freedom and better health.
This also may be time to clean friendship house. Becoming ill allows you to reevaluate your priorities by affording you with the opportunity to see what truly matters in life – love. If you engage in relationships that are not loving and supportive on either end (yours or theirs), consider revamping them or thank them for the lessons they have taught you and move on. Each person you encounter in life is there to teach you something whether it is for a reason, a season, or a lifetime. Change your outlook, and find the lessons within your troubled relationships so that you can grow more into the person you were meant to be.
Happy Healing!



