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Adrienne Dellwo

Things People with Invisible Illness DON'T Want to Hear

By , About.com GuideSeptember 9, 2008

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Certain phrases really annoy a lot of us with chronic illnesses such as fibromyalgia (FMS) and chronic fatigue syndrome (CFS or ME/CFS). While they're usually said with the best of intentions, we hear them so often and they reflect such a lack of true understanding that they're like fingernails on a chalk board.

Here are 5 things to avoid saying to someone with FMS, ME/CFS, or other invisible illnesses:

  1. "You look great - you must be feeling better." We're likely getting better about concealing how we feel, not feeling better. Or it might be a single good day after a month of horrible days.
  2. "Let's get you out of the house. It'll give you a boost!" If we're staying home all the time, it's likely that we're not feeling well enough to get out.
  3. "Are you sure you're not just depressed?" If only it were that simple! Yes, many of us are depressed, and even if we're not the symptoms can appear similar. However, depression alone can't explain the broad range of symptoms we experience (often several dozen of them.) (Plus, depression is a very real physical illness, so the phrase "just depressed" is inappropriate anyway.)
  4. "I've been really tired lately, too. I know how you feel." If you're so tired that you feel on the verge of total physical, mental and emotional collapse, you might. Otherwise, statements like that make it seem like you're trivializing an illness that's much more than being tired.
  5. "If you'd (exercise more/lose weight/eat a better diet/get back to work) you'd feel better." While exercise or dietary change do help some people with these conditions, they also can make us much worse. We know our bodies best and need to research those changes for ourselves. Weight has never been shown to exacerbate symptoms of FMS or ME/CFS, and the physical and mental stress of "getting back to work" is far more likely to make us crash than recover.

Are you left feeling like you don't know how to approach your friend or loved one's illness? Don't worry! Appearing here soon - Things People with Invisible Illness DO Want to Hear!

Get a better understanding of what it's like to live with an invisible illness, or find understanding and support if you're sick, by visiting About.com's Fibromyalgia & Chronic Fatigue Syndrome forum.

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Comments
September 10, 2008 at 12:19 pm
(1) Linda says:

I hear number four the most often. It usually comes from friends and family who are just trying really hard to understand what I’m going through, trying to find a way to commiserate with me. I appreciate the love behind the comment … but the most helpful comments are from people who actually have CFS.

September 12, 2008 at 5:40 pm
(2) VaBreeze says:

Right on!!! If one was to say any of these it would automatically make me feel defensive…as if having to justify how crummy I feel in detail and why their suggestions just will not work. I don’t even mention fibro or any of the other invisible illnesses, unless someone else brings it up in a subject or unless they suffer also. I agree with Linda…the most helpful and consoling is done by one who suffers too.

May 19, 2011 at 9:50 am
(3) Anu says:

I agree with Linda & VaBreeze

September 13, 2008 at 8:45 am
(4) Mona says:

We always want to look better than we feel and then people think you must be o.k. They don’t realize we can do a good job of covering up. It would not be good to just look like we feel, no one would want to be around us. The remark about them being tired, they don’t have a clue what ‘tired’ really feels like!

September 13, 2008 at 11:27 pm
(5) Cris says:

I have heard most of these comments myself but the one that makes me upset is someone close to me told me I was lazy. That hurt me because I have worked all my adult life and been independent. I wish people would educate themselves before opening their mouths!!!!

September 16, 2008 at 10:20 am
(6) Mary says:

I am so tired all the time too! I hurt where I never thought I could before, I take naps but a nap isn’t for 3-4 hours long.
Mona is so right on, people just don’t understand. I am not just tired I am bone weary tired. I wake up from my nap and I could go right back to bed

October 2, 2008 at 8:53 am
(7) Ellen says:

The thing which annoys me the most is when people assume we have some kind of choice about how we feel. I have a friend who once made some comment about how i try to avoid any kind of activity or exercise… as if I’m choosing not to do these things. People really don’t understand… there needs to be way more information available about CFS.

December 4, 2009 at 8:08 pm
(8) stellachiara says:

Those of us who take prescription medication for the disrupted sleep that is common in fibromyalgia often hear “you should treat the underlying condition instead of taking sleep meds.” Wouldn’t it be great if there were an effective, established treatment for our “underlying condition”?

Guide Response: I find that statement especially ironic, since our sleep problems may actually be part of the underlying condition! People just don’t get it, do they?

May 28, 2010 at 7:23 pm
(9) Francesca says:

I heard once that if I stopped drinking diet soda that I’d feel better. Note: I have never in my life drank diet soda. I have a soda-phobia. The only thing I drink is water or milk!

August 13, 2010 at 1:32 am
(10) diane says:

My son seems to think that if I got off by bum and went back to work instead of watching day time T.V all day I’d feel a lot better.

August 12, 2011 at 11:43 pm
(11) marie strasbaugh says:

I finally found a doctor that respects me and goes along with the
doc’s at A Pain Ctr,who have a group of Dr’s that are 1.Neuologist 2.Med specialist,3 Dr. of Mental Health 4.Physical Therapist.I always have people telling me to exercise,and have guilty feelings.since everyone is told to do it.Yrs.ago people did what they wanted,with no electronics telling us what to do and eat,we have to be in charge of our lives.No one has the right to treat another person badly because of their own ignorance.Doctors treat (some)really bad,make sure you take a spouse or friend into the exam room,Wow,does the attitude change.I have left some Offices feeling so bad.I dreaded to go back,I have had this for 26 yrs,

October 21, 2011 at 3:39 pm
(12) shastadaisy says:

My weight has definitely gotten out of control since I’ve had this “invisible” disease. Everyone keeps telling me how exercise will make me feel so much better. I don’t care if they think I’m lazy, I know what I can and can’t do. If I over do it, I don’t normally pay for it until about a week later. That’s when it really hits me and I’m down for the count. If exercise was all it took to make me feel better, I’d be ready for the Olympics. I only wish it were true!!

October 23, 2011 at 6:07 am
(13) allison says:

I hear #1 a lot from my mom: I actually just sent her the article. The thing is I usually, if possible, make myself look better to see my family: they don’t like to see me sick. Extra meds, no cane, a lot of caffenie, a lot alot of rest the day before, I actually shower and do my hair and plan a nice outfit to wear. Goodness if they only saw me for real at home: I don’t need a halloween costume, I can just go as myself and pass! lol

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