So I encountered someone random on social media with an illness that said we should not discuss ableism because people do not get our illnesses and… it doesn’t matter. I don’t know his life but maybe he has not experienced pervasive stigma like some of us have such that we know the need to spread awareness is vital. Or we get treated like crap by society and ignored and treated as lesser Than. But no, we do not have to be flippant with jokes on ableism. That isn’t necessary. People do not understand chronic illnesses because they do not have them… that isn’t funny or to be mocked.

No one needs to know you're chronically ill

And here is why he was true about chronic illness

Okay, so I have often said we do not have to validate our pain to anyone. They have no right to it. We still have to deal with it regardless of their opinion. And frankly, some people do not deserve the effort.

And it is also true that people understand from their perspective.

If they are healthy or have some small minor managed illnesss they are not going to understand a major life-altering chronic illness or chronic pain. They are going to come up with suggestions we have heard one billion million times. Because they don’t know what to say but feel like they should say something. And some of them actually are just dicks about it as well. And the majority of these people literally do not matter in our lives. And we do not need to Proove our illness. We do not need to say a damn thing if we do not Want to people who have little significance to us at all.

And we can with invisible disabilities choose when to reveal and when to conceal

With an invisible illness, we have the option to mention our illness or not. We can reveal, to whatever level we are comfortable… or conceal. We have that option in our lives. Sometimes we do not want to meet new people and have to explain the minutia of our illness. We just want them to know Us as a Person. We are not our illness, after all. You wouldn’t believe what I have learned walking about with a cane. Apparently, it is free access for people to ask why you need a cane like it is any of their business. And I don’t like that. Not used to it at all. And there is a freedom with our invisible illnesses that we don’t have to explain a damn thing unless we want to.

Some people will never get it

But he was rather wrong about chronic illness as well… because some people really do matter.

  1. People we love
  2. People that directly impact the quality of our lives

And that is actually a lot of people.

People we love

Our family and friends and our spouse. All of these people Matter to us emotionally and we would like these people to understand on some basic level our needs and limitations. We do want to counter ableism or stigma here… we do Not want to be seen as just lazy to people we Love. And any other stigma we encounter coming from our loved ones we want to counter and explain the truth of the matter. We want them to have our backs… not be one of Those People.

Those people that directly impact the quality of our lives

Hate to say it but we need awareness because of the fact there are a lot of people that directly impact our quality of lives with a chronic illness from co-workers, employers, insurance companies, to all medical professionals we encounter.


I have worked in a toxic environment not from co-workers (although, yes, I have worked with some dicks as well when it came to my chronic migraines) but with a boss. And with stigma the thing is it can make work a living hell hole that you wish every morning you didn’t have to go to… you’d rather die that moment than go to. Sound like fun? Because it really, really wasn’t. I was lucky I got out alive because I almost didn’t. So Maybe some awareness and lack of stigma would help in situations like that… just a wee bit of education and some knowledge on discrimination and accommodation. To say we should never discuss ableism Ever is to say that people should except that hell and just deal with it because, well, they will never understand our illness anyway… screw that… we deserve better than that.

We deserve workplaces that allow you to work from home if you need to some days. That allows you to come into work at whatever time you choose, as long as you get your work done. That allows flexibility. A workforce like that… would accept a lot more disabled people than the world does now. Now they try to force us into a system that isn’t designed to fit us and wonder why we struggle and wonder why we become disabled from work. Most of us cannot do the routine. We are not reliable or dependable like that and we can’t be.

Insurance companies/disability

Okay, I know in the US this is a lot more complicated. But what I’m talking about here is short-term and long-term and eventually government disability. Did you know I was denied short term insurance twice? And this last time it took over a year to get approved for it? For Vertigo (and FM and chronic migraines) but actual vertigo. It should be simple but I am what they think of as a liability… a cost. They don’t want to pay. And so they needed evidence and more evidence and more evidence. And you know how long it can take between the tests and appointments with specialists and more tests. Time. That is stigma because short-term is there for when you cannot work right that moment according to your Doctor and then if it needs to persist you need evidence. Nope. Not for me. And not for many of us. We have to really, really, really fight for our rights. And I had no choice but to fight because I was incapable of working or driving and much of any damn thing… unless I can nap at work 4 times a day and make 300 errors a day while I am at it, zone out and not understand what people are saying to me, and falling down among other issues. It was idiotic.

Anyway, long term got approved quickly due to the loads of evidence I had. But this is also usually a real fight because when you have been on it for a bit it goes from ‘cannot work your job to cannot work any job’ and they will try to boot you off. I was on long term before. And they booted me off saying I was ‘significantly better’ when in fact I was suicidal and not better in the least… which led to my second suicide attempt. I had no fight in me then though… because, well, suicidal. And we have to have fight. No fight… we are screwed. This time it wasn’t really a fight… I can’t do anything. It has even taken me about a month to write this post and as I write it right now I feel like throwing up because vertigo causes a lot of nausea and apparently that is hard to manage because the dizziness Never Stops even with medication.

Government disability can take years and years. It can take lawyers and court appointments. It can be the fight of your life when you are sicker than hell. I got approved right away. Not even sure why. Maybe All of This combined. Maybe because of the information sent in. The evidence. But usually, that isn’t the case at all. Usually they deny right off the get-go, maybe to weed out the fakers? Not sure. But it isn’t fun for those of us who are sick. Can’t work. And struggling financially. But we have to persevere because we can’t do anything else. We have no choices at this point.

And if you think awareness isn’t needed when it comes to disability I’d like you to consider this: Living wage vs. Disability income because we are not valued by society enough for us to live a basic living. And we have to pay for so much out of pocket… but when you are disabled… that becomes Impossible. And you want to scream when someone suggests acupuncture or something else… that costs Money. Or supplements or whatever.

Medical professional

‘Just take a bath and have an Advil’ – told to me for a 7-day straight acute migraine by a doctor. 

‘I don’t believe in fibromyalgia’ – told to me in the ER with fibromyalgia-related chest pains. He never found out it was costochondritis because he didn’t do fuck all.

‘You have anxiety’ -told to me by the ER doc when I had severe chest pains, some inflammation around the heart thing I had been informed by another ER but it hadn’t gone away and I had been told to come back- but this dude saw I had depression.

‘You’re just depressed’ – told to me when I was just young at 20 complaining about the constant pain that was getting worse (just prior to my fibro diagnosis with my actual doctor and specialist but this was in the town I in. I was young and a woman, so clearly depressed.-

‘You’re too young for medication’ – told to me by that specialist who diagnosed me with fibromyalgia.

Oh, I could go on and on and on. About stigma for being young. For being a woman. About having a mental illness. When it comes to the medical field. All of which affect diagnoses and treatment and quality of life.

Here is the thing with stigma in the medical field… when you have experienced since you were young you begin to become stoic about your pain… because you don’t want to appear to be exaggerating. Because they Treat You like you are exaggerating. But then because you are stoic now… they never believe how much real pain you are in. Sort of doesn’t work. And stigma also makes you feel small and unheard and disillusioned. And like maybe you should wait to see the doctor about that symptom until it is Really important or bad (this bugs the hell out of my doc, but hey I learned it from all the bad docs). Anyway, awareness about stigma and training about pain – all these really matter for our actual treatment. It is a big deal.

In the end, stigma and ableism affect us in many, many ways. I walk with a cane now and that is a big old neon sign about my head that I am ‘not a normally functional human’ so people open doors for me, get out of my way, let me get ahead of them in line and do other weirdly overly polite nice things that you would never ever experience with an invisible disability. And stigma with an invisible disability is extreme in society. Can’t see it… it should be doubted, denied, mocked. And it that isn’t something we should fight for awareness on I don’t know what is. So I disagree with this guy a lot. Sure some random dude that comes up to me… I don’t need to validate my chronic pain to him or her… and they may not deserve my story. But in pretty much every other aspect of life? And in society overall? We Need awareness. We need people to tell their stories. We need people to understand other people’s perspectives a bit.

But yeah, day to day life… maybe you don’t want to tell your whole life story to every random person you meet. Of course, you don’t. And maybe you don’t with someone you first meet… it isn’t who you are as a person after all. And, yeah, it is true people will not ever get the depth of our experience. Just like I will never get the depth of many experiences I have never had. But, dude, awareness is very important if we want to have an valid place in society. If we do not want stigma and discrimination all the damn time. I hate all that. No one wants to deal with that crap and we shouldn’t have to.

See more:

Be careful what you tolerate, they will use it against you

Chronic pain: don’t steal lives doc

Invisible illness: hiding in plain sight

The new book I have to read on my reading pile: How to Live Well with Chronic Pain and Illness: A Mindful Guide 


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22 thoughts on “Chronic illness: Shh no one needs to know you’re chronically ill

    1. Yep first there is ‘you’re too young’ then there is ‘Every symptom you have is actually that condition you already have’ and finally we reach ‘oh it is just age’

      Liked by 2 people

  1. I hid my bipolar from my boss-from-hell for 4 years. Then I had a bad episode and ended up exceeding my sick days. I felt I had to tell her about my illness to explain my absence. Big mistake! She treated me like I was an idiot from then on. A few months later I got fired on a trumped up reason. I will never again tell anyone at work I have bipolar ☹️

    Liked by 1 person

    1. I told my boss about my chronic migraines but not fibro (too stigmatized) and definitely Not depression… and I saw how she and everyone treated someone there with Major Depressive Disorder and it was horrible. She and I though, were both screwed in the end. It is just the way that place was run… couldn’t handle anyone out of the range of normal.

      Liked by 1 person

      1. My experience was with a small business run by a very narcissistic bossy mean woman. For the first few years she wasn’t that bad…I just had to stand up for myself when she was freaking out. Then I had a few bipolar episodes right in a row, missing a lot of work. As soon as I told her about my illness my days were numbered. She was abusive, only to me. Then she fired me! I still hate her. I need to let it go but it’s only been 6 months. Hopefully someday I’ll be free from the pain.


      2. Yeah my time at that place I feel like it traumatized me for a long, long time. And destroyed a lot of my self-worth and self-esteem. Took a very long time to get some of that back. It was abusive and cruel and I didn’t know back then how to defend myself against all that because I was depressed. Sometimes it is really difficult for us in hostile work environments,,, it can do a lot of damage.

        Liked by 1 person

      3. I’m sorry you had to live through that hell. I understand! I tried to find another job for years!!! But couldn’t. That feeling of being stuck in a bad job, where you dread getting up in the morning….just awful. Sometimes I fantasize about getting some kind of revenge on the evil boss bitch. Like blowing up her new Lexus.

        Liked by 1 person

    1. I find using my cane opposed to not using my cane a very different experience. Can’t hide the cane for one. And therefore people act differently and also feel the right to ask me questions. None of which I get with an invisible disability. It is distinctly different using an aid and then not. I wonder why people have such problems accepting chronic illness without a visible mobility aid? Do they need some sort of visual proof? But then when they have it they treat you… differently.

      Liked by 1 person

  2. I have recently found out I’m chronically I’ll. Well. I guess. I still don’t believe it much. I guess. I’m still sorting it all out.
    I have apparently been I’ll my whole life. I read these stories from others and realize…… That’s me. I never knew it my whole life. I was , just like everyone else who suffers, treated like I was exaggerating. Lazy. When in reality, I was sick. It sucks because now I’m really sick and can’t help but wonder if I could have stopped it or at least slow the progress of it if I had been diagnosed sooner. I had nobody. I was alone and believed them after a while and pushed through it.
    That said, I’m still adjusting to the cold hard fact, I’m not ok….

    Liked by 1 person

    1. That is difficult. We so often believe what people say of us and think it must be a lack in us… so we push through… but something Was wrong all along. It took me a while to be diagnosed but at least I had my mom pushing doctors… since I was young.


      1. I tell my daughter all the time that I’m there for her and I understand what she’s going through, because she has it too,. Of course she knows I have it so knows I’m there for her.

        Liked by 1 person

  3. It took me 3 years to be diagnosed with Fibromyalgia because 1. I am in my 20s 2. I am a woman 3. I was on heavy bipolar meds. Every doctor would look at my age, gender, and medications and tell me it was all in my head. It wasn’t until waay down the road and I was much more sick that I found doctors who ran tests. They found things. Now, my bipolar diagnosis is being questioned. My professionals just think I have anxiety, not bipolar.
    John Oliver has an amusing but sad video on bias in medicine

    Liked by 1 person

    1. Unfortunately, once you are diagnosed with mental illness… stigma becomes a massive issue. I was told because I was a young woman i was depressed… and that is why I was in pain. Didn’t see that dick again. But I Was depressed but the pain had been there for Years. I was depressed because of the damn pain. So I learned not to mention the depression. Until much later when it became a massive problem

      Liked by 1 person

      1. That is extremely true. Even when I went to the GP for a head cold and the nurses asked why I was on such and such meds, I answered bipolar, and I saw the look of judgement in their eyes. I’ve had a phobia of doctors for a long time.

        Liked by 2 people

      2. I had this heart lining inflammation issue. Went to the ER. He saw my depression meds and told me I had anxiety and gave me Ativan. I was like what a dick. I already knew what I had I was just worried it was persisting longer than it should have. Imagine if I had been having a heart attack? Yeah could have been way worse with that dick.

        Liked by 1 person

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