When we’re struggling with illness, though, our self-esteem can plummet.  We may see ourselves as slow, irritable, unlovable and stuck. Research shows that maintaining positive feelings about ourselves during illness flares can improve both physical and mental well-being. 

Psychology Today

Kristin Neff is a leading researcher on self-compassion according to Psychology Today. Neff has written, “People feel compassion for themselves, because all human beings deserve compassion and understanding, not because they possess some particular set of traits.”

Self-compassion involves three main elements:

  1. Self-kindness vs. self-judgment.
  2. Mindfulness vs. over-identification with thoughts.
  3. Common humanity vs. isolation.
Chronic illness- Do I have self-compassion

One wonders if we can love ourselves like we should with chronic pain and chronic illness? When we feel the burden of limitations, financial instability and a sense of failure.

When we are coping well and our pain and illness feels manageable maybe then we feel better about ourselves. But what about when we struggle? What about when we try to set goals and fail? What about when we feel like a burden to our families? Or a failure as a person? Then do we love ourselves? Hmmm.

Some self-compassion during our really difficult times is something we have to try and engage in but it can be difficult. Maybe because we spend so much time being brutal on ourselves and judgmental it takes some time to break that pattern.

Sometimes I can be so harsh and critical of myself. And it isn’t because I am chronically ill. It is because I have always been a perfectionist AND that doesn’t work ever let alone with a chronic illness and disability. And I have this desire to push myself to achieve more and Know that is very detrimental to my health. Doesn’t stop me from sometimes being a real dick to myself.


We have to really watch our self-talk on those bad days, or long bad stretches. Because that can stick for a long time. Our brain really, really listens to that until those thoughts just pop up and then become a habit. I have learned this lesson through depression when my self-talk was Brutal. I mean, man, talk about being one’s worst critic and never giving myself any slack.

Negative self-talk happens to everyone. We all have a part of ourselves that seems to undermine our talents, achievements, skills… our overly critical selves. I think it gets worse with chronic illness because from the get-go we try to Be Who We Were. Like nothing changed. But it did and when we have to realize that it doesn’t align well with our sense of self and the core values of who we are… and instead of adjusting that, we feel really cruddy and punish ourselves for not being the Perfect US that we cannot ever be. And every time we fail to achieve a standard we feel like we Would have we feed that negative self-talk. Give or take a year, five, ten… and those thoughts can be pretty embedded in us. And worse. Just nasty.

When I started cognitive behavioural therapy for chronic pain and depression I had a mood journal where I wrote down my self-talk and then how that wasn’t accurate Really, and how to replace it with something more kind to myself. Writing it down at first helps you work things out and helps you become more and more aware of your self-talk. You can also try writing a letter to yourself… but say you pretend you are your own best friend, then what would you say to yourself? What would someone who loves you say? Outside of your perspective, what would someone who cares for you say?

The best thing to do when I find myself being overly critical of myself is to:
  • Shut down that line of thought. Literally, tell myself to be quiet and turn to other thoughts. Or ‘this will pass’
  • Distract my mind with art, reading, writing… even journal writing
  • Think rationally about that prickly little thought and analyze it. See how brutal I am being towards myself. Remind myself I would never be that way to another person and have some empathy for what I am going through.
  • Remind myself rest and recovery are necessary to my well-being and NOT A FLAW.

What if we try something different and treat ourselves with acceptance?  Instead of chastising ourselves for everything we’ve done wrong, we could try to understand it.  “I do tend to overdo things in a way that exacerbates my illness.  Sometimes I just so want to be ‘normal’ that I forget my limitations.  I’ll try to take better care of myself in the future, but I can feel empathy for the part of myself that wants to do everything.”  “I feel so blah when I’m sick, and that’s okay.  I can’t expect myself to be energetic and cheerful when I’m hurting.”  

Psychology Today

We are only human

Like in my recent post it does help to remind ourselves we are only human. Emotional reactions are normal. Suffering is something we all have to endure, in some form or another. And so many suffer exactly the same way as we do. Even when we feel so alone. So isolated in our pain, we are not. So many go through what we do. We are all only human. And to feel weak sometimes is also only human. I have to give myself a break.

Another thing is to understand there are many factors in our lives we do not choose. Such as our chronic illnesses. And while we have the responsibility to take care of our well-being we are not to blame for it or to be ashamed of it. Understanding that so many factors were never in our control as humans helps with self-compassion.

Sometimes this is where some good self-care comes in. So I feel crappy. Maybe I need a break and some mental and emotional recovery. We all have things we do that help us give us a boost mentally and emotionally self-care wise… and that differs for us all.

There is no such thing as perfect coping. I know that. And there is an emotional toll to chronic pain and illness we have to acknowledge and deal with in our own ways.

Another important component in developing self-compassion is maintaining a belief that painful experiences are part of the human condition and that we are not isolated in our suffering.  While we know that pain and loss are part of the fabric of every person’s life, it can be easy to forget this when we are in the throes of our own suffering. 

Psychology Today


I like to be aware of my emotions, acknowledge them, but not ruminate on them… not dig into them and dive deep into them. If I am feeling sad because I cannot function that day… I accept that I am, I know it will pass, I accept it is a normal feeling to have and just let it flow through me.

We are permitted to have emotions. Remember that.

I also do some relaxation breathing to relax myself. Or some meditations, of various sorts to relax my body and mind. I have a mantra of ‘this too shall pass’ and it works for me simply because emotions are fluid and fleeting and I know they will pass.

self-compassion is cultivated by attention to mindfulness, defined as taking a balanced view of one’s negative emotional states rather than becoming embroiled with them.  Importantly, mindfulness does not mean ignoring or denying our negative feelings.  On the contrary, it’s important that we pay attention to them.  What mindfulness asks of us is that we not get stuck in those feelings.  When sadness overtakes us, for example, we need to feel the ache in our chest and the darkness in our mind.  We say, “Here is sadness.  It is a feeling that is part of being human and eventually it will pass.” We try not to chastise ourselves for feeling sad or cling to the false belief that sadness will last forever.  We simply sit with it and breathe.  

Psychology Today

I don’t think self-compassion is important for no reason. It has real value in helping us cope and have acceptance for our chronic illness.

The practice of self-compassion can help us avoid the trappings of self-limiting or destructive thought processes, like the critical inner voice, that often diminish our motivation or initiative. Neff’s findings show that self-compassion can reduce anxiety and actually help us make real changes in our lives.

Psychology Today

Neff’s study found “Using a correlational design, the study found that self-compassion had a significant positive association with self-reported measures of happiness, optimism, positive affect, wisdom, personal initiative, curiosity and exploration, agreeableness, extroversion, and conscientiousness. It also had a significant negative association with negative affect and neuroticism. Self-compassion predicted significant variance in positive psychological health beyond that attributable to personality”

Benefits to self-compassion

  1. Developing resiliency- recover better from setbacks
  2. Increased productivity and failure is often persevered as an opportunity and not something that leads to despair and self-criticism
  3. Decrease in stress
  4. Reduced isolation
  5. Increased mindfulness
  6. Reduced over-identification
  7. Less depressed and anxious
  8. More prone to positive self-care rather than self-destructive behaviours when stressed

Source: Benefits of self-compassion

We could all benefit from some self-compassion for sure. It is a tricky one though. I have to say it wasn’t that long ago when I literally had do self-compassion for myself. It took seeing a psychologist for pain and depression for me to slowly start to. And then it slowly, inch by inch, day by day, year by year, developed from there. But some days… not as much as others. It is a tricky pickle this one and I have to constantly remind myself of it. Sometimes going back to my basic methods of a mood journal to help me.

So I do have self-compassion now. Definitely on my bad days. It is just sometimes I have to work at it. I spent decades being really harsh on myself and it takes time to break that cycle. Do you have self-compassion?

See more on emotions and chronic illness

Chronic pain and self-compassion
Chronic pain: Emotional toll
Are you starving mentally, emotionally or socially?

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14 thoughts on “Chronic illness: Do I have self-compassion?

  1. I love this post so muc. Thank you for sharing. There are times where I am too hard on myself and I talk negatively towards myself because I did bad. When in reality, I have to constantly remind myself that I’m only human and it is a common mistake made amongst people. This is such a motivating post. Absolutely love it!! ❤ 🙂

    Liked by 2 people

      1. You’re welcome. Yeah I agree. For me I constantly have to remind myself because my anxiety can just give way at any given time. So As a way of calming down, I recite positive and selfcare affirmations to myself.

        Liked by 2 people

  2. Hi Nikki

    This blog about Self Compassion is for all of us Fibro warriors everyone of us must lack self compassion. Myself definitely. I am very hard on myself and I’m in the works to make myself realize my negative self talk. You are spot on when you said we still think of ourselves as when we were normal so we push ourselves Then get more pain then have this negative self talk like it was our fault we have this Illness. I’m so good at blaming myself when I’m not the one to blame for being sick. It’s not like we asked for chronic pain

    I have to say I e been working on positive self talk because I really need to but it’s very difficult.
    Thankyou for your hardwork and dedication with your wonderful blog


    Liked by 2 people

  3. Carrie Kellenberger
    I really enjoyed this post as well as your tips for overcoming those thoughts when we’re being over critical of ourselves.
    This tip is my favorite and that’s why I find it so helpful to have other distraction projects lying around to turn to when that little voice gets going in my head.

    Loved this one: “Shut down that line of thought. Literally, tell myself to be quiet and turn to other thoughts. Or ‘this will pass’”

    Liked by 2 people

    1. I use that one often. Sometimes literally shutting the thought process down and choosing to think of something else can derail it completely. Sometimes it works. Depends how persistent my brain is that day.


  4. Hi Nikki… Showing kindness during our self-talks does work! I really like how you’ve broken it down and what you do to help yourself.

    I have learnt over the years to praise myself in the work I do, have respect for my vision and outlook towards the strategy I wish to adopt for my life which also then sits better around my health. This makes me feel more mentally productive and accepting of the person I am. 🙂

    Liked by 1 person

    1. Oh yeah and I celebrate all the little accomplishments I make in the day because it is important to acknowledge what I am capable of doing to shut down those thoughts that I am ‘useless’.

      Liked by 1 person

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