Building confidence with chronic illness and disability
What does it look like to be empowered and confident with a disability or chronic illness?
I’ve been pondering this lately as I find it’s easy to get into the mindset that when my health improves or if I fully recover, then I’ll finally feel confident, badass and empowered. And yes, that’s partly true. Having more energy and wellbeing definitely gives me a huge boost in my mood and sense of self efficacy. I also think it’s great to work on improving our health as much as possible.
However, what do we do in the mean time? What would it look like to be the best version of myself, right here with my current circumstances? I've been pondering this question recently, and wanted to explore it further.
Unfortunately, many of us get trapped in a downward spiral that feels out of our control. Feeling unwell saps our self esteem, and having to stop jobs, reduce social activities or limit hobbies can be very depressing. It’s a vicious circle that can be tough to escape. Financial and health struggles can create so much anxiety and stress, it can feel crippling not just physically, but mentally, too. It can feel shameful and embarrassing, and often we just want to hide and protect ourselves.
There can also be a lot of self-consciousness about our physical bodies and appearance. For example, many medications can make people put on weight, fatigue can cause dark circles under the eyes, and allergies can make people’s faces look puffy. Surgeries can also leave people with scars and it’s normal to wonder if people will find you attractive, especially in the dating scene.
However, the great thing about working on our health and confidence is that it can also be an upward spiral. Confidence can help motivate and empower us to improve our health and life situation, and in turn the increase in energy and health can boost our confidence. I’ve found that even improving my health by 5% or 10% can make a surprisingly dramatic difference in my overall quality of life. Every little bit counts!
Here is my advice, based on my life experience - in no particular order:
One: Escape the comparison trap.
Stop comparing to others, especially other able bodied people. Even comparing to others with the same condition can be highly problematic, as people have wildly varying symptoms, different levels of severity, as well as different levels of support and financial resources. Many people with the same outward symptoms also have a completely different root cause (or combination of root causes). Not to mention the treatments that work for some may not work for others at all. Some people find a silver bullet solution, but for most people, it’s more complex than just one thing.
Focus on yourself and stay in your lane. Concentrate on your personal achievements and look at how far you’ve come. Being able to walk for five minutes may mean nothing to the average person, but it may be a huge milestone for you. Don’t forget to celebrate your wins! Even the small ones. Also embrace the reality that the journey is going to be up and down. You’re going to have good days and bad days. Don’t let that discourage you from continuing.
Two: Self compassion and self acceptance.
Work on talking to yourself with more love, compassion and acceptance. Acceptance is really important because we need to come to terms with our reality, which is often incredibly frustrating and painful. This often involves a great deal of grief too. It’s okay to feel all the emotions, and hold space for them. I find journalling, therapy and EFT tapping really helpful in this process. I also really like parts work, and the concept of unblending, as it helps me gain perspective on difficult emotions and parts.
Know that it’s okay to feel the sadness and anger. It’s also okay to feel envious and jealous of people who are able bodied and have easier lives. It’s normal. Don’t add insult to injury by beating yourself up over totally normal emotions!! Society encourages us to repress and deny our shadow, but we need safe spaces to talk about the tough stuff.
Being disabled and chronically ill comes with a huge amount of stigma, and often trauma, too. Get the treatment you need for any trauma that’s holding you back and sapping your spirit. I recommend EMDR and somatic therapy, but there’s lots of other modalities out there too.
This is easier said than done, but when you’re disabled or chronically ill, it’s better to own it and speak about it as confidently as possible. I find this is especially relevant in social or dating situations. I try to be honest, open and frank about my lifestyle and limitations, rather than hiding it or pretending I don’t have any conditions. This is sometimes a tough line to walk as you don’t want to overshare or freak people out, but in general I prefer to be up front with people.
This also includes freely using mobility aids in public settings, social situations or going on dates. I’ve become very comfortable using a mobility scooter to get around, and often take a walking stick with me too. It takes time to get used to this, but the more you do it, the less self-conscious you’ll feel. Some people find it helps to decorate their mobility aids or get a walking stick that looks funky. Canes can be incorporated into a steampunk, dark academia or dapper aesthetic in a fun way! Find a way to own it and make it your own, in a way that suits your personality and style.
Another area that can be challenging is dealing with dietary limitations. Strict diets and allergies can be tricky, but again, it’s better just to own it. I don’t eat at restaurants, but I still go to restaurants and cafes with friends and enjoy hanging out. Yes, it’s a little awkward sometimes, but you have to push through it. The right people won’t care, and will value your presence more than anything else.
Four: Seek supportive connections, friends and community, whether online or off.
Find friends, groups and events that are supportive, uplifting and accessible. Don’t hang around people who judge you or drag you down. Even people who constantly insist on giving annoying unsolicited advice (like "just drink more water!") can drain your precious spoons.
I know this is so much easier said than done, because being disabled or chronically ill can bring with it a great deal of isolation. It’s natural to just hang on to whatever connections you have, and not want to let go or burn a bridge. So be kind to yourself if there’s some people you’re just not ready to let go of right now. But keep looking for better friends who are going to life you up and who fully accept and celebrate you as you are.
Never, ever assume you have to tolerate any abuse or mistreatment because you’re disabled or chronically ill. You are not a burden and never deserve to be treated badly.
The same goes for dates and partners. Don’t settle for people who are toxic, judgemental or just tolerate you – rather than fully accepting and loving you right now, for who you are. Also, find people who respect and cherish you as a person, not for what you can do for them or what you achieve. People who are very focused on things like class, money and status are usually best avoided where possible.
Five: Cultivate a sense of purpose in your life that’s bigger than you.
I find when I’m focused on my purpose and calling, it’s easier to be confident because I’m not so focused on what other people think of me. I recognise that I have a calling that’s a lot more important than that! Obviously, this is easier said than done, especially if you can no longer work – or have had to change jobs, or reduce your work hours. Even volunteering can be surprisingly difficult when you have health limitations.
But purpose, meaning and calling in life are much greater than what we do for money, or even our hobbies. Relationships are a core source of meaning and purpose for many people. Being creative and growing spiritually are also significant. I’ve written more about this in other blog posts, but I find this is a significant piece of building a sense of empowerment in difficult circumstances. Reflecting on your core values can be really powerful and inspiring.
I’d recommend doing an exercise where you select words or phrases that represent your core values in life.
Six: Don’t be afraid to have fun, explore and try new things, as much as you can!
I find singing and dancing at home to positive, empowering songs can really boost my mood and confidence. It can be hard to be as spontaneous and active as I would like, but I still try my best to engage in life to the fullest extent of my capabilities. Sometimes this means asking for help or using mobility aids to get to certain events. It can also mean more planning ahead when travelling.
I really love riding my escooter, as it gives me an adrenaline rush but isn’t too tiring. Think outside the box and be open to new experiences. Brene Brown talks about engaging in laughter, song and dance in her guidelines for wholehearted living, and I think it’s applicable here. Watching hilarious movies and having a laugh with friends can be so uplifting.
Finally, don’t discount celebrating your sexuality. Disabled people are often portrayed as non-sexual, but exploring dating and sex can be a lot of fun and very empowering.
Explore journalling about – what does it mean to live my best and fullest life with my current limitations? What does being empowered and confident look like for me right now? Brainstorm whatever comes to mind.
If you’re feeling rejected or unworthy, put your hand on your heart or your belly, and send love to the parts of you that are holding these emotions. I find self compassion practice can be really powerful.
EFT tapping is a great tool for working through negative core beliefs, like “I’m a burden” or “I’m not enough”.
If people give you a compliment, take a screenshot or write it down and save it into a folder on your computer for whenever you feel down and need a pick me up.
Try writing down your strengths, good qualities and things you like about yourself.
Create a celebration jar where you write down anything you’re proud of or qualities your love about yourself on little bits of paper. Put them in the jar and you can open it whenever you need a reminder. Another option is putting a marble or stone in a jar whenever you do something you’re proud of.
Experiment with visualising yourself as your most confident, empowered self. You could go back to a past memory where you were feeling your best, or imagine yourself in the future. I find doing this while listening to music can be really uplifting.
Use positive affirmations, for example: My worth and value is based on who I am, not on my achievements. I am confident. I am powerful. I deserve to be treated well. If it feels a bit fake or forced, you could try asking yourself, “What if I felt confident?” and see what arises.
Further links and resources:
Chronic Illness and Confidence: How to Rebuild
Facing the World with Confidence and Chronic Illness
How to be Confident While Being Chronically Ill