Living with chronic illness can feel like an invisible battle. While friends and family may see the physical symptoms, the emotional toll often goes unnoticed. Daily pain, fatigue, uncertainty, and lifestyle changes can slowly wear down even the most resilient person. If you’re struggling emotionally alongside your diagnosis, you’re not alone—and support is available.
Therapy for Chronic illness, offers a compassionate space to process what you’re going through without any judgment or expectations for where you are at. We are here to support your emotional strength, natural resiliency, and learn practical coping tools to adjust towards living a life with more quality. Therapy doesn’t aim to “fix” your illness—but it can transform how you live with it and how you relate to yourself and the world around you. Additionally, we also help you advocate for better care in a time where our healthcare system feels challenging, full of "no's" and red-tape.
The Emotional Impact of Chronic Illness
A chronic illness diagnosis often brings more than physical challenges. Many people experience:
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Grief over the loss of their previous lifestyle
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Anxiety about symptoms, flare-ups, or the future
- Changes in daily activities, hobbies, working capacities and how you show up
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Depression linked to limitations, avoidance, shut-down, or self-isolation
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Guilt about needing help or cancelling plans last minute
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Identity changes and loss of purpose
- Feeling alone and misunderstood by family and friends around you
Over time, these emotional stressors can lead to burnout, hopelessness, or feeling disconnected from yourself and others. Learning how to emotionally deal with your specific chronic illness is just as important as managing physical symptoms.
How Therapy During Chronic Illness Supports Emotional Well-Being
Therapy during a chronic illness flare-up, day-to-day coping, or newly diagnosed, focuses on helping you adapt emotionally while honoring your lived experiences. Rather than pushing positivity, minimizing pain, or dismissing valid concerns, counselling creates space for honesty, self-compassion, and sustainable coping that contributes to a quality of life framework.
Through counselling, you can:
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Process grief, anger, or frustration without judgment or shame
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Reduce anxiety-related symptoms and manage the uncertainties of your illness
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Learn tools to manage emotional and mental overwhelm
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Improve communication skills to better share with loved ones
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Learn how to advocate with your healthcare providers to meet your needs and have a true team of care
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Rebuild confidence, self-trust, and self-worth discovering your values now
Therapy meets you where you are at now—whether you’re newly diagnosed or have been managing a chronic condition for years.
How We Approach Therapy for Chronic Illness?
There’s no one-size-fits-all approach, but we provide an integrative approach utilitizing several evidence-based therapies are that have a high effectiveness for people living with chronic illnesses:
Acceptance and Commitment Therapy (ACT)
ACT focuses on accepting what cannot be changed while committing to meaningful actions aligned with your values. This approach is particularly helpful for chronic conditions where symptoms may persist.
Somatic EMDR with Integrative Somatic Therapy Practice (ISTP)
Somatic EMDR adds a focus on bodily sensations to help clients release "stuck" survival energy, reduce physical tension, and rebuild a sense of safety within the body. Through the use of mindfulness to support emotional grounding, pain awareness without judgment or meddling, and nervous system regulation—providing key tools for coping with chronic illness in the long-term.
Internal Family Systems (IFS) Parts Work
Internal Family Systems (IFS) or also known as Parts Work, is a way of mindfully observing, identifying and engaging with the wounded parts of yourself restoring inner harmony through deep self-compassion, witnessing, and acceptance.
Grief Work - Navigating Worden's Four Tasks
Grief and loss are synonmous with Chronic Illnesses due to the fact that we no longer can live the life we envisioned or once had. Navigating the acute pain of grief, and learning to accept the reality of the loss, process the pain of grief and identify it, adjusting the world through new eyes, and finding a new way forward providing a quality of life—living life as best as we can in this body.
The best therapy for chronic illness is one that respects your physical limitations, mental and emotional needs, while adapting to your energy levels and pacing needed in each moment.
How Can a Therapist Help With Chronic Illness?
A therapist provides more than coping strategies—we offer relational support in a journey that can feel isolating.
Here’s how chronic illness counselling can help:
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Emotional validation: Your pain and frustration are acknowledged, not minimized
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Burnout prevention: Learn how to pace yourself and recognize emotional exhaustion
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Identity rebuilding: Explore who you are beyond your diagnosis
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Boundary setting: Practice saying no without guilt
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Self-compassion: Replace self-blame with understanding and care
- Circle of Care: Becoming apart of your healthcare team and helping to collaborate to provide the best care and supporting your advocacy skills
Therapy can also help you navigate changes in work, relationships, and daily routines while honoring your capacity.
How to Deal With Chronic Illness Burnout
Burnout is common when managing symptoms never truly “turns off.” Signs of chronic illness burnout may include emotional numbness, irritability, exhaustion, or loss of motivation.
Here are supportive strategies often explored in therapy:
1. Pacing Instead of Pushing
Learning to balance rest and activity can reduce emotional and physical crashes.
2. Letting Go of Comparison
Comparing your capacity to others—or to your past self—often increases shame and grief.
3. Redefining Productivity
Your worth is not tied to output. Therapy helps shift from “doing” to “being.”
4. Creating Emotional Safety
Having one space where you don’t need to explain or justify your experience can be deeply healing.
Counselling During Chronic Illness: What to Expect
Counselling is collaborative, flexible, and tailored to your needs. Sessions move at your pace and may focus on:
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Coping with flare-ups and uncertainty in the moment
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Processing medical trauma, misdiagnoses, or dismissals
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Managing stress, anxiety, or depression/grief/loss
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Exploring meaning, impact, and values despite limitations
Whether sessions are short-term or ongoing, the goal is to support sustainable emotional well-being while living with chronic illness.
How I Can Support You
At Mindful Steps Therapy, I work with individuals navigating chronic illness, pain, and long-term health challenges. My approach is compassionate, trauma-informed, and grounded in evidence-based therapy—while always honoring your lived experience.
Together, we focus on:
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Emotional resilience without toxic positivity but with deep compassion
- Trauma-informed care—things have changed outside of your control and prioritizing you and what's happened without judgement
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Coping tools that fit your energy, daily life, and symptoms—safety is central towards our work together
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Rebuilding trust in your body and yourself and living with not resisting against
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Creating a life that feels meaningful, even with limitations
Support is available whether you’re newly diagnosed, experiencing burnout, or simply feeling overwhelmed.
You Don’t Have to Navigate Chronic Illness Alone
Living with chronic illness is complex—physically, emotionally, and mentally. While therapy won’t remove symptoms, it can reduce suffering, build emotional strength, and help you feel more grounded and supported in your day-to-day life.
If you’re wondering whether counselling could help, that curiosity alone is a meaningful first step. You deserve care that supports your whole self—not just your diagnosis.
Mya Moran
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