Como uma doença crônica afeta sua saúde mental

Being diagnosed with a chronic illness produces a myriad of intense and long-lasting feelings - everything from exhaustion and fear to guilt and resentment because of demands made on family and friends. Feelings of frustration and sadness are also quite common when you realise the life you once knew is now different.

Depression and chronic illness

Depression is one of the most common complications of chronic illness. It is estimated that up to one third of individuals with a serious medical condition experience symptoms of depression.

According to the National Institute of Mental Health (NIMH), people with other chronic medical conditions have a higher risk of depression, and they tend to have more severe symptoms of both illnesses. This has prompted many professionals to recommend a patient be treated for both the depression and the medical illness at the same time.

Finding out you have a chronic illness may exacerbate the symptoms of a pre-existing mental health condition like depression. Julie Barthels, MEd, MSSW, LCSW, says some of the factors that influence symptoms of depression include physical pain of the illness, the grieving process of losses associated with the illness, the fear of "what it is", and a sense of hopelessness that life will never get better.

Left untreated, chronic illness and mental health illness can be draining on the people living with an illness, their families, coworkers and communities. "Chronic illness is a full-time job that takes effort and a willingness to make changes to your daily life and routine," says Sarah Robbins, MSN, a Psychiatric Mental Health Nurse Practitioner.

And making changes to your day-to-day life is something Patti Woods knows all too well. Living with mal de debarquement syndrome, a very rare chronic illness, initially left Woods feeling overwhelmed because it felt like her brain was constantly gyrating.

Prior to being diagnosed, she says her daily life consisted of looking for answers, moving from one doctor to another, and trying an array of medications. This caused Woods' mental health to suffer since her energy was mostly directed at her physical symptoms. It has been five years since she began her lifelong battle with a chronic illness, and through acceptance and understanding, Woods is happy to say that life is much better now.

Like Woods, Jody Smith knows all too well what life is like living with a chronic illness. Before being diagnosed with síndrome da fadiga crônica, Smith says she had no idea what was wrong, and it was terrifying. "I knew something huge and life-altering had happened to me - I was barely functional and had no energy."

She describes being devastated emotionally and fractured mentally. After several years of frustrations coupled with mental health issues while she looked for answers, Smith was finally able to connect with a naturopath who helped her come up with a treatment plan. She also found forums and articles online which were transformative for her. "I found people who offered understanding, information, love and support in a time when nobody but my family cared what happened to me," she explains.

Smith says connecting online with other people dealing with similar conditions and struggling with the same kind of challenges that come with chronic illness, was like finding a brand new community. It eased the loneliness and made her feel visible and loved. "I had a voice once again, and I could offer love and support to others ... I mattered."

Forging a new life with a chronic illness is a challenge. And it’s quite common (and normal) to feel fear and sadness as you make sense of your diagnosis. But as you begin to formulate a plan for living, it’s important to understand that you’re not alone. This is a time of healing - and you must surround yourself with those things and people that make you feel good.

Stay connected to healthcare professionals

It’s important to establish relationships with the medical experts who are assisting you through this process. Being able to talk openly about your ongoing questions and concerns will arm you with the knowledge about your illness and help you feel more settled.

Terapia cognitivo-comportamental

Negative self-talk is a normal phenomenon in patients with chronic illness. Since adjusting to this new way of life can be psychologically exhausting, many people turn to terapia cognitivo-comportamental to help change repetitive, negative thought patterns that are the foundation for their depression.

Surround yourself with support

Life with a chronic illness can feel lonely. Isolation, mental health issues, and physical restrictions all make it difficult to connect with other people and get the support you need. That’s why it’s essential to surround yourself with support, including your personal support system and professional support. We are fortunate to be able to have so much information and support available to us online - especially for the chronically ill, many of whom have a hard time getting out of their homes, or find that getting out is impossible.

Physical and mental self-care

Both mental illness and chronic health conditions do best with a reduction of stress, improved sleep, and following the medical provider’s recommendations for treatment. Diet changes and exercise can often lead to an overall improvement in the conditions.

Woods found that getting enough sleep, planning out her schedule so that she doesn’t take on too much, meditation and exercise have helped tremendously. Smith says she has learned to respect her body’s need for rest. She also found peace in knowing that she is more than her illness. "Even if all you can do is breathe in and out … you are valuable, you matter and you are a person worthy of love."

Ultimately, anything that will contribute to a positive attitude in the present (and the future) will be of value in creating the emotional and philosophical attitude to deal with an illness.