The Mighty Logo

The Shame of Chronic Illness and Pain

The most helpful emails in health
Browse our free newsletters

“Shame derives its power from being unspeakable… If we cultivate enough awareness about shame to name it and speak to it, we’ve basically cut it off at the knees. Shame hates having words wrapped around it. If we speak shame, it begins to whither.” – Brene Brown

Over the summer I read Brene Brown’s fabulous book “Daring Greatly.” The book follows on from her famous TEDTalk on vulnerability that had previously inspired me to write this blog post on the power of vulnerability.

The full title of the book is “Daring Greatly: How the courage to be vulnerable transforms the way we live, love, parent and lead.” It encourages us to dare to be honest about who we really are, rather than trying to hide our weakness. It teaches that vulnerability helps us to live more “wholeheartedly,” connect more with others and helps us to overcome the destructive burden of “shame” we all carry.

Her book really got me thinking about this concept of shame. It is not something we may often think about.

I have been part of the Christian church all my life, so I am used to hearing the word shame. We believe it is something destructive we can overcome and that the grace provided by Jesus’ death and resurrection can break us free from its grasp.

And yet, this book caused me to really reflect on shame – what it is and what it really means. It inspired me to consider these questions:

Where does shame have a hold on my life?

How does shame affect my thoughts and actions?

How might shame be damaging my well-being and relationships?

What is shame?

Words we often connect or use interchangeably with shame are words like embarrassed or humiliated. It can manifest as feelings of inadequacy, guilt or regret. It’s something we often hide and cover up. We might self-medicate to avoid thinking about it. We dread people seeing it.


And yet, although shame is often seen as one and the same as guilt, I have come to see that there is a distinctive difference.

One of the main differences between shame and guilt is that guilt is the feeling of embarrassment or regret about something you have done wrong. We can feel shame, on the other hand, even when we have not done anything wrong.

Shame is more connected to who we are and how others perceive us.

“It’s a painful feeling about how we appear to others (and to ourselves) and doesn’t necessarily depend on our having done anything.” – Joseph Burgo

The more I thought about shame and how it manifests in my life, the more I became aware that it is intrinsically linked to the struggles I face at the moment. I began to see how shame had got a hold on me and particularly how it has affected me over the past year or so.

Finally I began to see and recognize that…

I feel ashamed I am battling a chronic illness!!

There we go. I have said it. It’s out in the open.

I feel ashamed I am ill.

I feel ashamed it has gone on so long.

I feel ashamed I can’t seem to get well.

I feel ashamed I cannot work and be busy like I used to.

I feel embarrassed to be sick!

When I decided to speak up and write about feeling ashamed of being ill, it led me to Google the words, “the shame of chronic illness.” Through that search I found two insightful blog posts by a lady called Angelika Byczkowski in which she shares something of her battles with the chronic connective tissue disorder – Ehlers-Danlos syndrome (EDS).

She writes so beautifully about the humbling journey those with chronic illness and pain are forced to take;

“When I recently read the phrase, ‘I’m embarrassed to be sick,’ it made my stomach clench and my breath catch. That’s exactly what I’ve been feeling… I am ashamed of being sick…

…If all the people not yet affected by chronic illness acknowledged all the undeserved pain in this world, they would be forced to confront their own vulnerability to the same forces. Instead, we all prefer to believe we have the power to prevent such disasters in our own lives. Sometimes I even catch myself thinking, ‘If you’re so smart, why did you let this happen to you?’”

Those words were so revealing to my own heart. I have begun to see I feel like a “failure” for being sick. I feel like – “If I was only a bit stronger or wiser, made better choices, if only I was a bit more positive, if only I had more faith…surely I could have overcome this sooner?”

Such thoughts often taunt me and drag me into a dark and negative pattern, which was particularly bad at Christmas, when I blamed myself and felt responsible for still being ill.

It’s so humiliating to be so unwell and in pain long-term.

Angelika highlights this so beautifully in another post called “The subtle arrogance of good health.” She writes about how many of us have fallen for the trap we set ourselves, because before we got ill we carried a form of arrogance at being healthy.

“My attitude was the typical thoughtless ‘arrogance of good health,’ the attitude of those who can’t even imagine what happens when a body stops functioning properly. This arrogance knows only the kind of pain that heals, the kind of sickness that is cured.”

As I read those words I too knew it was talking about me. Before I got ill, I had carried the “arrogance of good health.” I had believed I was strong enough to shake it off when others couldn’t, because that was all I knew.

I was not the “type” who would succumb to its chains. I was always so healthy and surely I could overcome anything thrown at me, right? Surely my faith and positive mindset would win?

And then one day in January 2015 I fell off a stepladder and entered the world of chronic invisible illness and pain. I acquired a debilitating spinal CSF leak and brain injury I haven’t “overcome.” I have been unwell for 20 months. Each and every day I battle through chronic pain, physical and mental fatigue, a foggy brain, barriers to treatment and the challenges of not “being able” to heal up, get well and get free.

And honestly, I feel ashamed on so many levels!

I feel ashamed I have now become one of those people with “chronic pain” and “chronic illness.”

I actually hate using the word “chronic” at all! (Which is revealing of the stereotypes I accepted before.)

I feel ashamed to tell you I feel weaker than I ever imagined possible – physically, mentally and spiritually.

I feel ashamed my “old” positivity has taken a massive hit and most days I battle overwhelming feelings of despair at the thought of not getting better.

I feel ashamed I broke down mentally at Christmas, exhausted and with nothing left for the fight, and seriously considered ending my life. I feel ashamed the same thought has returned at times since then, although thankfully not to the same depth.

I feel ashamed every time I have to update people on where I am at, and that I have to tell them I am still not well, it’s gotten worse and it is not yet over.

I feel ashamed when I can’t tell you I have finished the fight, overcome, won and beaten this dreadful condition.

I feel ashamed I cannot yet testify to the fact that I am now fully healed and whole, even though I believe in a loving creator God and Father who can do the impossible.

I feel ashamed telling doctors I can’t seem to get better and hope they will see past the chronic pain patient with the unusual condition and know it’s not “all in my head” so I can continue to get treatment.

I feel ashamed when the scans are clear and don’t show any evidence of a CSF leak, when the treatment I receive doesn’t “fix” me or when my symptoms don’t always fit with the diagnosis.

Each day this drags on the shame gets worse.

Each day the shame is becoming almost as much of a burden as the illness itself.

Each day the shame is debilitating to me and makes me feel small.

Each day the shame is robbing me of my voice and tempting me to retreat from the world.

And it has to stop!

I have to break free!

So today I am making the “unspeakable” speakable – for myself and the multitudes who also travel the dark road of chronic illness and pain.

I am speaking out my shame so it can no longer chain me up with its lies. I am choosing to acknowledge the space it has taken up in my thoughts, so we can tear down its strongholds together.

Today I choose vulnerability, to speak the unspoken, so you and I won’t have to suffer again in silence.

Today I choose to fight shame so even though this condition taunts me daily, trying to persuade me I can never be free, it doesn’t have to define everything I am, everything I do and my relationships with those around me.

So today, whether you are battling chronic illness and pain or know someone who is, I pray that together we can tear down the chronic pain stereotypes that perhaps we also once secretly adhered to ourselves, and no longer allow its shame to rule our and others’ lives.

“If we cultivate enough awareness about shame to name it and speak to it, we’ve basically cut it off at the knees. Shame hates having words wrapped around it. If we speak shame, it begins to whither.” – Brene Brown

This post originally appeared on Becky Hill’s Blog.

We want to hear your story. Become a Mighty contributor here.

Originally published: June 12, 2017
Want more of The Mighty?
You can find even more stories on our Home page. There, you’ll also find thoughts and questions by our community.
Take Me Home