05/10/2022
Can you imagine the guilt, the unimaginable guilt of feeling anxious when you've been told by so many that "anxiety is not good for you", that "it will make your symptoms worse", or that "you will make your ibs flare up."
Can you imagine living with a diagnosis challenging beyond words, navigating chronic pain and uncertainty, and being constantly reminded that anxiety is not good for you?
Feeling anxious, when chronically ill, can be interpreted as a failure. I've heard it from so many of my patients. "I've made myself worse because of my anxiety", "My IBS is flaring and it’s my fault, I’m too anxious”, "I'm so worried and I know it's not good for me, but I don't know what to do."
While I do agree that anxiety can impact symptoms severity and can contribute to disease flare up, I also believe that we are responsible for using our words wisely when discussing anxiety with our patients.
In addition to providing psychoeducation on the impact of anxiety, we are responsible for providing empathy. That can sound like:
“It makes sense that you’re feeling anxious, you are dealing with a challenging diagnosis. How can I help you cope right now?”
“I can see that you’re going through a difficult time right now. How can we support you?"
"Your [diagnosis] isn't your fault. I know you're worried about the anxiety impacting your symptoms. What's the most challenging right now and what support do you need to cope?"