Did you know that up to 62% of people with a chronic illness experience anxiety & depression? In the general population (i.e. people not experiencing a chronic health condition), the rate is much lower at 25%. That’s a huge increase. There are many factors at play, and I’m going to share what I’ve learnt about the impact of chronic illness on mental health.
The Body Aspect
With most chronic illness comes some form of chronic pain. The problem with chronic pain is that to cope with constant pain, our brain finds ways to ‘ignore’ it. When you stub your toe the pain you immediately feel is intense and loud. You have no option but to experience it and note it. When you live with chronic pain, you end up failing to consciously recognise the pain, yet the effects (exhaustion, under-performing muscles, over-compensations) are still at play. Exhaustion alone plays a huge role in mental health.
When you experience pain, your brain produces serotonin which acts as a natural pain reliever. This is wonderful when you’ve stubbed your toe. However, the brain doesn’t distinguish between acute and chronic pain, so your spinal chord is flooded with serotonin on an ongoing basis. This has been shown to lead to even more pain signals, worsening your experience of the pain. This is how chronic pain can alter the levels of these important neurotransmitters in the brain, contributing to mental health issues. Additionally, chronic illnesses like Lyme Disease can directly interfere with these neurotransmitters.
The final physical impact of chronic illness on mental health is insomnia. Much like the serotonin example above, insomnia may be a result of chronic pain, a direct result of the illness or the medication being taken. Insomnia is widely known to affect mental health, even in people without another chronic health condition.
Supporting Your Physical Self
Body Scanning is a simple exercise where you take some time to direct your attention to each part of your body. It specifically helps you to become aware of any pain in that area (remember how our brains like to mute it?). That means you are then able to help your body deal with that pain whether that’s with painkillers, massage, herbs or sleep.
Breathe in and out, imagining that you’re breathing into that specific area. Notice whether you feel any tension or pain. If you don’t feel anything, that’s ok too. Remember to maintain an attitude of friendliness and curiosity towards your body. If you feel pain, accept that as a sensation without attaching any negative emotions to it.
The Mind Aspect
The emotional impact of chronic illness on mental health is wide ranging. Most of us must go through a period of grief, to mourn the loss of our old selves, hopes and dreams that may go unfulfilled and how our bodies have changed. Grief is a complex process which involves anxiety & depression. When we don’t fully process this grief, we can become stuck. This is often the case because we often associate grieving with the loss of a loved one, but grief is present with any loss (in varying degrees).
The other huge impact comes from isolation. Many chronic illnesses affect our ability to get out of the house. The sense of isolation can be suffocating, especially whilst we are still trying to learn new ways of connecting. Isolation & loneliness are huge contributes to depression and loneliness.
Supporting Your Emotional Self
Allow yourself to feel what you feel but try to do it in a way where you don’t become the emotion. For example, when I’m feeling anxious I like to verbally state that “I am experiencing anxiety” as opposed to saying, “I am anxious”. I also follow this with “…and that’s alright”. Giving myself permission to feel removes the internal battle where we desperately try to stop feeling anxious – which leads to more anxiety.
The Spirit Aspect
When thinking of the impact of chronic illness on mental health, it’s easy to focus on the physical and emotional aspects. However, chronic illness is a sort of trauma, and trauma and loss leave their marks on the soul. One of the main ways this can affect mental health is through detachment. This is when we disconnect from our bodies and usually starts happening as a coping mechanism. It’s your mind’s way of protecting you – but it’s one of those coping mechanisms that can be improved upon.
Supporting Your Spirit Self
When you don’t attend to the spirit aspect of chronic illness it can leave you feeling detached from your body. If you’ve been doing this for a long time you may not even recognise that you’re doing it! It’s time to ground yourself and reconnect to your body. Sit comfortably and close your eyes. Focus on your breath and bring your attention to the parts of your body in contact with the floor or chair. Focus on how the weight of your body feels in these areas. Sometimes it can help to tap your legs or gently stamp your feet to get that body-brain connection going.
The Impact of Chronic Illness of Mental Health: Final Thoughts
Any sort of chronic illness is hard which makes it even more important to attend to your mental health. I hope that these simple tips can help you to move through the physical pain, the emotional ups and downs and the disconnection you may feel.
Do you have any tips for coping with the impact of chronic illness on mental health? I’d love to hear from you – let me know in the comments below!

