Chronic Illness Mental Health

The Impact of Chronic Illness on Mental Health

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.

A Simple Affirmation for the Body

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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.

A Simple Affirmation for the Mind

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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.

A Simple Affirmation for the Spirit

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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!

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emotional impacts of bartonella

The Emotional Impacts of Bartonella

Bartonella is a common co-infection that’s often contracted at the same time as Lyme. It’s a gram negative bacteria, which means that it has a thin cell wall which is surrounded by a thick plasma membrane. In contrast, a gram positive bacterium has a thick cell wall and no outer plasma membrane. Most antibiotics work by breaking down the cell walls of bacteria. The outer membrane on gram negative bacteria mean many antibiotics don’t work – and this applies to Bartonella.

Bartonella bacteria enter the endothelial cells which line blood vessels, and so Bartonella can affect the entire vascular system. Symptoms range from fatigue, swollen lymph glands, liver & spleen issues, eye, skin and heart problems, abdominal and intestinal issues as well as a whole host of neurological complications. In this post we’ll have a look at some of the emotional impacts of Bartonella can affect ouremotional state.

A chronic illness of any kind comes with its fair share of mental health hurdles. Feelings of depression and hopelessness are often a completely normal reaction to a significant life change. However, when the chronic illness in question has direct impact on emotional and mental health these issues can be compounded.

As with all advice about mental health, please seek help from your GP or from a confidential helpline, such as Mind, if you feel you’re at risk.

1. Brain fog

Possibly the most common emotional impact of Bartonella, brain fog is usually described as having memory problems, lack of mental clarity and poor concentration. It can affect different people in different ways, but it can be especially frustrating and worrying if you’re unaware that it could be a symptom of Lyme & Co. Brain fog can range from the slightly humorous (trying to unlock your front door with your Oyster card) to the downright frightening (briefly forgetting the names of loved ones, such as a sibling or child). Suffering with brain fog is like not having ‘joined up thinking’. Even the simplest of tasks, such as brushing your teeth, can seem insurmountable. You may know that you need to walk to the bathroom, turn on the tap, apply some toothpaste to your toothbrush, and brush… but you are just unable to follow those steps.

You may find yourself unable to remember the simplest of words in a conversation, or perhaps you ask someone the same question three times. It’s extremely common to simply be unable to concentrate on any task. You may be left feeling isolated as a result.

2. Anxiety

A frequent guest star with Bartonella is a general state of anxiety. Panic attacks can also feature regularly. Individuals with a predisposition to anxiety may be at a higher risk of experiencing an intensification of symptoms as there may already be a slight chemical imbalance (in the same way that Bartonella may settle in previously injured joints). Many put an increase in symptoms down to a worsening anxiety problem without considering Bartonella.

Anxiety can be a debilitating problem, with a number of knock on effects in the body. Sufferers may also experience heart palpitations, digestive discomfort and nausea. A panic attack can often feel as if you’re literally dying. Another aspect of Bartonella related anxiety can be unwanted, compulsive thoughts and actions. This may be misdiagnosed as OCD in some cases.

Interestingly, in Traditional Chinese Medicine this kind of anxiety is related to an imbalance in the Spleen. We also know that Bartonella resides in the liver and spleen. As a result, tonic herbs for the spleen are often recommended, along with a meditative practice.

3. Rage

A common emotional effect of Bartonella is rage. It doesn’t appear to simply be feelings of anger at play, but a lack of impulse control. It can often seem as though a small annoyance will trigger disproportionate feelings of anger, which take a great deal of energy to control.

Unsurprisingly, rage is associated with the liver in Traditional Chinese Medicine. Not only does Bartonella reside in the liver and spleen, but Lyme itself compromises the liver and detox pathways.

4. Depression & Hopelessness

We briefly touched upon how depression and hopeless can be a normal emotional response to chronic illness. However, Bartonella can exacerbate any predisposition to depression and accelerate its symptoms. Depression symptoms include:

      • Low mood
        Low self-esteem
        Being tearful or weepy
        Feelings of guilt
        Losing motivation or interest in activities
        Irritability
        Thoughts of suicide

Those suffering with depression are often extremely adept at covering it up, but it’s incredibly important to reach out for support. In mild to moderate depression, coping mechanisms and lifestyle changes may be sufficient to alleviate some symptoms. Sometimes, a little more help is needed and there are a vast array of options which can be provided by your doctor. There’s no shame in that – we all need a helping hand now and again.

5. Dissociation & Depersonalisation

Dissociation involves the feeling of being detached. Depersonalisation is a type of dissociation that specifically involves the feeling of being detached from yourself and your identity. These can be extremely frightening symptoms with good reason. You may feel as if even your family are not really real, and that you aren’t related to them. This can even occur with your own children, which engenders feelings of fear and guilt. You may also feel as if you’re experiencing your life through someone else’s body. The people around you may feel unreal, as if they’re robots or actors.


All of these symptoms can be particularly distressing, but understanding that they may be a symptom of Bartonella can help to reduce the confusion about why it may be happening. It also provides hope that these symptoms can and will get better as you beat the Lyme & Co. This understanding may help you to hold fast through the flares and remember that it will pass.

If you are experiencing mental health impacts of Lyme or Bartonella, please seek help. Either from a family member, friend or your doctor – there is no shame in this struggle. After all, if you broke your leg you’d go to the doctor, wouldn’t you? Mental health is no different.

Have you experienced any emotional impacts of a Bartonella infection? I’d love to hear from you. Let me know in the comments below!


Sources:

Bruno B. Chomel, 2006, “Bartonella Spp. in Pets and Effect on Human Health