They Don’t Know What They Don’t Know: Learning to Manage Judgement and Criticism from Others When Living with a Chronic and Debilitating Condition

May 12, 2023

In my last blog, I talked about the difficulty being understood by others when living with a chronic health condition and the challenges that come with it. You can click here to read it. As a follow up, I have the honor of my friend, SheriAnne Leslie, guest blogging for me to share her experience with this issue. I hope you find this information to be helpful and relatable to what you go through in the hopes that it provides you with comfort. These are SheriAnne’s valuable words:

I know I am not alone in my suffering…Recently, I read an article published in 2018 by The National Library of Medicine where it was estimated that, globally, one in three of all adults suffer from multiple chronic conditions. And that was 2018! That was before we had begun to experience the global pandemic of Covid-19 or all the unprecedented plethora of health issues that continue to result from it. I am one of those people, and I’m here to say that living with a chronic condition is exhausting with dozens of obstacles the average person does not even think about. More specifically, I live with a neurological movement disorder called dystonia.

One of, if not THE most challenging things a person must learn to deal with after being diagnosed with a chronic condition, especially an invisible one, can be the harsh criticism that comes from loved ones. It is a pain that rips right through the soul with their disbelief. It is a pain that triggers nights spent crying, wondering how this situation can be used to somehow make things better for others. To make things better for other people who have found themselves wallowing in the isolated realization that even our loved ones just don’t know what they don’t know.

They don’t know how many years or how often we’ve been in pain but did not show it. They don’t know how living with any type of chronic condition can cause us to feel as if we are somehow “less than.” Less than acceptable. Less than adequate. Less than expected. Less than what is thought to be “normal.”

They don’t know the deep level of disappointment felt each time plans have been made and eagerly anticipated, only to be canceled or rescheduled due to the inability to function. Countless plans necessary for carrying out my work duties. Plans outside of work. Plans to see friends. Plans to spend time with family. Plans for various types and forms of much needed self-care.They don’t know the innumerable appointments with multiple doctors, the insane amount of adjusting cocktails of prescribed pills I haven’t felt comfortable taking (many with side effects just as bad or worse than the issue prescribed for) and natural herb and vitamin supplements, various types of injections, routine nerve ablations, regular physical therapy, yoga, regular dry needling, acupuncture, cupping, biweekly massage therapy, Epsom salt baths, alternating ice packs and heating pads on the affected areas, or number of owned mechanical massage gadgets that have been and continue to be solutions to the problems.They don’t know the extreme measures of establishing and attempting to maintain a special “clean” diet that encourages the elimination of caffeine, sugar, dairy, gluten, and alcohol as much as possible. They don’t know how many times we may have wished our lives could just end, because to live this way feels hopeless with little-to-no value at all.

For me personally, there was a short period of time where people didn’t know just how much alcohol I was consuming in an attempt to manage the intensity of pain I endure on a daily basis. Scared, I admitted myself into detox, began working with a couple 12-step programs, and started implementing a tremendous increase of simply resting my body. An online dystonia support group forum that I participate in helps to frequently remind me that I am not alone.

“Laying down is my favorite position” and “My pain is drastically reduced when I lay down on my back” are common statements posted by members with dystonia. Without question, I can relate to both. Those forums help me feel less alone.

My most significantly disabling diagnosis is called dystonia (a term I had never heard of until several months ago), though I have multiple other chronic conditions in addition. Dystonia is a neurological movement disorder that is characterized by involuntary muscle contractions which can cause slow repetitive movements or abnormal postures and is often extremely painful.

Mine began in my neck and right shoulder blade region, then progressed over time to include the following: up the right side of my head, causing intense headaches and impacting my ability to speak; down my right arm which is mostly just annoying; and down my right leg which impacts my gait and overall ability to walk.

There are several different types of dystonia, and the disorder may affect only one muscle, groups of muscles, or many muscles throughout the body. The areas affected and severity of symptoms varies with each individual.

For me, my dystonia is classified as “acquired,” meaning that I was not born with it, nor is it genetic in nature. The disabling contractions and spasms began about eighteen years ago as a result of a near fatal car accident in which my children and I probably all should have died. For that reason and through every day of struggle, I am filled with gratitude for the fact that we are all alive and my dystonia is the only condition of significance, to date, that came from it. It is, however, quite debilitating, and again, I know that I am not the only person on this planet to suffer from indescribable chronic pain on a daily basis that has impacted every aspect of life… physically, mentally, and spiritually.

According to the World Health Organization, around 16% of the global population are currently challenged by a significant disability, and the number is growing. One reason is because people are living longer, and the human body inevitably begins to break down and deteriorate. Due to a number of various reasons, that happens sooner for some of us than for others. When it does, that reality can interject a number of inequities arising from unfair conditions that range from stigma, discrimination, poverty, exclusion from education and employment, to barriers faced in the health system itself.

Since my journey of living with dystonia began nearly 18 years ago, it has without question become the greatest difficulty of my life so far and I’ve certainly experienced inequities because of it. As if it isn’t already difficult enough to be unable to perform routine daily tasks, but to then be faced with discrimination is mind boggling. Worst is the intolerance that comes from my most valued and meaningful relationships. Looking inward to reflect, I have come to realize the indifference has nothing to do with me, but rather with them because they don’t know what they don’t know. That said, they JUST DON’T KNOW.

However, the most challenging and painful thing can be learning not to take others’ perceptions of us to heart. As my invisible condition has worsened over the years, I have become more frequently met with skepticism and even harsh criticism. At the age of 53, it really hurts when it comes from some of those closest to me, be it friends, family, or coworkers, that the criticism can really sting. Some examples:

– We all have aches and pains; get over it.”
– Well, I have pain in my back, but I still have to go to work every day.
– I call bullshit.
– If you worked a better program (12-step), you wouldn’t have these problems.
– You’re just depressed.
– You’re obsessed with your pain.
– I question your sobriety.
– You’re just looking for attention.
– It can’t be that difficult.
– There’s more to life than your pain!
– Stop being so dramatic.
– You should see a counselor/therapist. Oh, you already do? Well, maybe you should try a different one since this one clearly isn’t helping you.

I continue to learn how to handle such remarks, especially when they come from those who mean a lot to me. It can be very difficult to not take their criticism to heart, but I have to remind myself that they JUST DON’T KNOW.

As someone who has navigated and managed my own very often frustrating and demoralizing journey to and through my recent diagnosis, I have two distinct hopes: one, to spread public general awareness about conditions that cannot be seen; and two, to offer personal insights as well as strategies for navigating through some of the epidemiological, economic, and patient burdens associated with having a chronic condition.


Tom Seaman is a Certified Professional Life Coach in the area of health and wellness, and the author of 2 books: Diagnosis Dystonia: Navigating the Journey and Beyond Pain and Suffering: Adapting to Adversity and Life Challenges. He is also a motivational speaker, chronic pain and dystonia awareness advocate, health blogger, volunteer for the Dystonia Medical Research Foundation (DMRF) as a support group leader, and is a member and volunteer writer for Chronic Illness Bloggers NetworkThe MightyBrain & Life Magazine, and Patient Worthy. To learn more about Tom, get a copy of his books (also on Amazon), or schedule a free life coaching consult, visit Follow him on Twitter @Dystoniabook1 and Instagram.


11 responses to “They Don’t Know What They Don’t Know: Learning to Manage Judgement and Criticism from Others When Living with a Chronic and Debilitating Condition”

  1. Lisa M Matthews says:

    Yes! That is MY hope and YOUR hope, Tom, so ty, thank you, THANK YOU again for guest blogging it! You are my hero! A few months ago (and still sometimes) I was (and can still get) very down and discouraged. But for the most part, it is my positivity and strong, feisty spirit that keeps me going, and Tom you have both been a help with that (by knowing I’m not alone!) as well as with some of those times I get down (by knowing I’m not alone!)
    My heart feels SO big with happy right now 🙂

    • Tom Seaman says:

      We are in this together and we all have those ups and downs, so please reach out anytime you want!

  2. Lisa M Matthews says:

    I am SO happy you were able to appreciate and relate to the piece, Barbara! Seriously, it fills my soul with the exact hope that I wish to accomplish by using one of my passions (writing) to spread awareness, especially to others suffering and struggling, that we are not alone! Debilitating conditions have an inevitable way of isolating us and/or being misunderstood. We NEED each other to keep on keepin’ on!

  3. Lisa M Matthews says:

    Thank you for replying to DeeDee, Tom… I am just now seeing these responses and am SO excited to see them! Thank you again for guest blogging my piece!

  4. Lynne w Yurgel says:

    Thank you again Tom for helping me to face and understand this chronic condition I live with. I too have met with Those Who Just Don’t Know. It is hard sometimes to miss out on the things I always loved to do. It is a lonely journey for sure. Thanks

    • Tom Seaman says:

      You’re welcome Lynne, but all thanks really goes to SheriLynne who guest blogged for me. She offered some great insight!

  5. Deedee says:

    What is the 2018 article by The National Library of Medicine? Can you please provide a link or citation?

  6. Barbara Elmlinger says:

    Thanks to SherriAnne for sharing her story with us.
    Although our walk together as a group are individual through our personal experiences, much is the same. I felt so much support in knowing, once again, I’m not alone in living with invisible chronic illnesses.

    • Tom Seaman says:

      I am really glad to hear that you felt less alone reading this. That was hope in have SheriAnne share her experience.

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