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But I Can’t Ask for Help

Have you found yourself in the position where you need help, want to ask for help, but found you are unable to ask? You may even say to yourself, “I want to ask for help, but I just can’t.”

Something stops you from asking. You may know why, and you may not. Often, I am too afraid to ask because I don’t want to take advantage. Other times, I inexplicably cannot bring myself to ask. There’s just a mental block that prevents me from turning to a friend or loved one and saying, “I need help.” They have to drag it out of me.

I am telling you if you are unable to ask for help, you are not alone.

Chronic Illness: The Ultimate Roadblock

Depending on your chronic illness, you may physically be incapable of asking for help. People with Multiple Sclerosis can sometimes have a lesion that affects a part of the brain responsible for managing your mood. One of the earliest symptoms of MS for Karine Mather was anxiety and depression.

Both of these mental health concerns are linked to MS, and both can cause a person to struggle to ask for help when they need it most

MS, and maybe your chronic illness, can create a situation where you logically know you need to ask for help, but you can’t bring yourself to do it. It’s scary when this happens. It’s also incredibly frustrating.

So how do you manage to ask for help when your illness creates the ultimate roadblock?

Finding a Workaround

Sometimes what stops us from requesting help is the physical act of asking. I feel so emotional when I use my voice because often, my voice and emotions will betray my level of need. While I am not required to “be strong,” for anyone, sometimes it opens up a more in-depth discussion. Most of the time, I am not prepared to have this conversation. I need help accomplishing a task, and I don’t want to examine all the emotional baggage I am feeling behind needing to accomplish the task.

So, the best workaround I’ve come up with to date is using technology.

While texting is evolving to include emotion (emojis, memes, and case changes), it is still a relatively emotionless medium. Take advantage of it. Texting or emailing someone allows you to remove all emotion from asking for help and will enable you to ask exactly how you want.

Consider reframing your requests, so it isn’t asking for help. Recently, I was tasked with developing volunteer roles. I needed to write up role requirements, and afraid of looking foolish, I wasn’t sure how to ask for help in starting the process. Rather than directly requesting support, I asked for an example role write-up so I could understand the parameters. It allowed me to ask for help without actually asking.

Reframing is an excellent tool because it allows you to get your request out in the open without compromising your beliefs.

Public Resources

If you are too afraid to ask people around you or have a limited support system, consider looking to public resources. Each “official” website related to a specific chronic illness has an extensive repository of information about the disease, how to manage it, and where to seek help. For example: the National MS Society has a huge section dedicated to resources and support.

You may also have government options available by way of social programs. But if you are like me, you may not be “bad” enough to receive any of these public benefits. Note: I am okay with that for myself. 

If you don’t qualify for a public program, there might be a private program available to get you the help you need. Plenty of people touched by your chronic illness donate to private organizations that can provide the resources you might need at the moment.

Additionally, these sites can have trained volunteers who can chat online or over the phone with any questions you might have. While they cannot answer specific medical questions, they can provide you with resources and a direction to head in with your research. If you get stuck on something, asking a faceless stranger over the internet can be more comfortable.

Look to your healthcare team. If the team isn’t able to, or unwilling to, ask for a referral to another professional. You want someone willing to answer your questions, no matter how illogical or random they may be. The advantage of modern technology is that you can speak to someone online. So if you are in a remote area, or have limited options for specialists, consider finding one online if your insurance will allow it. Note: this is not an endorsement of Live Health Online, I am linking them purely as an example.

Make it Gig

We live in the era of the gig economy, so if you can afford it, consider using it to your advantage. You have sites and apps that can bring you stylists, handypeople, groceries, and take you where you need to go. You don’t have to put friends and family out if you are willing to pay the fee. 

Unfortunately, this means it will add up, but it allows you to “ask” for help. For some of us, it is easier to pay someone than feel like putting a friend out.

Don’t Go it Alone

Having a chronic illness is isolating. Being afraid to ask for help when you need it can further isolate you, but you don’t have to be alone. There are plenty of people in a similar position to you. Look to online support groups to see how others handle their disease.

While chronic illness affects everyone differently, we can find similar symptoms and experiences out there. People who have gone through it found what works, and shared their findings online. It’s what I try to do. Just know that your mileage may vary. You have a better starting point rather than reinventing the wheel.

Find a healthy online space where people strive to uplift each other, rather than remain in a negative mindset regarding the disease. Venting has a place for your mental health, but wallowing does not. Post your story when you are comfortable. Read and engage with the responses given. Plenty of people want to help you, even if they’ve never met you.

If you can’t directly ask for help, find all the passive ways in which you can ask. There are so many opportunities available to you with the advent of technology. You don’t have to be alone in your illness, even if it tries to isolate you.


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Finding Your Strength

It’s time to ask for help. How do you do it? How do you find your strength to put yourself in the vulnerable position of asking others to help you? For some of us, when we reach a point of needing help, it feels like rock bottom. Like we’ve exhausted all of our options, and so we must look elsewhere to move forward. It can be emotionally draining.

But it isn’t a rock bottom, and we aren’t hopeless if we acknowledge we need help. We aren’t defeated, we are strong, and we will get through it with others.

We must find our strength to ask and to receive help.

Finding Your Strength in Connections

How do you find your strength to ask for help?

Often, we don’t want to acknowledge that we need to ask for help, yet every human needs a hand at some point. When you ask for help, you grow stronger. Your connections deepen, you might now understand a concept better, and you might get that boost you’ve needed to get ahead.

The struggle comes when you reach out and realize the extent of your social connections. Often we give to others, not necessarily expecting reciprocation. Still, when we need help, those same people are unavailable to help. I can’t count how many times I’ve put myself out only to have the friend ghost me when I need them

It’s discouraging and can interfere with asking for help. So, rather than thinking you can do it on your own, continue to reach out. If you get a lackluster response, remember that your friend might legitimately be unable to help you at the moment. If you suspect it’s because they are a taker, then you grow stronger, knowing the nature of your friendship. You can put them down your friendship mountain, and minimize the stress they caused in your life (hopefully guilt-free).

You want to surround yourself with friends and family who want to help make you stronger. Listen to you when you need them, and accept your help when you can give it. Don’t base relationships on reciprocity alone, but you want to know that it’s there when needed.

If you surround yourself with reliable connections, you may never need them for help. Still, it will make asking a little easier. It’s a good thing for your physical and mental health to surround yourself with positive people.

Help Me, Help You

The best way to get help from others is by providing them with efficient tools to help you. Figure out the best ways a person can help before asking. If you have a demonstrative and sensitive friend, they might be the best person to turn to for a good cry. If you have an emotionally distant friend who copes through humor, go to them when you need cheering up.

Play to your friends’ strengths.

Sometimes we know automatically what our friends can handle. If we are at a loss, ask them how they can help. Sometimes our sensitive friend is better as a chauffeur than a confidant. When you take your friends’ abilities into account when you ask for help, you respect their boundaries. You also minimize rejection or feelings of discomfort because you are sensitive to their strengths.

People want to help each other, but we also want to respect what they are comfortable doing.

Putting it into Perspective

When you find your strength, remember to maintain perspective. It’s hard to step outside of our chronic illness to recognize that someone else might be going through an equally tough time. While it may not be your responsibility to take care of someone else, you do want to be sensitive to what’s going on in their lives.

If I know a friend is going through a rough period and I am in need of some help, I will either turn to someone else or find a way to make the least amount of fuss. Often, I will make jokes about my own life to cheer them up, and in doing so, it helps me feel better. The help I need most often is a connection, and a friend can help me without even realizing it.

A friend may not tell me when they are going through a rough patch, so when they reject helping me, I try to remember my own experiences. I’ve had people need me while I’m coping with a minor exacerbation, and I’ve had to say “no,” to help them. I feel bad about rejecting them because I often feel like I could have helped anyway. But the point of saying “no,” was for self-care reasons. The same could be for a friend: they may be saying “no,” for their health. It is essential to respect that.

Remember that everyone is going through their mess of stuff, so when people behave a particular way, it has nothing to do with you. Take connections at face-value and don’t read into their reasonings, unless you know what’s going on for sure. You grow your strength from being resilient when friends can help you and the times they can’t.

We are all going through this journey together, so look to each other as opportunities to grow and mature by helping each other. You never know who might need that strength you model by asking for help.


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Is it Weakness to Ask for Help?

Weak. Loser. Faking.

These words jumble around my head when I want to ask for help. I am afraid of appearing weak or taking advantage of others that I don’t ask for help even when I should. It’s hard to move beyond our thoughts, but when we do, we show our greatest strength. We acknowledge what we can handle and what we cannot. It’s is humbling asking for help, but it is a test of our character and the character of those around us.

Getting to that point of asking for help is hard. There’s a lot of cultural and personal baggage we must work through first.

Western Culture & the Weakness Narrative

My insecurity over asking for help does not come in a vacuum. Western culture, particularly in America, has a negative attitude for those who ask for help. If you have a chronic illness and need to go on disability or welfare, you know what I am saying. Drug testsnegative nicknames, and accusations of freeloading all make up the national narrative surrounding people who need to ask for public help.  

You can make the argument that these are examples of public help and not the same as asking those immediately around you. When the national discourse towards support is so hostile, it’s challenging to feel comfortable broaching the subject. Countless times I’ve wanted to start a conversation with an individual only to find their feelings on a particular matter do not align with mine, and they are rather passionate about it. It’s easier to stay silent than to open up.

This attitude against helping others is unrealistic and isn’t the truth. We often heard success stories and the individual thanks all of the people that helped them along the way. Mentors, networks, sheer luck all play a role in getting a person to meet their goals. 

But when we have an invisible illness and hear stories of discrimination, it is hard to want to reach out for help. Even if it’s getting a placard to park closer to a store because sometimes its easier to walk a bit farther than deal with notes, stares, or rude comments. 

If you live in America, as I cannot speak to other countries, it is a hostile environment to ask for help even if getting help is normal.

Internal Fears & Insecurities

Admittedly, much of what I just said has everything to do with personal insecurities. You may be lucky enough not to have a problem asking for help. But sometimes our illnesses tap into our insecurities by the very nature of the disease itself. We may not be able to control the feelings of uncertainty because the illness takes over.

But if you had insecurity over asking for help before your diagnosis, the chronic illness might exacerbate that insecurity. Now that I need help from others, I am more afraid to ask. I don’t look sick, I run frequently and act “normal,” so when I ask for help, I must be trying to take advantage?

These fears are unreasonable, and I completely acknowledge that, but I can’t stop them from popping into my head and preventing me from asking for help when I need it.

If we can ask for help, and do so with respect, then we won’t take advantage of others. You will probably flatter your friends when you ask because you’ve trusted them with a part of your life you may not show often. Think about the time others have asked you for help and how that makes you feel. You probably appreciate the opportunity to help someone you care about in some small way.

It shouldn’t be different when you are the one asking for help.

The Problem with Asking for Help

When we ask for help, there is a chance of rejection. What happens when we put ourselves out there, and we get rejected or a wishy-washy response? How do we handle that?

We also open ourselves up to criticism, comments, or unsolicited advice. How many times have you heard the “well, if you try this, my friend-of-a-friend-of-a-friend found it helped them?” When you need help, it’s an open door for those sorts of comments. 

Rejection and “well-meaning” comments bring feelings of shame, so we might pre-empt those feelings by not bothering to ask.

Remember this: only you can let yourself feel shame. Only you can make yourself feel weak. Regardless of the response, you can choose to let the comments bother you, or you can decide it’s not worth it. If there is a pattern of a friend or family member making you feel wrong with their comments, then perhaps it’s time to move them down your life mountain.

Breaking Free from the Mindset

Ultimately, we have to suck it up and ask others for help. It’s easy to say this given societal pressures against asking for help, but we have to put our health first. If you want to be a help to those closest to you, then you must take care of your needs first.

When you ask for help, you aren’t revealing weakness, but strength. You are putting your vulnerabilities out there and showing that you are self-aware enough to need help. Often, I find people respond favorably to me when I unapologetically show my vulnerability.

Only you can make yourself feel exposed. People might comment to help support those feelings, but you can reject them in the same way they are rejecting you.


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Positive Thinking Leads to Positive Actions

Since the 1952 publication of Norman Vincent Peale’s book The Power of Positive Thinking, there’s been a market for promoting positive thinking in the self-help circuit. It does make sense, and science backs it up: when we focus on engaging with our positive thoughts, we are less stressed and improve our health. The more we engage with positive thinking, the more it leads to positive actions in our lives.

We are marketed positive thinking as a way to increase our overall happiness in life. The issue is that happiness gets conflated with satisfaction. What we are truly seeking is total satisfaction with our lives, whereas happiness becomes a byproduct from that satisfaction. We can achieve joy, and therefore, happiness when we begin to shift our mindset from mostly negative to mostly positive.

To begin this process, we must self-reflect and be open to rewiring our brain to be receptive to positive experiences and thoughts.

Positive Thinking = Healthy Mindset

So positive thinking, what is that anyway?

The theory is this: if we start to incorporate more positive thoughts in our daily lives, we engage in a healthier mindset. Once we have a healthier mindset, we engage in more positive behaviors.

Anecdotally: when I started viewing myself with a positive perspective, I found I was open to doing positive things for myself. I have a hard time accepting myself as a decent person, but once I stopped thinking of myself as a bad person, I was more willing to eat healthier. I started to make healthier decisions regarding exercise. I decreased my desire for self-destructive behaviors. The idea of making healthy decisions became palatable because I finally felt like I was worthy of the effort.

It all stemmed from the moment I chose to engage with positive thinking.

Healthy Mindset Leads to Healthy Actions

The science is there: when a person develops a positive mindset, they are more inclined to engage in healthy behavior. You are more prone to go to the doctor to treat an exacerbation of an ailment you might have ignored. You re-prioritize your thoughts, choosing not to get distracted by things out of your control. You may even decide to reconfigure who you spend your time with, opting to be with people who leave you feeling good about yourself, rather than those who are toxic.

To be clear, this isn’t saying we take on a Pollyanna perspective and only view the good out there. We still acknowledge the negative and yet get caught in the negative thought cycle, but we spend less time in the negativity.

For those of us who spent a lot of time in the negativity, incorporating more positive thoughts is not a 180-degree turn, but a chance to be more centered in our thoughts. Be realistic, but also choose to be more positive in our realism.

Engaging with Positivity More

Find ways to think of yourself in a positive light. Celebrate your life as much as possible. Did you let someone in front of you in line today? How did that make you feel when you brightened their day, even for a moment? Engage in those good feelings you get when you do something positive.

Often we look to others to be our cheerleaders, our parents, friends, coworkers, and sometimes strangers. But the biggest cheerleader in our lives has to be ourselves. External validation is nice to have, but its the internal validation that’s more important. If you let that person in front of you in line and they didn’t acknowledge it, that’s okay. You didn’t do it for their validation or gratitude. You did it for yourself. If you feel good about doing it, who cares how others react?

Praise yourself for the moments you did something that makes you feel good. Don’t look around for others to do it. Engage with your positive thinking and positive actions as often as possible.

It will be gradual, but you’ll find that after some time, your actions will begin to reflect your positive thinking. Your feeling of self-satisfaction and its byproduct of happiness will increase as well.


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Practicing Mindfulness with a Chronic Illness

I’ve mentioned mindfulness often in passing on the blog throughout the year, but I haven’t devoted a full post to it. For August, I want to celebrate all the small victories we have in our lives and one way to recognize them is through the practice of mindfulness. Mindfulness is an easy practice for someone with a chronic illness. Mainly because we are mindful without realizing it: daily we observe our bodies, how the body reacts (or does not react), where our moods are, and what we need to do to make the day manageable.

If you’ve engaged in mindfulness practice without realizing it, let’s take some time to focus it towards our emotional health. You’ll find it will help you manage your mental and physical health along the way, which complements any care your healthcare team recommends.

What is Mindfulness?

What do you think of when someone says “let’s practice mindfulness”?

You might envision a person in yoga class, or a Buddhist monk sitting cross-legged with their eyes close. Yes, these are classic examples of mindfulness, but it’s not limited to a form of Eastern philosophy. If you hold to a particular set of beliefs, you might be afraid that practicing mindfulness comes into conflict with them. I can assure you that mindfulness does not conflict, especially if you strip it down to the very basics.

If you’ve sat in a quiet moment, speaking to your Higher Power, that’s mindfulness. If you’ve ever visited a therapist and they wanted you to focus on the moment, that’s mindfulness. If you sit back and observe the world moving around you with no other thoughts than the present, that’s mindfulness.

Mindfulness, very simply, is inhabiting the current space you are in mentally, emotionally, and physically. It does not need to be attached to yoga or meditation. It is observing the moment.

What are you doing right now? Are you reading this post on a phone/tablet or your computer? Are you sitting down or standing? Are you fully engaged with this post or are you multi-tasking? Sit for a moment and think about what is going on right now while you read this.

Mindfulness observes the physical actions you take, the thoughts you think, and the emotions you feel. Often we get frustrated because we might try to sit for a session in mindfulness and our minds wander; something itches; or if you are in the middle of an exacerbation, you focus on that.

All of those “frustrations” are happening at the moment, and therefore they are a part of it. Ultimately, there is no right way to practice mindfulness. If you are not focusing on the past or the future, you are being mindful of your moment.

The goal in mindfulness practice is to keep ourselves grounded in our current moments as much as possible. It is meant to release us from any stress we feel about a future project or the shame of a previous social encounter. We often get caught up in things we cannot control (the future) and things we cannot change (our past), that we forget the current moment.

Nothing goes away when we engage in our mindful practice, but we do get a chance to give our mind a bit of a vacation and re-prioritize. It helps us appreciate what we do have, rather than what we don’t.

Mindfulness and the Chronic Illness

I spoke about the importance of gratitude in last Monday’s post. If you are struggling to get into a space of gratitude, mindfulness will help you get there. When we practice mindfulness, we are unconsciously appreciating the current moment. When we re-wire our brains to engage in gratitude more often, we can help manage our chronic illnesses in a healthy manner.

Mindfulness opens us to looking at the moments when we aren’t experiencing an exacerbation or feeling pain. Sometimes we forget the moments when our illness is leaving us alone, and mindfulness refocuses us to appreciate those moments.

Even when experiencing an exacerbation or pain, we can use mindfulness to refocus the pain or discomfort of the exacerbation. It’s not a cure-all, nor will it make the exacerbation/pain go away, but it can help manage both. Many of our exacerbations are brought on by stress, or made worse by it, and mindfulness is a great stress-reducer.

Even if the practice of mindfulness proves to be nothing but a placebo, the placebo effect is genuine , and mindfulness practice is one of those scenarios of “if it works, or doesn’t cause any harm, why not do it anyway?” It may be helping you better manage your pain, it may have you appreciating each day a little more, or it may help you get into space to begin your own wellness journey.

Silver Linings Abound

Through mindfulness can we take a few moments to recognize life’s silver linings.

While dealing with a chronic illness, we must collect all the bright spots we have in our lives. If we focus too much on the illness itself, it can crush our resolve, our ability not to allow it to control us. We experience pain, physical and emotional, so much more when we let our illness overwhelm us.

However, when we are mindful of the present moment, we can see that not everything is grim. Our thoughts may drift to the negative, but if we refocus on the current moment: the current lack of exacerbation, the current lack of pain, the current lack of drama or stress; do we see that we might be in the middle of a bright spot.

We may be more receptive to trying something new in our lives if we become more present. That may be trying a new medication, taking on a healthy endeavor, or allowing ourselves to begin the process of grieving that might be previously repressed.

It’s a chance for us to no longer view ourselves as victims of our illness, but our illness as just one more thing to overcome in our lives. To be clear, our illness can victimize us by taking things away, but we do not have to act like victims. There is a healthy way to cope with our darker emotions and thoughts relating to the illness, but being unwilling to make healthy changes is not the way to go.

Mindfulness can show us the way that we can make changes. We can be healthy. We can control how we respond to our chronic illness.


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