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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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The Power of Others

When dealing with a chronic illness, it is sometimes our deepest desire to enlist the help of others. We might be too afraid to ask on the surface, but unconsciously we desire connection to others, especially when we feel alone. Often people want to help us, but can’t or don’t know how best to do so. Sometimes the best thing they can do is pray or send positive thoughts our way.

Is the concept of “thoughts and prayers” actually helpful? Or is it something we say to each other, and accept on our behalf as low-effort?

I think it boils down to your perspective. If you are a glass-half-full person, then having someone pray or reflect on you is helpful. If you are a glass-half-empty person, then it might be a hollow offer.

How can others help you through your health crisis? If you are new to my blog, please review this month’s disclaimer before reading any further.

The Power of Prayer (or Positive Thoughts)

As a teenager, I remember sitting and listening to my religious leader “cite” a study on the effect of prayer for those in crisis. I use quotes not to disparage, but because the leader was extremely vague about the study, the details, and did not provide resources to find the study on our own.

Reflecting back, I believe they were referring to Dr. Randolph C. Byrd’s 1988 study, “Positive therapeutic effects of intercessory prayer in a coronary care unit population.” The study found that participants who received intercessory prayer fared better in their follow-up appointments than those in the control group, who received no prayer at all.

Unfortunately, subsequent studies found that Dr. Byrd’s 1988 study to be at best flawed, and at worse irresponsible. Relying on prayer, regardless of the religion, to heal a patient can prevent the patient from receiving the necessary medical intervention needed to help with the illness. Each study that comes out relating to prayer and health finds little correlation between prayer and improvement of health.

Here comes the “but…”

While prayer itself may not change the outcome of a medical diagnosis, there is something behind knowing that others are thinking about you. It may not improve your health, but do you feel comfort when you know others tell you they are thinking/praying about you?

Unfortunately, I ran into a bunch of dead-ends in my research for this post surrounding the benefits of having others think about you. Current trends are to not worrying about what others think, and focusing solely on self-care. Both of these are positive in its own right, but it doesn’t answer the question: what are the benefits knowing others are thinking about us?

What I am about to say is speculative and unscientific: I believe knowing others think about you, whether it’s via prayers or positive thoughts, provides comfort. It allows those of us with a chronic illness to know we aren’t alone. Others may not know our experience, we may be alone (mentally) in our disease, but when others care for us to spend a few moments out of their day to reflect on our journey, it means a lot.

Going Beyond “Thoughts and Prayers”

If you are reading this as a friend or family member of someone with a chronic illness, there are some things you can do to stretch out your “thoughts and prayers” for them.

Use the time you reflect on them and find ways you can help. Sometimes, when we say we’re thinking about someone, it’s the most we can do. That’s fine, but consider doing something in their honor.

What You Can Do to Help

  1. If the person is dealing with a massive health crisis, consider getting yourself screened. For example, if they have cancer, try to get tested for that particular form of cancer. Or, get yourself screened as a potential donor for them or in general.
  2. Learn all you can about their health crisis and be better prepared for how to engage with the patient. In your research, find out what other patients say about the “dos and don’ts” in conversations.
  3. Donate money in the person’s honor towards research for their illness.
  4. Share across social media the latest information and research on the illness, but make sure to get their consent before tagging them.
  5. If you can physically help the person, take them to appointments or for a social outing of their choosing.

There are many other ways you can help someone with a chronic illness to extend the efficacy of thinking about them. You just have to find what works best for you and them.

Powerlessness and Control

Often, those in our lives feel powerless when we get a chronic illness diagnosis. They stand beside us, hold our hand, and do everything to help us manage our illness and still feel like they can do more.

Prayer or reflecting on us is an additional way to feel like they are helping. It’s calling on a higher power or the universe to intercede on our behalf. While the answer may never come, or be positive, it’s yet another way for our friends and family to feel in control in an out of control situation.

Sometimes saying “I will pray/keep you in my thoughts,” is enough to empower the person to go beyond the statement and spring into action.

When faced with powerlessness, the smallest action can help someone regain a sense of control. Next time someone says, “I am thinking about you,” think not of it as a common thing we say when there’s nothing to say, but rather a way of providing comfort at the moment.


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Belief, Positivity, and Chronic Illness

“Embrace the power of positive thinking!” We hear that all the time when we endure a health crisis, a rut, or embark on a wellness journey. We are told if we want to change our mindset or become healthier, we need to shift our thinking to be positive. It’s something I frequently promote on the blog. But that isn’t possible with a chronic illness. Sometimes we need a little extra help.

Can positive thinking help you manage your illness? What if you are feeling particularly low on positivity?

This is where a higher power or greater cause can step in to help. Belief comes from the same place in our brains, whether it’s religious or not. Having strong beliefs, no matter the source, helps us create a sense of community and support when we find others who are similar. Prayer or meditative practices can help quell darker emotions that arise in illness.

Depending on your perspective and your practices, it’s effortless to slip in positive thinking. You just have to use what you already know to work with you, rather than against you.

Positivity, Meditation, and Prayer

Nature works against us when we want to sit down and focus on the positive. Geared towards survival, we get caught in the negativity to help keep us safe. Yet, negative thinking causes so much mental and physical harm. We no longer need it to survive, yet it still follows us around.

Belief can help us ward off negative thoughts. If you have a higher power, you can engage in your practices to find comfort in the routine and tradition. If you don’t have a higher power, you can participate in relaxation/self-care exercises to help set your mind at ease.

Regardless of your background, when you want to start engaging in positive thinking, there are tools available to you. If you are religious, look into your texts, and any devotionals explicitly created for comfort. If you aren’t religious, there are a lot of secular and science-based books available to get you started.

Seek out someone more knowledgeable too: a leader in your community, life coach, or counselor. They can give you text, tools, and mantras equivalent to meditation or prayer.

Prayer, or self-reflection, help bring comfort to the practitioners. It can take the edge off of emotions, help you collect your thoughts, and self-soothe. Most importantly, it can give us a break we need to refocus our thoughts to be objective. While coping with a chronic illness, we sometimes sink into darkness and crisis. Prayer/meditation grants our brains the break we need to help see beyond the darkness.

If you have a higher power, you might hear them speak to you with words of comfort. If you don’t, you might gain a similar moment of peace while meditating. These practices serve as a wonderful means to distract us from our despair.

Is it Helpful?

Finding a sense of direction within your personal philosophy should always be helpful. Your belief system (of any kind) needs to bring you comfort, not additional stress. If you find that you aren’t getting the support you need, figure out what’s going on. You may need to re-examine your beliefs to see why it’s not fulfilling your needs.

When you are in a time of personal crisis, such as a diagnosis or exacerbation, you want something to draw your strength upon.

I found as I grew older that the philosophy I used as a child no longer worked or brought me comfort. It only brought anger and resentment. I needed to look elsewhere to draw support as I dealt with my MS and settled on one that I dabbled in since I was a teenager. It took me a long time to feel okay with this switch, but it was more important to care for my mental health than anything else.

If your philosophy works for you and brings you comfort, continue to find ways to keep it working for you. If not, then speak with someone objective: they might be able to healthfully redirect you to materials to help you reaffirm your beliefs. Examination and reflection is essential no matter your faith, or non-belief.

Keep trudging forward as you deal with your illness and continue to draw sources of strength close to you as a means of help.


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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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Is there Positive in an Exacerbation?

Ask yourself this: is there anything good that comes from a chronic illness exacerbation? The obvious answer is no. The hidden answer is yes.

Exacerbations do a number on our bodies and psyche. They are physical and mental setbacks that leave us feeling stuck in place until they are over. They can cause long-term damage or help progress our disease farther along.

Stating that an exacerbation can be “good” is unconscionable. As people coping with a chronic illness, we want to avoid them at all costs. Absolutely. But that isn’t always possible. I am aware that I could become a Zen Master and banish all the stress I feel in life, and still get hit by an MS exacerbation without warning. That is the very problem with a chronic illness: the unpredictability.

The key is to find a silver lining in the middle of each exacerbation as much as possible. There will be moments where maintaining optimism is near impossible, and that is fine. But in the moments we can find a ray of sunshine, we should embrace positivity.

The Frustration of an Exacerbation

Exacerbations slow us down. They can land us in the hospital for treatment, and they can leave us searching for more answers on how to best approach our treatment.

I hate exacerbations because of how much they set me back. Before I managed my MS, I would be in the middle of an important project, and an exacerbation would slow me down for several weeks while I recovered. My usual MS symptoms, like fatigue, often cause me to take a day “off,” while I recover in bed.

I often wonder if my body coordinates the timing of the exacerbation as a form of self-sabotage. I get ahead, and my exacerbations/symptoms pull me back.

There might be some truth to that conspiratorial belief. I am pushing myself so hard that I do not listen to my body, so my body has to get my attention. Fatigue, L’Hermmittes Sign are red flags that I am not taking care of myself.

And if I continue not to listen, the exacerbation comes along to stop me in my tracks and take a break. But by then, it’s usually too late, and I may not know the extent of the damage done by the flare-up.

Gratitude in the Lowest Moments

We know that exacerbations are annoying, we know that they can be damaging, so how can I find the positive in these adverse chronic illness events? What follows is what works for me, so your own experience may not reflect my own.

I learned that an exacerbation is an excellent opportunity to practice gratitude. Sometimes the flare-up affects my depression, so finding appreciation might be impossible. Literally, because the exacerbation is the source of a mental block. If this happens to you, try to remember not to feel discouraged because it is out of your control.

But in the moments where this isn’t the case, where the exacerbation impacts your body, where you can recognize what is going on, we can practice gratitude. This isn’t something you will be able to whip out on the first go, it will take practice. A lot of practice. Gratitude and positivity are hard to be the first thing we reach for in our lowest moments.

What would gratitude during an exacerbation look like?

Take time reflecting on the points I’ve listed below and try to find gratitude in at least one of them. If one of the points don’t fit or bring on further negative thoughts, move on, and find another aspect that can help.

When you find a point that works, take time to examine it thoroughly. Reflect on each part that you are grateful for, each positive experience you’ve had relating to it. This will serve as a healthy distraction from your exacerbation.

  • Your medical team. How quick are they to listen to you and respond to your needs?
  • Your support team. This might be your family, professional nurses/helpers, and beyond.
  • Your social network. Both online and offline. How well do they listen, respond to your needs, and help you through your tough times?
  • Your financial situation. Is it favorable or not? Do you have the means to care for yourself?
  • Your overall health outside of the exacerbation. What are you usually able to do and looking forward to once this resolves?
  • Your professional situation. Are you satisfied in your professional life, and do you find validation there? Are they supportive of your case?
  • Overall survival security. Do you have a home, food, ways to clothe and take care of yourself? Ability to get around, even if it’s less than ideal?

Hopefully, you’ll find plenty of things to be grateful for running for this list or have a starting point for your own gratitude list. It’s essential to find things you do have in your life, despite this low point, and focus on them as a means of distraction. The idea is to help uplift you until you recover.

Searching for Positive

I will acknowledge that it’s privileged to say that there can be a silver lining in almost every situation. Certain fundamental conditions need to be met before taking a step back and look for the positive. I am sure a number of my readers are in that position of privilege, but I won’t make a sweeping generalization.

That said, try and look for the positive even in the middle of your exacerbation. Finding the positive does feel futile at times, so don’t feel pressured if you can’t find it. There are going to be good moments, and there are going to be bad. When you first start off, there will be more bad moments until you get more practice.

The key is to retrain your brain to not focus on the negative, but be receptive of the positive. This will be an uphill battle, as our biology steers us towards the negative. We are no longer running from other apex predators when we walk in the woods, so take time to retrain the primitive brain.

Exacerbations, while overall, are not a positive experience, they can give us a chance to find the positive in our lives separate from the negative experience. They give us a chance to slow down, appreciate what we do have, and find a way to retrain our brains to focus on the positive aspects of life. It’s not ideal, it never is, but it’s one way to cope with an uncontrollable situation.


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