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“I’m Doing Alright” – The Difficulty In Fostering Healthy Relationships

“Hey! How are you doing?”

“Oh, I’m doing alright.”

Awkward….but why?

It is because I’m lying. Do they know I’m lying? Do they even care? I’m not doing alright. Not even a little. But who wants to hear that? Who wants to hear that today, every movement is painful? Who wants to hear that my medicine is making me want to hang my head over a toilet? Do they really want to know that all I really want to do is lay down and sleep for the next 5 hours? Is this kind of polite lying ok? After all, I don’t really think they really want to know the truth. They don’t really want to know my reality. Not because they don’t care, not because they aren’t concerned, but because they can’t fix it. They can’t relate. They can’t possibly understand.

This is the reality for many of us with psoriatic arthritis (PsA). I put on a mask to hide my pain, not because I want to lie to others. Not because I want to hide what is truly going on. I hide my pain to save myself, and those I love, from that awkward moment of truth. To save others from feeling what I often feel…helpless. I don’t want my friends to feel obligated to offer false hope or to try and relate to something they couldn’t possibly be expected to understand.

This is, in part, why I limit my outings. I don’t want to be the downer. I worry about how my presence makes others feel. Saying I’m fine or I’m alright usually works fine for people who are great at hiding how they feel, people who are natural pretenders. That is NOT me. If I’m thinking it, it is written all over my face. I’m a terrible liar to strangers and even worse for those that really know me. The words out of my mouth say, Oh, I’m alright but my face always gives me away-Every. Single. Time.

Why do we feel this way?

Why do we feel that we can’t be truly honest about how we feel? Before my PsA diagnosis, I was always a very positive, upbeat person. My husband even nicknamed me Rainbows and Sunshine. I worry that others will see how much I have changed. Moreover, I worry about admitting to myself that this disease has changed me. Yes, I still try to be positive, I still try and find the bright side to every situation, but there are more and more days when that is very difficult.

The truth of the matter is that the effects of living with PsA not only take their toll not only on our body, but our minds and hearts too. Our joints become twisted and painful, but so can our minds and hearts. Dealing day after day with pain and fatigue wears a person down. Waiting days and days for doctor appointments, insurance approvals, and medicines to work can try even the most patient person. Fatigue and frustration can quickly settle in our hearts, making it difficult to have meaningful and lasting relationships with friends and family.

Reason to hope

So what then? Is a PsA diagnosis the end of our social life as we know it? Are we destined to sit alone in our homes surrounded by nothing but Netflix and bottles of medicine? Nope. It doesn’t have to be that way. There is reason to hope, and that is the truth. I really believe that those who truly care about you, those who truly want to help and to understand will listen to the truth. They will not be content with the lie that you are “alright.” They will push for honesty and understanding.

There are many wonderful resources available to help family and friends understand what life is like with psoriatic arthritis. Many people have found things like The Spoon Theory very helpful in starting a conversation with loved ones. More than anything, be honest. Stop pretending. Stop avoiding. Start a conversation. You will be glad you did.

What about you? Have you lost friends and loved ones since your PsA diagnosis? Have you found honestly to be helpful in understanding and opening up the lines of communication to help heal some of the emotional damage caused by psoriatic arthritis?

This article represents the opinions, thoughts, and experiences of the author; none of this content has been paid for by any advertiser. The team does not recommend or endorse any products or treatments discussed herein. Learn more about how we maintain editorial integrity here.


  • jennyb
    3 years ago

    I have PsA and MS. I never know what is what. I try to be cheerful, but most people must think I have cooties or something. I think maybe they think they see their future, but I don’t think that way.

  • Mormor
    3 years ago

    This sounds very much like me, except I haven’t felt able to burden any new relationships, so I stay single. I am honest with family for the most part, when they actually want to hear it. Having varying levels of pain and fatigue constantly makes me want to find a cave of my own to hide myself from bringing everyone around me down. I’m hoping I can find a way to change all this, at least enough to have a social life again.

  • Casey moderator
    3 years ago

    Hi Mormor! Thank you for sharing your experience with our community. We are so glad you are here with us! You are so not alone in this feeling and it is so admirable that you have been handling this the best way you can. I’m sure it can be very overwhelming at times, especially with the fatigue and unpredictable pain. I’m glad to hear that you have been attempting open communication with family members, although I can imagine it’s hard to feel completely heard and understood. It sounds like you are looking forward with a positive outlook in hopes of making adjustments based on what YOU need. That is a great mentality to have, and can be fostered by communicating with others who share a common ground with you and these feelings, like individuals within our community! I found this article that may be of interest to you, We are so grateful to have you in our community and hope you will continue to share your journey with us! Please feel free to reach out to us if you need any support or advice, or even just a friendly and receptive ear to listen if you need to vent! Best, Casey, Team

  • CathyD moderator
    3 years ago

    Loved this, Leanne!

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