Dr. Ingela Thuné-Boyle
Health Psychologist
Online Therapy

Living with multiple or overlapping medical conditions often means navigating a health-care system that was never designed with complexity in mind. Each symptom brings you to a different specialist; each specialist focuses on their organ, their discipline, their small slice of the body. In theory, this should lead to comprehensive care. In reality, it often leaves people feeling unseen, misinterpreted, or caught in the crossfire of contradictory recommendations. For many, the

When someone develops a chronic illness, the challenge extends far beyond physical symptoms. It reaches into every layer of identity, daily functioning, and sense of safety in the world. This is true whether the condition is clearly diagnosable, has uncertain or unexplained causes, or is largely invisible to others.

Inner child wounds refer to the emotional and physiological imprints left by experiences of unmet needs, not being consistently seen or responded to, or chronic stress in early life. These experiences may include neglect, emotional unavailability, inconsistent caregiving, or environments in which a child had to adapt quickly to survive. Often, the most impactful wounds are not linked to overt abuse but to what was missing; reliable comfort, emotional safety, or permission to

I saw a post by a therapist on Threads recently about chronic pain that gave me real cause for concern. It had over 2.2k likes. In it, she argued that CBT for pain is “ridiculous,” that people with chronic pain simply need medical treatment, and that validation is what matters most. I found this framing extraordinary and troubling. Why? Because chronic pain is complex. Yes, validation is always necessary. Anyone living with persistent pain deserves to be believed, respected,

Many people seek therapy for health-related concerns without realizing that their symptoms may be rooted in much earlier relational experiences. They arrive focused on chronic pain, fatigue, autoimmune conditions, anxiety around health, or a sense that their body has let them down. What they often don’t come with is a story of trauma, at least not one they recognize as such. Instead, they describe childhoods that were fine, not that bad, or nothing compared to what others wen

Autoimmune and immune-mediated inflammatory conditions such as rheumatoid arthritis, lupus, multiple sclerosis, inflammatory bowel disease (including Crohn’s disease and ulcerative colitis), and psoriasis are often understood primarily in terms of immune dysfunction. In many of these conditions, the immune system becomes dysregulated and mounts a persistent inflammatory response, sometimes targeting the body’s own tissues directly, and in other cases reacting excessively to i

Living with chronic pain often means carrying more than physical discomfort. Alongside the persistent sensations in the body, many people also carry an invisible burden: self-blame. Thoughts such as “If I had taken better care of myself,” “If I were stronger,” or “I should be coping better than this” can quietly take root, turning pain into a moral failing rather than a human experience. Over time, this internalized blame can become as exhausting and harmful as the pain itsel

Perfectionism is often praised as a strength. It is associated with high standards, diligence, and responsibility, yet for many people living with chronic pain, perfectionism is not simply a personality trait; it is a nervous system strategy shaped by lived experience. Over time, this strategy can quietly contribute to the persistence and intensification of pain.

Setting boundaries is one of the most important acts of self-care, yet for many people it comes with an uncomfortable emotional cost: guilt. This can be especially true for those living with chronic illness, where boundaries are not just preferences but often necessities to manage limited energy, pain, or fluctuating health. Saying no to social invitations, declining work responsibilities, or asking for accommodations can trigger guilt alongside fears of being a burden, disap

For individuals who have spent their lives over-accommodating, appeasing, and diminishing themselves to maintain peace, establishing boundaries may seem unnatural or even unsafe. This behaviour, known as fawning, is often a trauma response that develops in environments where one's safety relies on pleasing others or avoiding conflict. Over time, this survival strategy becomes ingrained: agreeing when we want to refuse, enduring discomfort to prevent disappointing others,

Relational trauma, which refers to harm occurring within human relationships, significantly impacts how people view safety, trust, and connection. Experiences like neglect, emotional abuse, betrayal, or chronic misattunement (where someone consistently fails to accurately perceive, understand, and respond to another person's emotional state) do not just harm an individual in isolation; they influence the nervous system and the internal expectations one brings into future rela

Complex Post-Traumatic Stress Disorder (CPTSD) is most often associated with trauma that is chronic, repeated, and rooted in relationships. Unlike single-incident trauma (such as a one-off accident or event) CPTSD develops when a person grows up or lives for long periods in environments that feel unsafe, unpredictable, or emotionally overwhelming.

Near the end of his life, Andy Warhol often repeated the line: “Health is wealth.” It might sound quite obvious, yet it actually demonstrated a deep understanding of what it means to live in a body that can no longer be taken for granted. Indeed, Warhol recognized that when the body fails, the entire world changes. Illness removes the illusion that life is predictable or that tomorrow will be the same as yesterday.

Spirituality can offer profound comfort, meaning, and resilience in the face of chronic illness. It may help individuals find purpose during times of suffering and cultivate inner peace. However, when spiritual beliefs or practices are used to avoid, suppress, or deny the emotional, psychological, or physical challenges of living with illness, this becomes what is known as 'spiritual bypassing'.

When we talk about healing, most people think first about the physical body; lab tests, medications, symptoms, and diagnoses, but an often-overlooked part of recovery is emotional safety: the felt sense of being supported, understood, and free from threat or judgement. Emotional safety is essential in the healing process, not just a nice addition to medical care. It plays a significant practical and biological role in how the body regulates pain, fatigue, inflammation, and st

Something happened this morning that stopped me in my tracks and made me think about all the times I’ve been blamed for things I didn’t do, by people who simply couldn’t take responsibility for their actions. While walking my dog, someone behaved unnecessarily rudely toward us, then immediately apologized. A sincere apology. No defensiveness. No minimizing. Just ownership.

Living with a chronic illness means navigating challenges that reach far beyond physical symptoms. Fatigue, pain, unpredictability, and the ongoing need to adapt your lifestyle can create a heavy emotional and psychological burden. Over time, many people begin to feel isolated, anxious, or overwhelmed, not only by their symptoms, but by the constant impact their condition has on their routines, relationships, and quality of life.

There is a particular kind of suffering that arises not only from physical symptoms, but from the invalidation of those symptoms. Many people living with chronic illness or undiagnosed conditions find themselves in a distressing limbo: feeling profoundly unwell while repeatedly being told by doctors that they are fine because their test results fall within normal ranges. This experience of being caught between undeniable symptoms and an absence of medical validation can be de

Research in psychology, neuroscience, and medicine has increasingly confirmed what many survivors have felt for a long time: the wounds of childhood do not simply disappear over time. Childhood trauma, whether through abuse, neglect, household instability, or chronic emotional stress, can leave lasting marks not only on the mind but also on the body. These effects are not imagined; they operate through clear biological and behavioural pathways

For those who have endured narcissistic abuse (i.e. a pattern of aggressive, manipulative, and controlling behaviors used by someone with narcissistic traits to gain power over another person), the concept of setting boundaries can feel foreign, threatening, or even selfish. In relationships where one’s sense of self has been repeatedly minimized, invalidated, or manipulated, boundaries may have been consistently dismissed or punished.