Dr. Ingela Thuné-Boyle
Health Psychologist
Online Practice

Among the many symptoms that accompany chronic illness, fatigue is one of the most common, and one of the most misunderstood. Unlike typical tiredness that resolves with rest, chronic illness-related fatigue is persistent, pervasive, and often debilitating. It is not simply a matter of needing more sleep or trying harder to stay active; it is a profound exhaustion that affects the body, mind, and spirit.

For many people, especially those living with an invisible or poorly understood condition, seeing the doctor can feel like an empty, even humiliating experience. At its best, medicine has always been a collaboration built on inquiry, listening, and the belief that every symptom tells a story worth investigating. Yet today, particularly for those with chronic, complex, or invisible conditions, appointments can instead feel like empty rituals; brief, dismissive, and devoid of g

Living with chronic illness often requires a level of self-advocacy that goes far beyond what most people experience in healthcare. It means repeatedly explaining your condition, asserting your needs, correcting misunderstandings, and sometimes challenging authority. When the stakes are your health, dignity, and quality of life, speaking up for yourself is not optional, it’s essential. And when something goes seriously wrong, making a formal complaint is sometimes the only wa

For many living with chronic illness, the word acceptance can feel loaded, even offensive. It may carry the sting of resignation, suggest defeat, or imply a passive tolerance of pain and limitation. To be told to "accept" one’s condition can sound dismissive, especially when that advice comes from those who do not grasp the daily realities of chronic illness. And yet, paradoxically, acceptance is also a cornerstone of psychological flexibility and emotional well-being.

Living with a chronic illness often involves not only physical pain or fatigue but also the ongoing challenge of explaining your condition to others. For many people with chronic conditions, one of the most exhausting and isolating aspects is the repeated need to clarify, justify, or defend their limitations to healthy people who simply do not understand.

Medical gaslighting is a term used to describe situations in which healthcare providers dismiss, minimize, or misattribute a patient’s symptoms, concerns, or lived experiences, often suggesting that the problem is psychological or not real. This can involve telling patients their symptoms are “all in their head,” exaggerating, or caused by stress, despite clear distress or evidence to the contrary.

The mind-body connection refers to the link between our thoughts, emotions, and behaviours, and our physical health. This relationship is bi

The connection between narcissistic abuse, trauma, and chronic illness conditions, underscores the profound impact of emotional suffering on

Some people with a chronic illness or with distressing physical symptoms may have experienced trauma in their lives, either as a direct result of their illness or at a previous point in their lives. Ongoing childhood abuse, for example, has been shown to be related to ill health in adulthood, where those who experienced a rough childhood are more likely to be diagnosed with a chronic illness later on in life.

Grief is usually associated with a single event such as the death of a loved one. However, in chronic illness, grief is also very prevalent despite the fact that no one has died. It can be an ongoing issue and is usually associated with many types of losses. Despite this, people don't often associate chronic illness with grief but the realization that life will never be what it was, and the future is not what you thought it would be, is a major loss.

Health Related Quality of Life (HRQoL) consists of at least four broad domains that can affect or be affected by one's condition and/or treatment: physical, psychological (including the behavioural), social and spiritual functioning.

I read an interesting blog article recently. It was written by a woman who felt completely overwhelmed by her illness, especially the chronic pain she was experiencing. Her doctor suggested that she may benefit from a referral to a Pain Rehabilitation Program that included physio therapy, occupational therapy and psychological support, but after years of not having her illness properly validated, her symptoms minimized and often being told, "It's all in your head,"