The Spoon Theory written by Christine Miserandino

 

Please take the time to read Christine Miserandino’s personal story and analogy of what it is like to live with sickness or disability.

Click HERE to download “The Spoon Theory” in PDF format.

The Spoon Theory

by Christine Miserandino www.butyoudontlooksick.com

My best friend and I were in the diner, talking. As usual, it was very late and we were eating French fries with gravy. Like normal girls our age, we spent a lot of time in the diner while in college, and most of the time we spent talking about boys, music or trivial things, that seemed very important at the time. We never got serious about anything in particular and spent most of our time laughing.

Cartoon image of Christine Miserandino holding a spoon
As I went to take some of my medicine with a snack as I usually did, she watched me with an awkward kind of stare, instead of continuing the conversation. She then asked me out of the blue what it felt like to have Lupus and be sick. I was shocked not only because she asked the random question, but also because I assumed she knew all there was to know about Lupus. She came to doctors with me, she saw me walk with a cane, and throw up in the bathroom. She had seen me cry in pain, what else was there to know?

I started to ramble on about pills, and aches and pains, but she kept pursuing, and didn’t seem satisfied with my answers. I was a little surprised as being my roommate in college and friend for years; I thought she already knew the medical definition of Lupus. Then she looked at me with a face every sick person knows well, the face of pure curiosity about something no one healthy can truly understand. She asked what it felt like, not physically, but what it felt like to be me, to be sick.

As I tried to gain my composure, I glanced around the table for help or guidance, or at least stall for time to think. I was trying to find the right words. How do I answer a question I never was able to answer for myself? How do I explain every detail of every day being effected, and give the emotions a sick person goes through with clarity. I could have given up, cracked a joke like I usually do, and changed the subject, but I remember thinking if I don’t try to explain this, how could I ever expect her to understand. If I can’t explain this to my best friend, how could I explain my world to anyone else? I had to at least try.

At that moment, the spoon theory was born. I quickly grabbed every spoon on the table; hell I grabbed spoons off of the other tables. I looked at her in the eyes and said “Here you go, you have Lupus”. She looked at me slightly confused, as anyone would when they are being handed a bouquet of spoons. The cold metal spoons clanked in my hands, as I grouped them together and shoved them into her hands.

I explained that the difference in being sick and being healthy is having to make choices or to consciously think about things when the rest of the world doesn’t have to. The healthy have the luxury of a life without choices, a gift most people take for granted.

Most people start the day with unlimited amount of possibilities, and energy to do whatever they desire, especially young people. For the most part, they do not need to worry about the effects of their actions. So for my explanation, I used spoons to convey this point. I wanted something for her to actually hold, for me to then take away, since most people who get sick feel a “loss” of a life they once knew. If I was in control of taking away the spoons, then she would know what it feels like to have someone or something else, in this case Lupus, being in control.

She grabbed the spoons with excitement. She didn’t understand what I was doing, but she is always up for a good time, so I guess she thought I was cracking a joke of some kind like I usually do when talking about touchy topics. Little did she know how serious I would become?

I asked her to count her spoons. She asked why, and I explained that when you are healthy you expect to have a never-ending supply of “spoons”. But when you have to now plan your day, you need to know exactly how many “spoons” you are starting with. It doesn’t guarantee that you might not lose some along the way, but at least it helps to know where you are starting. She counted out 12 spoons. She laughed and said she wanted more. I said no, and I knew right away that this little game would work, when she looked disappointed, and we hadn’t even started yet. I’ve wanted more “spoons” for years and haven’t found a way yet to get more, why should she? I also told her to always be conscious of how many she had, and not to drop them because she can never forget she has Lupus.

I asked her to list off the tasks of her day, including the most simple. As, she rattled off daily chores, or just fun things to do; I explained how each one would cost her a spoon. When she jumped right into getting ready for work as her first task of the morning, I cut her off and took away a spoon. I practically jumped down her throat. I said ” No! You don’t just get up. You have to crack open your eyes, and then realize you are late. You didn’t sleep well the night before. You have to crawl out of bed, and then you have to make your self something to eat before you can do anything else, because if you don’t, you can’t take your medicine, and if you don’t take your medicine you might as well give up all your spoons for today and tomorrow too.” I quickly took away a spoon and she realized she hasn’t even gotten dressed yet. Showering cost her spoon, just for washing her hair and shaving her legs. Reaching high and low that early in the morning could actually cost more than one spoon, but I figured I would give her a break; I didn’t want to scare her right away. Getting dressed was worth another spoon. I stopped her and broke down every task to show her how every little detail needs to be thought about. You cannot simply just throw clothes on when you are sick. I explained that I have to see what clothes I can physically put on, if my hands hurt that day buttons are out of the question. If I have bruises that day, I need to wear long sleeves, and if I have a fever I need a sweater to stay warm and so on. If my hair is falling out I need to spend more time to look presentable, and then you need to factor in another 5 minutes for feeling badly that it took you 2 hours to do all this.

I think she was starting to understand when she theoretically didn’t even get to work, and she was left with 6 spoons. I then explained to her that she needed to choose the rest of her day wisely, since when your “spoons” are gone, they are gone. Sometimes you can borrow against tomorrow’s “spoons”, but just think how hard tomorrow will be with less “spoons”. I also needed to explain that a person who is sick always lives with the looming thought that tomorrow may be the day that a cold comes, or an infection, or any number of things that could be very dangerous. So you do not want to run low on “spoons”, because you never know when you truly will need them. I didn’t want to depress her, but I needed to be realistic, and unfortunately being prepared for the worst is part of a real day for me.

We went through the rest of the day, and she slowly learned that skipping lunch would cost her a spoon, as well as standing on a train, or even typing at her computer too long. She was forced to make choices and think about things differently. Hypothetically, she had to choose not to run errands, so that she could eat dinner that night.

When we got to the end of her pretend day, she said she was hungry. I summarized that she had to eat dinner but she only had one spoon left. If she cooked, she wouldn’t have enough energy to clean the pots. If she went out for dinner, she might be too tired to drive home safely. Then I also explained, that I didn’t even bother to add into this game, that she was so nauseous, that cooking was probably out of the question anyway. So she decided to make soup, it was easy. I then said it is only 7pm, you have the rest of the night but maybe end up with one spoon, so you can do something fun, or clean your apartment, or do chores, but you can’t do it all.

I rarely see her emotional, so when I saw her upset I knew maybe I was getting through to her. I didn’t want my friend to be upset, but at the same time I was happy to think finally maybe someone understood me a little bit. She had tears in her eyes and asked quietly “Christine, How do you do it? Do you really do this everyday?” I explained that some days were worse then others; some days I have more spoons then most. But I can never make it go away and I can’t forget about it, I always have to think about it. I handed her a spoon I had been holding in reserve. I said simply, “I have learned to live life with an extra spoon in my pocket, in reserve. You need to always be prepared.”

Its hard, the hardest thing I ever had to learn is to slow down, and not do everything. I fight this to this day. I hate feeling left out, having to choose to stay home, or to not get things done that I want to. I wanted her to feel that frustration. I wanted her to understand, that everything everyone else does comes so easy, but for me it is one hundred little jobs in one. I need to think about the weather, my temperature that day, and the whole day’s plans before I can attack any one given thing. When other people can simply do things, I have to attack it and make a plan like I am strategizing a war. It is in that lifestyle, the difference between being sick and healthy. It is the beautiful ability to not think and just do. I miss that freedom. I miss never having to count “spoons”.

After we were emotional and talked about this for a little while longer, I sensed she was sad. Maybe she finally understood. Maybe she realized that she never could truly and honestly say she understands. But at least now she might not complain so much when I can’t go out for dinner some nights, or when I never seem to make it to her house and she always has to drive to mine. I gave her a hug when we walked out of the diner. I had the one spoon in my hand and I said “Don’t worry. I see this as a blessing. I have been forced to think about everything I do. Do you know how many spoons people waste everyday? I don’t have room for wasted time, or wasted “spoons” and I chose to spend this time with you.”

Ever since this night, I have used the spoon theory to explain my life to many people. In fact, my family and friends refer to spoons all the time. It has been a code word for what I can and cannot do. Once people understand the spoon theory they seem to understand me better, but I also think they live their life a little differently too. I think it isn’t just good for understanding Lupus, but anyone dealing with any disability or illness. Hopefully, they don’t take so much for granted or their life in general. I give a piece of myself, in every sense of the word when I do anything. It has become an inside joke. I have become famous for saying to people jokingly that they should feel special when I spend time with them, because they have one of my “spoons”.

© Christine Miserandino

*We have English, Spanish, French and Hebrew translations of “The Spoon Theory” available.

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  • auntie_pita

    Thank you for finding the words to help your friend ‘get’ the idea of limited energy. I have Asthma – I have good days, weeks, months… and bad days, weeks, months. My daughter has R.A. she too has good days, and weeks… and very bad days, and weeks… We don’t “look” sick, We aren’t using a cane, or crutches, or a chair, but the days when it takes 30 minutes to walk 300 feet…

    The words – will be borrowed, so I can give someone else a tangible.

    Thank you!

  • John Egan

    I have only just discovered this magnificent way to explain to the individual who say”they look REALLY disabled” in that sarcastic tone. It gets very frustrating. I want to do what I was able to do a matter of 5 years ago, I cant. I am lucky that I was able to play normally with my children before my unseen disability hit me. I try to play with my 15 month Grandson who is the only reason I am here typing this reply! But when I do it uses most of my spoons for the best part of 2 days after! Do I worry about this NO! Because this is a top reason for using all my spoons.
    However, on the days when the simplest of tasks like deciding to get out of bed is beyond me thats when it hits me. I am not the guy I was 5/6 years ago I am a shadow of that man. But when my friends see or talk to me they fail to understand that the simplest task of putting on a pair of shoes by myself leaves me totally shattered and not in the mood to do the job or activity I put the shoes on for.
    My Mother in Law has finally realised I am ill when I had a particularly bad episode in front of her. She was frightened by it and finally said to my long suffering wife, “He really is ill isn’t he?”
    BTW I have Neuropothy caused by a needle being shoved into by sciatic nerve when a so called simple procedure went horribly wrong. And I was unable to get any waste products out of my body. It has left me with one leg that might as well not be there, and the medication has caused untold problems with bowels and bladder. But of course “I dont look sick” do I? Yes it leaves me well “fed up” it leaves me despondent but now I have the spoon theory, I sense a corner being turned.
    Thanks for being here.

  • Thank you so much for saying so perfectly something that applies to soo many people. I just found out about your site recently but wasn’t able to read it until today and I’m so happy that I did. I have Charcot-Marie-Tooth, not only an invisible disease but also one of the silliest named diseases on the planet. I have had 3 surgeries to help me with my condition, the most recent of which was just this Friday. Even though our friends try their best to understand, they never really get it. I’m going to send them all to your site to read this amazing entry. I just posted an entry on my blog today with a link to yours…you can see it here: http://myjourneywithcmt.blogspot.com/2011/07/up-and-about.html. If this is not okay with you, please let me know and I’ll take it down immediately. If I should say more by the link please let me know and I’ll edit it…I’d loved some of the ppl who read my blog to have access to get to this page as well, because it has helped me so much that I want everyone to see it.

  • Thank you so much for posting this delightful analogy. I have read it here before and seen it referred to by others. The days I have spoons left are less and less, I have RA with some cervical spine involvement, it’s sometimes hard to get my head around it as I was only diagnosed 2 years ago. I am finding like you to treasure the spoons you do have and use them wisely. thank you so much for your contribution to awareness of chronic diseases.

  • Sarah

    This was wonderful to read. One of my best friends has lupus and gratefully now is in remission, but I had no idea that these were the kinds of things she was going through day by day. And also the spoon theory is a great way to explain to people how I felt when I was “chronically fatigued” for two years because of gluten.

  • Emily Owens

    This is one of the most profound & humbling things I’ve ever read.

    I will not even pretend to understand, but will, instead, re-read this from time to time,, until i think I do. THEN, I will read it again.

    May I post a link to this? I feel this was so well written, it should be shared. But only with your approval, of course.

  • Caroline

    TY for this. It’s a wonderful plan which will help many of us.

  • Cate

    When i was first diagnosed with my illness, i thought the world was ending, to think that there was no cure and that i might have to learn to deal with this forever… i was 23, in complete disbelief and a total anxious mess. In some ways im grateful for my illness now, it has made me put things into perspective and brought out a strength i didn’t know i had. I cried when i read the part about starting your day, eating is a necessity because if you don’t have those tablets, your illness will spiral out of control… and you better be up at the right time to take it early. One wrong move… and you will pay for it, better choose your daily activities wisely and have someone with you who is happy to drive and lead you home when your wiped out. What a wonderful theory, thank you so much.

  • Thalia Sahlie

    I have Fibromyalgia, Multiple Chemical Sensitivities, and very low energy. I know exactly how this feels. I used to be a white tornado…now I can barely finish one task (around the house) in one day. Then there is the brain fog…..

    Great article!!

  • Deborah Cook

    I am 22 and was recently diagnosed with lupus. I am also a mom of 3 year old twins and going to school to be a Chemical Engineer. One of the things that I find the most difficult to deal with is that while my friends are picking their careers and majors and thinking about where they will be in 5 years, I don’t even know if my mind will be sharp enough to do my job when it comes time to graduate. The scariest part is that I can’t convey this to the people who I am closest too.

  • Lori Shackett

    This is a perfect, and simple way to explain illnesses, I have had such a hard time with family and friend explaining my fibromylgia, It gets so fustrating that I just give up trying and let them think I am nuts, lol

  • Christine

    It’s relieving to hear so many others out there, but it doesn’t change the fact I can’t do what I used to be able to do. I want people to know, to understand, but then I feel like a whiner. They end up showing pity. I don’t want pity. I want someone to tell me how I can get my old life back. I’m not in denial, but I believe there is a way for me to do what I used to do…it may be more slowly or less often, but I know somehow there is a way for me to enjoy what I used to enjoy…I just need to figure out how.

  • William Malecha

    Thank you for such a beautiful story that explains sickness to people who aren’t sick so perfectly.

    I myself have TMJ and Globus Sensation (the feeling of something stuck in your throat) and so on the days where the TMJ gives me minimal pain and trouble and the Globus Sensation is barely noticable I have a good number of spoons to use in a day and other days when they’re both barely manageable and I can’t open my mouth and I have to keep swallowing I don’t have maybe a couple of spoons, enough to get my day going, not enough for productivity.

    So thank you again so much! I think I’m going to start carrying a spoon with me for my own hope and for others understanding. 🙂

  • Kelly

    Thank you for giving us without chronic disease a way to try to understand. I have been fortunate enough to get through my prolonged episodes of issues like chronic headaches and plantar fasciitis that are no longer a daily issue for me (right now). I have worked as a massage therapist and now an OT and I do my best to not only work to understand where my patients are, but also to explain to others why chronic pain is so life-controlling.
    I wish you the best. You are a great teacher and with sharing your metaphor you help so many others’ lives. Thanks again.

  • alex

    My mom sent me here, she has Crohn’s disease. My best friend has Lupus. I have a hip with osteoarthritis, degenerative spinal cord damage (neuropathy), dissociative identity disorder, rapid-cycling bipolar disorder type 1 that’s generally mixed. I’m currently undergoing testing to find out if I have endometrial cancer, or just endometriosis but I have a genetic mutation which makes my blood clot too easily and prone to getting pulmonary embolisms again which means I’ll have to have a hysterectomy no matter what.

    When I was 14 I was diagnosed with depression, and was told by so many to just “get over it”. When I attempted suicide, I was told that it was just “to get attention”. They never understood that it’s what happens when there are no spoons, there is no control, and there is no alternative. That, it’s the only rational thing to do and it should be done in privacy so as not to disrupt anyone. As I got older, I was diagnosed with more mental illnesses which although they can start throwing pills at you it’s sometimes worse to know how much of a freak you are.

    If you tell someone you’re bipolar, they immediately assume you’re a murderer or that you’ll just suddenly go crazy on them. It’s not like that. It’s an internal struggle, and most of it is directed at yourself especially when you can’t handle something because all of your spoons were ripped away from you. I dare you to tell them that you have dissociative identity disorder. Once they piece together that it used to be called multiple personality disorder then they either don’t believe you, think you’re faking it, or look at you like you are a hydra. Try being diagnosed with it, try missing chunks of time, try never realizing that that’s why until a stranger tells you that you have it when you’re 30. It’s not fun, it’s a huge invasion of privacy and it’s embarrassing telling someone (even your husband) “i’m sorry… i don’t remember that at all, I’m not saying it didn’t happen, I just don’t remember it.”

    The hip and the spinal cord damage happened when I was 28 and I’ve been living with it for 6 years now. I hate how much I took for granted. I wish that I could have it all back, but it’s degenerative so it will always get worse so I am thankful every day that I can do what I can do. I have the mornings where I wake up and am so locked up that I can’t use the restroom and have to wait an hour for my body to loosen up. Using the furniture and walls to get from place to place and when my kids or husband come around pretend that it’s not there and act like everything is fine, hoping that they didn’t catch you 5 minutes ago.

    I plan my days around my pills. I have to eat even when I’m already nauseous otherwise I’ll end up vomiting up my pills 30 minutes after taking them. One of my pills causes severe weight gain, another severe nausea and migraines, another increases panic attacks, etc. My medication is not only my salvation but also my greatest fear.

    On the outside, I look fine. I get glared at with my new handicap placard that I only finally gave in and got which means that I’ve now admitted that this is never going away. Nobody gives up the handicapped seats on the train to someone who “looks fine” so I don’t bother and just grit my teeth.

    I have a full-time job, that pays enough to support my family of 5. My husband takes care of the kids while I telecommute for my job. My boss understands that some days I may be working at 2am and not during normal business hours. I’ve been very lucky to have a boss who understands spoons and will shield me from those that don’t.

    I’m going to send this to my family, who thinks I’m anti-social because I never go anywhere, I rarely leave the house, I don’t call, etc. Thankfully some of my family understands, but most don’t.

    Invisible diseases really do suck. It’s been very good “therapy” reading through the 800+ comments on here. We are many.

  • Anne

    I just wanted to chime in, that I too think this is a great way to explain, and a beautiful story. I have PTSD, anxiety, panic attacks. I have to choose so carefully… I, too, miss the freedom of just being able to do whatever, whenever, without worrying. Maybe I’ll have that back someday, who knows.

  • While I do not have a chronic illness, one of my best friends does. Often times people don’t understand why I support her and why I do what I do for her and I think the spoon theory is my new way of explaining it. While I may not be the one who is ill, I think that I most likely come as close as I can to understanding her autoimmune disorders that doctors can’t even identify. I just wish that everyone else could see her through my eyes because then they would just understand a little bit more about her and not judge her day after day.

  • Stacey

    Thank you. You said it Girlfriend!!! Lupus fibro hyperten. diab. … & I’m a caregiver. lol. my mom 3 strokes. aphasia fibro diab hypert … Son -12 ADHD / OCD

  • Lola

    Thank you so much for this theory! i will be showing it to people to help them to better understand. I don’t have lupus, and I’m sorry that the author does. I have Hashimoto’s thyroiditis, Post Traumatic Stress Disorder, and possibly another condition currently being diagnosed. Nobody seems to grasp that I can only do so much before feeling overwhelmed or having a flare, i cannot participate in social activities and feel out of sorts when i try to do so, as i cannot drink and eat what the others are having and i am sensitive to light and sound and I am worn out easily or overstimulated by everyone’s adorable children, and it is hard to convey that I cannot play. I can’t talk to friends with water or clanking noises in the background, I’m not being rude but I have to ask them to call me when it is quiet because the overstimulation makes me ill. As do smells and perfumes and smoke…so many things, and people do not get it and are not helpful. They have expectations about seeing me and doing social things. It is rare that I can. The after affects have made it very unappealing! I know many of you understand. People sometimes take all of our spoons, just by being overly aggressive in one way or another! This theory is right on the money, the perfect analogy. Thank you thank you thank you. My best to all of you…we are all just doing the best we can while being misunderstood!

  • Scar

    Thank you so much for this. Just want to add that as someone with mental illness, I cannot spend spoons wisely. I cannot keep an extra in my pocket, and things unexpectedly take multiple spoons from me. I can start the day with plenty of spoons but then I have an episode, then I encounter a trigger, or something else, and suddenly I have no spoons left at all. Many days I wake up with no spoons, because I’ve spent the night battling my illness. And this is invisible to others, they don’t understand how I can seem fine and then claim to be ill, and they don’t see how all of my spoons went away when a trigger happened.
    That said, I love your spoon theory and have shared it with family and friends, and I think that this does help them understand why I can’t commit to attend an event in two days–I simply don’t know how many spoons I will have, and if I promise to be there, that promise is meaningless.

  • Angie

    Thanks so much for the spoon theory. I found the link to it on the myositis site last yr. My husband has DM/ILD and I have shared this with our family. It has really helped us understand what he is going through on a daily basis.
    It is so hard for him to not be able to do all the things that he would like to do and used to be able to do. But he hasn’t accept the spoon theory yet. He still tries to push through instead of reconizing his limitations. Sometimes he ends up on the floor and cannot get up, but all I can do is be there to help him up when this happens.

  • Rach

    This is fantastic and I feel for every person on here who suffers from any illness.
    I have Occipital Neuralgia and am currently at the stages of being diagnosed with either FM or CFS…..however my work have no understanding of what I am going through. I am a Police Officer and after many years of being told the problem was “in my head” I am now going to print off this spoon theory and show it to any boss or Doctor that shows no sign of listening, degrading me or discriminating against me. I absolutely love it and say thank you for helping me with the task of making others ie my employers understand what day to day life is like and maybe then they will think twice about threatening to sack me!!!!!

  • Jaimee

    I have loved your spoon theory for what feels like forever. I have myasthenia gravis, an autoimmune muscular dystrophy. Technically I am not supposed to have it because my dad has it, but then his brother and his cousin have it. My maternal grandfather has it…but it isn’t hereditary. Go figure! I have been seen at teaching hospitals for the past 10 years and the neurologists always like bringing in students to “check out this strange case.” I don’t mind…because if another medical practitioner can know what I am going through and can help someone else, then I am happy. I am now a nursing student and shared your theory with my class. I was actually wearing a tank top stating “Do I look sick? Invisible diseases suck,” which I bought through your site. They didn’t really believe this was a real site until I pulled it up for them. I just wanted to let you know that your wonderful theory has helped a class of student nurses have an easier way to explain a disease to their current and future patients. Thank you.

  • Alex

    Thank you so much for this metaphor. I read it years ago and it really stuck with me. It’s a piece of writing which clearly has helped many people in explaining how they feel to people with a different range of experiences – thank you for the spoons you devoted to writing it.

  • This is such a beautiful theory. I don’t think anyone has ever asked me what it felt like to be me on a day-to-day basis. I have hereditary hemochromatosis with porphyria cutanea tarda, and now Hashimoto’s thyroiditis. Each thing that I do, I weigh in my mind how I will feel. Will I have enough energy or will I have to sleep for a few days to recover. Thank you for this:)

  • Bird

    This was insightful, in several ways, for me. Thank you.
    I have Crohn’s Disease, anxiety disorder, Bipolar II, asperger’s, asthma and a few other troubles (some which I still haven’t been able to get a diagnosis pinned on), and, though there are some days I’ve been told I look like the walking dead, I usually look very normal. People don’t seem to understand why I am often so distant and tired. I have not found a good way to deal with living with my conditions, and this is a helpful way to look at it. I hope thinking about this will make me more careful with my life.
    I also have a mother with Multiple Sclerosis and Fibromyalgia. It’s been a bit difficult for me to accept this, as well, and she does not seem to ration her energy off well.. She usually overdoes it and is incapacitated before noon. I’m going to show her this, and hope it helps her as well.

  • Lyn

    Thank you for your ‘Spoon Theory’. It is brilliant. If I feel that my friends/relatives might at some stage realise that perhaps they don’t understand why I am sometimes overwhelmed by my struggles I will be able to refer them to this Website. Thanks Heaps. Lyn. Queensland

  • SingleMomX2

    Thank you so much for this! I was recently diagnosed with RA (rheumatoid arthritis) and have some still as of yet undiagnosed condition causing severely high blood pressure and low potassium episodes that put me in the hospital often.
    It’s been frustrating learning to deal with a life long illness that affects the way I live. My life has changed so drastically and it’s scary.
    I love this explanation. I hope it well help my friends and family to have a better understanding of why some days, I just don’t have enough spoons!

  • Moon

    THANK YOU! You have just described how it is to live with Fibromyalgia Chronic Fatigue. No I don’t look “sick”, but then again what do these actually look like???

    I’ll send you healing energy and be thinking good thoughts for you. 🙂

    Namaste,

    ~Moon

  • cyndi stallings

    I have fibro, and other similar disorders, since I was 19 ( 32yrs) and although my husband understands and does most of the housework, cooking etc..( with a smile) my family doesnt/wont understand what its like with an invisible illness. My mother still thinks that I’m lazy, my sisters have since stop asking me to go anywhere, cuz they think im anti-social (cant spend all day window shopping or wine festivals) and the rest think im pandering to get attention!!
    I love this explanation, I might just keep some plastic spoons with me to make my point! Thanks!

  • Lisa G

    I was given this link through a new friend of mine and it touched my heart. Our 2 year-old son was recently diagnosed with an autism spectrum disorder. Most people look at him & give us a weird look when they hear his Dx. “But he doesn’t look autistic,” is what they all seem to say….. or at least be thinking. I think about his life (and the life we had dreamed for him) and I start to realize how different things will be for thim than our other 2 children. Things they take for granted will be a challenge to him. Things we take for granted as parents will be a challenge in parenting him. I get that look so often now. The one that has no words but simply implies that the other person feels sorry for us & is curious how we manage. Thanks for this……. I think this sort of heped me find an answer in my own space about what it is like to be us and what it will be like to be him.

  • Sandy

    A friend of mine just shared this. Thank you so much for this analogy. I don’t have lupus, I have FMS and CFS. I feel the analogy still applies. So, thank you again and best wishes for you.

  • Julia

    I don’t have Lupus, but I know exactly what you mean. I’ll refer my friends to this page when they don’t understand I have no “spoons”.

  • Sabrina Smith

    This is really good. I have had CFS and Fibromyalgia for the last 8 years, and asthma all my 21 years. One of my other CFS friends posted this on her fb page and that’s how I came to read it.
    I understand exactly how you explain it as I go through the same “spoon process” myself, although I’ve never used that analogy. With your permission, I would like to give this to my friends who have 100% energy 100% of the time, and have no idea what its like to be sick.
    My illnesses too are invisible and as Caroline said, people see you one day in the week for an hour and you look fine, but they don’t see you lying exhausted in bed for the next 4 days or so afterwards.
    I agree with PlanetNiles too, although I don’t have epilepsy. I often get spoons taken away from me through stressful situations, and I avoid making ANY phonecalls if at all possible as that uses too many spoons in one go.
    I cried when I read this and the dozen or so comments underneath and I can associate in some part with all of them, and it helps me to feel not so alone. Isolation, mentally, physically, emotionally is a huge part of invisible illnesses. thank you for helping me to see there are other people out there who understand what I’m going through

  • This is amazing! Thank you so much for this!

    I have Acute Intermittent Porphyria complicated by Pernicious Anemia. The constant having to make sacrifices and choices about doing things or not doing things, in order to make it through the day would describe my life 100% – I’ve been struggling for years to try and find a way to explain my disease to friends, family, coworkers, bosses, etc so that they can understand clearly the struggles I’m facing, and why I often can’t do the things they take for granted I should be able to do. Some days, just the act of getting out of bed is more painful and exhausting than I can muster the strength for. I don’t get to have a social life much, because I never know when I’m going to be facing an attack from physical or emotional stress caused by trying to do too much, eat something that sets my disease off, or be out in the sun just a minute too long, and end up in agony. I have to plan when, where, and why I’m going somewhere meticulously, and I often don’t have the energy to go anywhere at all… And no one in my life understands that daily struggle. But I think this theory will help, and that gives me hope, at least.

  • Thank you a million times for sharing the Spoon Theory.
    I was recently diagnosed, finally, after years of symptoms that went misdiagnosed, with Fibromyalgia.
    I am 34 and have been “sick” at least since I was 27.
    People tell me I don’t look sick, or just pop an Advil for the back pain. They wanna know why I’m not working when I am clearly online everyday blogging my pain.
    They don’t get it. My parents who are helping me don’t really get it.
    But the spoonies get it.

    That makes me feel not so alone.

  • caroline

    I have 2 different illnesses that I look fine with but habour my day to day living. Some days I feel fine the next I am lifeless and there is no help forsomeone like me people think your faking cause you are fine one day and ill the next it’s getting so hard. I feel bad too cause my friends think i am fine and askme toodo thins for them (like drive them here there and everywhere or watch their kids) but i dont have the energywhat ami supposed to do if i still want to be a good friend. I have a daughter and hardly ever ask anyone to watch her unless i am really stuck like in the hospital What would u all do :0(

  • Kris

    Loved this story! I was just diagnosed with Systemic Lupus a month ago, though I have had the symptoms gradually appearing for the past 5 years.
    My Mom doesn’t understand nor does she seem to want to accept it. her and my Doctor have both been saying its not going to change my life so I shared this with all of my Friends and Family members and now just hoping it will help them understand.
    Living with any invisible Illness can be hard and take a lot out of you but just hearing stories of People with these Invisible illnesses makes it easier to live. Even though you have to conciously think about the decisions you make- It can truly be counted as a blessing too. We have the gift of slowing down and making our decisions count for something good, we don’t just go out and do things anymore but we accomplish that which will make our lives more fulfilling in the end.

  • Jane Adams

    I was diagnosed with Systemic Scleroderma – diffused in Nov. of 2009. The shortest way to describe what it is that our connective tissue gets short and the skin thickens and hardens. The Scleroderma Foundation website can explain it in more detail. My comment is that I like the Spoon explanation of having an invisible illness. It is so difficult to try and let others understand what you have and how hard it is to get things done in a day when you look perfectly fine on the outside.

  • MC

    I have lived with chronic illness for the last fourteen years (more than half my life), all neurological, all mostly invisible (the epilepsy is, unfortunately, extremely visible).

    I’ve always explained it similarly, though the spoons are much more clear. I like to explain feeling ill after someone has just gotten over a cold or the flu. They feel wonderful. They can’t feel better. They are so happy that they don’t feel sick anymore. With my hands, I show a level. That’s 100%. My friends function at 100%. Usually, I function somewhere below that. My “100%” may be 90% or 80%. That is the best I ever feel. Then I go through a typical day with them, showing how it wears on us.

    I find your example much more illustrative. As another poster (who experiences seizures) said, and I agree, I can’t always plan those “spoons” that I’m going to lose the day I’ll have a seizure. If I’ve already lost too many “spoons” and I have a seizure, it might trigger another (and probably cost me the next day’s or so as well).

  • Sharma B

    very well said. I deal with rheumatology patients, try my best to help them by understanding them. I’m really impressed with the story. This will help lot of people to cope up.

  • Ana

    I have Asperger’s. People never understand why I can’t do certain things. I look normal, so I should be normal, right? But I’m not normal. I never have been and I never will be. Every day I have to try harder than other people to do things. If I have to make a phone call, I have to work up the courage because I know it will be stressful. Oftentimes I don’t even try because I just hate it so much.
    It’s more than just social issues, too. I am very sensitive to bright lights and to loud noises or too much going on around me. Sometimes my husband thinks I am being difficult on purpose, but I’m not. Things just overwhelm me. Sometimes very simple things. No one else can see what is in my head and how I am feeling and being affected by things, and I don’t know how to explain it to them.

  • Bram

    Hey there,

    This story is so touching, so true. I recognize the whole story about having to make those choises and not having an unlimitted amount of energy aka ‘spoons’ like normal persons have.

    I saw there are a few translations made but there is no Dutch version yet. I was thinking of translating the whole thing in to Dutch. Just need to get permission of Christine Miserandino.

  • Aw, that made me cry. It`s exactly the way it is, spoons, so clever! Maybe my friends and family can understand a little better 🙂 Hugs from me

  • i really like the explanation! trying to explain my “conditon” to people can be so furstrating , but reading this “spoon theroy” i think will help me do it better and it might make ‘ my hard headed father ‘ understand why i dont have the energy to call or go here and there or climb those stairs… good job i truely thank you for this

  • I love this! I linked to it in one of my sites quite a while ago, but I still come back here and read it every once in a while. It helps me to remember that I can only accomplish so much. I also suffer from chronic illness (fibromyalgia, Chron’s, asthma, and Idiopathic CNS hyper-somnolence), and often have a hard time making it through a regular work day, just because of the continuous hours. When I think of the spoon theory, I realise that there really is only so much that I can do, and that I shouldn’t feel bad when something takes me 2 or 3 hours one day that took me only 30 minutes or an hour just the week before. Thanks!

  • @Kat: As someone with NEADs (Non-Epileptic Attack Disorder), which is also classified as a mental illness, I understand where you’re coming from.

    We don’t get to spend our spoons wisely, marshaling our forces for the long haul. We have our spoons savagely and unexpectedly taken from us.

    I lose spoons whenever I experience a stressful situation. If I lose enough, not all, I can have a seizure. Sometimes I’ll come out of a seizure with more spoons than when I went in but more often I’ll have lost a few more, if not all of them.

  • I don’t have Lupus, but I have been dealing with Asperger Syndrome for 52 years. I’m glad I don’t have Lupus, and you should be glad you don’t have Asperger.

    I’ve been living with this, and learning to accommodate the various obstacles created by Asperger for my whole life. I am in fact quite capable of things that should be impossible according to the diagnosis. But what I find hard to explain is that all of those accommodations are hard work.

    I spend my day as a CSR on the phone, having conversations with strangers. Conversations with friends are hard, with strangers it’s harder, but I can do that, and quite well — but each one uses up more of a limited store of personal resources to be able to do that. After a day of conversation, I don’t want to talk to -anyone-, friends or family included, because all the conversation I am capable of, all the “spoons” I have, are simply gone. If I manage it at all, it’s no longer an effort, now it’s nearly painful, and quite exhausting.

    So my family seems to think I’m heartless and uncaring, because I just don’t have the wherewithall to even talk to them at the end of the day or end of the week. There’s only so much.

    I do a podcast about my life, including sometimes discussion of Asperger, which is sometimes an obtrusive part of my life. I’d like to read “The Spoon Theory” into the record, if you will, of my podcast, because I think your story, though about a whole ‘nother invisible condition, explains quite well what folks like me face, even though we appear to be coping quite successfully.

    There’s always a cost, and there’s not always enough to pay for it.

    Thanks.

    Griz

  • Yes this is a great way to explain what its like to be in chronic pain as well. Thank You so much you make things easier to explain! Many good days! : )

  • Just beautiful. Well said and well explained.

    What I don’t understand is why some people don’t feel this is appropriate as an example of our limited energy. I feel sorry for someone who has little to no patience in dealing with others and trying to explain what we go through on a daily basis. But I guess some people still have not come to terms with their own limitations in a graceful manner. I have CVID. I don’t look sick. But I am most of the time. When I’m not sick, I have to look out for others that are. Are you coughing, is your nose running, did you wash your hand. Because your cold WILL make me sick.

    Thank you Christine for this beautiful theory on energy. I will use it if you don’t mind.