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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  • Christina Telles

    Except that you’re NOT unbiased. Being a proponent of ‘spoons’, you very much are NOT unbiased and will do anything to read my words with bad attitude injected into them, much of it your own, I’m sure. I have re-read what I said. Maybe YOU need to go re-read it. I said “It’s too confusing and it only works if you happen to have spoons handy.
    I have a couple “invisible” diseases, so I know all about the concept,
    but even I was confused the first time I heard it. It made absolutely
    no sense.” That is copied and pasted directly from my post. How is that in any way having a bad attitude? Then I got ATTACKED for those words, and THEN I may have gotten a little bit of a bad attitude, but who wouldn’t when being attacked for not understanding something and saying as much? I suppose you’d call a kid stupid and attack them for not understanding something they were told in school, too, wouldn’t you? And then say THEY had a bad attitude if they got a bit touchy with you after that?

    So, am I a bit touchy after being attacked for not understanding something and also not understanding why some people think that it is so great? Yes. Am I in any way being a martyr? Absolutely not.

  • Hope Varnedoe

    i suggest you re-read your words – go back up and RE READ it all – that is not at all what you said nor how you said it. and what is happening here is people are calling you out on your bad behavior and rather than doing some necessary self-examination you continue to play the martyr. remember i don’t have a horse in this race. i wasn’t involved in a debate with you but am an unbiased third party who watched it all devolve in front of me. i don’t have a cause. this is where you again need to re-evaluate your behavior. i simply have read this entire mess and call it like i see it. i won’t continue this discussion with you because you are obviously incapable of self-reflection nor self-moderation. best of luck. you’re going to need it.

  • Christina Telles

    Wait, wait, wait. So, saying something is nonsense TO ME, and sounds stupid TO ME, is insulting, but more than one person saying I have a bad attitude (which I don’t), am unhappy (which I’m not), and just generally ATTACKING ME isn’t insulting in any way?! How on Earth do you figure that? Oh, right. Because if someone doesn’t agree with you, that means THEY’RE the ones at fault. I completely forgot. You know, instead of ganging up on and attacking people that your precious “theory” makes no sense to, did you people ever think that it may actually HELP your cause to try and make it make better sense? Yeah, I didn’t think so.

  • purplewowies

    She’s just using a physical object to display what is at its root an almost mathematical situation (that is, s-x=p, for instance, where s is the spoons you start with before an activity, x is the spoons the activity makes you get rid of, and p is your spoons afterward). The object used in the model is not what matters. You could use any object to represent what you’re trying to convey. Use an easier object if it’s what gets your point across. Spoons were the objects she had on hand. She actually used a very… teacher-ly process (modeling a math problem, basically), she just used objects most people don’t think to use, because it’s what was there.

  • Hope Varnedoe

    differing opinions are offered with respect. they do not consist of calling something STUPID and NONSENSE – those are insults – not a differing opinion. stop playing the martyr and examine your words carefully.

  • Christina Telles

    Wow. It’s amazing how you people will gang up on someone with a different opinion. I never ONCE tried to shove my opinion down anyone’s throat. What I DID do, was state an opposing opinion, and wonder WHY people were so adamant in their use of something that made no sense to me. Oh, and refuse to change my opinion under pressure from people being rude to me. Though, I shouldn’t be surprised. I was warned by a proponent that stating an opinion different from everyone else’s that I’d be jumped on unfairly like this. I guess i just had some faith that people that have to put up with so much would be way nicer than this. Guess I had way too much faith that people in constant pain would be understanding of someone just like them.

  • Hope Varnedoe

    i have read each and every one of your comments Christina and i honestly can’t understand why you are so vehemently trying to derail the spoon theory. what on earth does it matter to you if someone uses it or doesn’t use it? if it works for THEM good. if it doesn’t work for YOU good. don’t use it. you don’t have to go on a tirade and smear campaign. calling something stupid isn’t disagreeing with it – it is attacking it’s validity as a whole, which is inappropriate because it is effective for many people and as someone not engaged in this discussion but only viewing it from the outside, you seem incredibly defensive, aggressive and rude. you have the right to your opinion and to disagree with something – but you don’t have the right to demean the idea utterly nor try to shove your opinion down everyone’s throat in such a nasty manner.

  • Brianne Nurse

    Ooh, batteries are a great idea! Spoons were just what Christine had to hand when she was explaining things to her friend, but as an analogy, and without having a handful of spoons in your pocket, I think batteries definitely better explain what the physical object in the analogy represents. They also have an associated concept of weight and a visual representation in most people’s brains, so they work on that level — take away one of your batteries, and you’re going to feel the loss.

    I wonder, even, if there’s room to further narrow down the metaphor; for example to say that most people run on sophisticated, efficient, high capacity lithium-ion batteries, but our batteries are the clunky cylindrical kind. I think this warrants further examination.

  • Christina Telles

    You know what’s rude? Trying to make me feel bad because it IS nonsense to me. Just because I have a different opinion than some people’s pet ‘theory’ (and calling it a theory when it very much ISN’T a theory is way more insulting than it making no sense to me), does NOT give people the right to jump on me and tell me I’m wrong. Or that I have a ‘bad attitude’ or am ‘quite an unhappy and angry person” because I don’t agree with them. No, I only became an unhappy person because people were calling my unhappy and angry!

    THAT, madam, is RUDE.

  • Christina Telles

    Yes! Exactly. Thank you.

  • Christina Telles

    No, calling it a bad analogy is just being truthful. An analogy is supposed to be when you compare one thing to another, in an effort to make it easier to understand, so that you DON’T HAVE to explain it. The whole point of spoons is that it’s a way TO explain things. Since it fails in it’s job to make explanation unnecessary, that makes it a bad analogy. And that IS an observation.

  • Christina Telles

    Wow, that’s quite a lot to glean after I made 3 comments, one of which was only 4 sentences long. If you knew ANYTHING about me at all, which you don’t, you’d know that your assumptions are so far off base that it’s almost like you’re TRYING to be wrong. The only thing I could really be called unhappy about is that I can’t work anymore, but that’s not even that terrible, because all working would do is get rid of the utter boredom I feel every day. And once again, I do NOT have a bad attitude. Just because I disagree with someone doesn’t mean I’m angry. It means that I have a different life experience and therefore, different opinion. I’m actually quite good-natured and kind to everyone I know. Even if I can’t stand you, I’ll be perfectly civil. Until you get on my bad side by attacking me (or my friends/family). And the only time I insulted anyone was after I was personally attacked for having a differing opinion. Last time I checked, it was actually a GOOD thing for someone to think for themselves and form their own opinions.

  • Sue Mietlowski

    Your quite an unhappy and angry person. I feel sorry for you. If your don’t like the theory then don’t use it. Mostly everything you’ve said seems nonsensical. I think your bad attitude was part of you long before you began insulting people.

  • Sue Mietlowski

    Everyone has their own way of explaining things. This is what was easiest for her while at dinner. Don’t knock it…adjust it to fit your situation

  • Tammy Swank

    Thank you for sharing the spoon theory. I had never heard of it but now that I have read it have shared it with a couple people ( no real spoons needed) and they FINALLY seem to understand. They actually thanked me for “giving them insight into what people in pain go through”

  • Me

    Personally, I replace the “spoon” with a battery in the illustration, since it conveys the concept of a unit of energy/work/power/ability, which is actually what the whole “spoon theory” metaphor is trying to convey, & the average person can better relate a battery to energy, more so than a spoon or other inert object.

  • Kathryn

    I’ve had CFS for nearly ten years now and I wish this had been around when I was diagnosed (which was nearly seven years ago, but my doctor realised I’d had it for three years undiagnosed) because I agree, this is a very good representation of what it’s like to live with CFS.
    I wish you many good days and a lot of spoons.

  • Diamonds In The Sky

    I have Multiple sclerosis and everyone in my group use the spoon story all the time and ppl understand what we are going threw

  • Deborah Lane

    The neat part about finding this way to explain what we are living with is that it actually helped communicate all of this to my 16 yr old son. I caught him during a fairly calm time (because as we all know, teenage brains cannot absorb much info) and told him the story in brief. I wasn’t sure he would get it, but he did. He actually explained it to my older son one day. My older son has pretty significant developmental delays and was giving me a hard time. My younger son told him to go easy on me so that I would have some spoons later on that day. That was the best thing I could have hoped for! Before this I had been routinely called lazy by my sons and questioned why I was in bed so much…

  • AnxietyBoy

    Calling it a “bad analogy” is insulting. You are free to say that it doesn’t work for YOU, but your failure to grasp something does not make it inherently a bad thing.
    Stick with observations, not value judgements.

  • Brianne Nurse

    “Anyone that doesn’t want to confuse people should stay away from the spoons “analogy”. Only someone that WANTS to confuse someone would use it.”

    I’ve actually found just the opposite. Spoon theory — or some close approximation thereof — has been invaluable in clarifying what I live with to people in my life who truly didn’t understand my behaviours until I framed them in that context. Afterwards, they understood — maybe not intuitively or completely, but well enough that I no longer deal with accusations of laziness or of not caring. As for that last bit, I certainly didn’t want to confuse them further. That wouldn’t have served any goal; it would have made things worse. I wanted to clarify, to explain, and spoon theory provided exactly the kind of tangibility I needed to fully articulate my thoughts.

    “Like I said, unless you already know the spoon thing, then it doesn’t make sense.”

    That’s just not true. I was the first of my friends and family to find this article, and I quickly spread it around to them. Many of my friends and family who suffer from mental or chronic physical illness immediately understood, because they could relate. It took a little longer for my friends and family who are lucky enough not to suffer from chronic illness to grasp it, but not by much. Without exception, every person I’ve explained it to has come out of the conversation understanding, at least to a degree that I’m comfortable with, what it’s like to live with chronic illness.

    “The only reason some people cling so hard to it is that it make them feel superior to people that they have to explain it to.”

    This may be true of some people. There are a lot of people out there who try to control their illness by finding a way to one-up someone else. However, for a lot of us here in these comments, and for a lot of us who cling to spoon theory, the main reason we cling to it is because we have found that it enables us to explain to our loved ones why we can’t behave in the ways they think we should, in a way that our loved ones can grasp without having to “take our word for it” about our experiences.

    Spoon theory (and you’re right, it’s not a theory, just an analogy) is, for some, a way of contextualizing our experiences in a way that people who have never experienced what we have can understand. It certainly doesn’t work for everyone, and it’s not a perfect analogy, but I don’t think it ever claimed to be. But to make such sweeping generalizations about everyone here is to invalidate our experiences — something we’ve all, yourself likely included, dealt with far too much in our lives. We really don’t need any more invalidation of our thoughts, feelings, behaviours and coping mechanisms, especially from inside our support systems.

    I don’t expect you to suddenly change your mind about spoon theory. Your thoughts are your own and they are just as valid as mine. It doesn’t work for you, and that’s okay. But please be careful when you make such sweeping generalizations about the people for whom it DOES work. We’re not all your sister-in-law. We’re not all trying to find a way to one-up someone else. We just want a way to explain that no, we’re not lazy, good-for-nothing, avoidant assholes. For many of us, spoon theory has helped us do that.

  • Wendi Wood Armstrong

    Let me come at this from a different angle…so the spoons analogy doesn’t work for you. I understand that. When I try to explain to other people what my condition is like, spoons doesn’t always work either. It is just one way to explain how we all feel. But to say it is stupid or nonsense, is for one rude to the people that it does work for. Two, rude to the people that get hope that SOMEONE out there understands what they are going through, because I’m sure that you, like me, have felt alone and lost in our disease. And mostly, it’s rude to Christine Miserandino who put herself out there, just to try to help other people like you and me. So it doesn’t help you. I’m sorry. But saying it’s stupid and nonsense only hurts the people it does help. All of us that have diseases or disabilities should be banding together to help each other, to support one another, because the healthy world doesn’t understand what it’s like. I’ve been poked, prodded, medicated, you name it, for as long as I remember. Not everything I’ve tried has worked but just because it doesn’t work for me makes it stupid or nonsense.

  • Wendi Wood Armstrong

    I’m sorry you took what I said as a personal attack. It wasn’t meant as such. But saying something is “stupid” or “nonsense” because it doesn’t work for you? But again, thanks for your opinion

  • Wendi Wood Armstrong

    Okay, so great… It doesn’t work for you. Thank you for expressing that. We appreciate your opinion. But now we are all going to go back to the thousands it does help… Hope you find something that helps you… Like a positive attitude.

  • Wendi Wood Armstrong

    Even though I can’t say I know exactly what you are going through, I know from similar experience. I’ve been dealing with mine for about 15 yrs now. I know how hard it was for me to let go of my own expectations for myself, as well as feeling like I let those that I loved down. It was hard and my family never really got it. But I was determined to make the best life I could, no matter what. And I have made a good life for myself when I began to understand “now” and “for me” and it keeps getting better. My family began to understand when my mother got seriously ill and almost died a few years ago and how it changes your life and the things you do after and what you have to do after, to remake your life again. And when I showed them the spoon theory, they understood a little more. I wish I could carry a sign around my neck that says “this is a good day!” for the times I do manage to do my hair or my make up and go out in public. Most people don’t know I live my life in sweats and t-shirts, that taking a shower, brushing my hair, brushing my teeth… That’s like a full day’s work to most people. Most people don’t understand that. And to be honest, I don’t even remember really living any other way. Blessings and extra spoons to you!

  • Brianne Nurse

    The reason it works so well is because it is an analogy which mixes theoretical concepts with actual, tangible, physical objects. In order to tell someone about spoon theory, you don’t actually need to have spoons on-hand. The person just needs to understand that a spoon, a physical object they can easily imagine, is representative of a unit of energy consumption for the day.

    Points can also work, especially if you’re explaining it to someone who enjoys video games. You can use hit points, or energy points, or mana points, or whatever other kind of points to illustrate the case. However, points are still intangible ideas; you can’t readily imagine holding a pile of points, so the thought of taking one away doesn’t carry the same weight, intuitively or intellectually. A spoon, however — when you only have 12 spoons and you take one away, you can imagine the loss very easily. Visually, you have fewer spoons. You can imagine the difference in weight, the actual tangible FEELING of having fewer of something. You can picture the process of losing that spoon — watching it be snatched from your hands. Points are not so versatile.

    Spoons are also items that people don’t ever really consider in their day-to-day lives. There are always spoons around. Most people will never, ever want for a spoon. So to have these common, everyday items made into a precious and rare commodity helps to drive the point home that there is a very big difference between the energy consumption habits of the healthy vs those of the sick.

    I’ve found spoon theory to be incredibly useful in detailing what it’s like to live with mental illness. Sure, sometimes I use “points” with my fellow gamers, because as people who are constantly gaining and losing “points,” it’s a much more visual concept for them. But for the general populace of my friends and family, spoons are an excellent analogy.

  • Christina Telles

    I HATE the spoon analogy. Why is everyone so in love with it? It’s too confusing and it only works if you happen to have spoons handy. I have a couple “invisible” diseases, so I know all about the concept, but even I was confused the first time I heard it. It made absolutely no sense. I mean, it’s not like everyone carries around a dozen spoons with them all the time for illustrative purposes. (I mean, that would cost you 1 right there.) It works much better with something general, like ‘points’. Different tasks take a different amount of points, which can even vary from day to day. It’s much easier to explain with a term like ‘points’, because everyone understands the term. No one understands the spoon analogy unless they’ve already heard it, which defeats the whole purpose of being able to use an analogy.

  • bobbi

    thank you for this..i’m only 14 and i have a so far undiagnosed invisible illness (been going on for 5 months now, still no answers) but this relates to my illness a lot. it’s hard when my parents and friends don’t understand and make hurtful comments.

  • Nikki Edwards

    Put into words perfectly i live with this disease every day i gotten laughed at not so nice things said to me and it hurt….. I explain my side but i get it cant be that bad ur not hurting ur over exaggerating, when i could barely move or open a pop let alone lift my own body up its a every day real struggle thank you for this story….. Due to my lupus i had over 7 surgeries fybromyalgia, osterperosis, brittle bone disease, and asthma it is very very hard i even lost my baby due to this disease, i wanna give up but im a fighter and will fight as long as i am still alive

  • Elaine Clark Stoner

    what a wonderful way for people to understand the difficulties in living with lupus!Thank You!

  • mystele.com

    thank you so much for this article. i have had chronic health issues all of my adult life, and the main one- pulmonary fibrosis- is taking its toll on me as i age (40 next month). it’s often very hard to help people understand why i don’t show up to something or why i’m sick- AGAIN, or why i have to choose what events, outings, chores, errands, etc.. that i can physically handle in a day. there is an unspoken- “you’re STILL talking about this? can we say “hypochondria”?” but the spoons- yes! that’s how i have to think about my day, and i would have never come up with that word picture. thank you so much not just for sharing this but for normalizing my life in the body that i have. God bless you richly for this blessing.

  • Michelle Sereda

    This is absolutely outstanding. I would like to post this on my worksite as we work with many disabled people who, like you, shared similar concerns. Will you permit me to do that? or would it be more appropriate to buy something?

    Thank you!

  • scootee

    Thank you, thank you, thank you… I have been struggling for so long to explain my daily battle with Endometriosis, Post Viral Fatigue Syndrome, Reynauds Syndrome and Chronic Sinusitis. I have lived for YEARS, surrounded by people who either do not understand, or do not care (and sometimes both!).
    At last, I have a way of being able to look at things, and a way of encouraging others to look at things, that makes sense and is relatively easy to explain. True, NOBODY can ever really enter my life and live it as I do – but at least I can now give them a fair approximation.
    You write with compassion, empathy and genuine understanding. It is a pity that these traits are not infectious (unlike disease, which is, and which ought not to be!)… the more people are opened up to an understanding of what it is like to live one’s life constantly with a disability or chronic condition, the better.
    Once more – THANK YOU.

  • Sarah

    This made me well up… what a brilliant theory… it completely registered with me and how I feel every day. Thank you for sharing this. much love x

  • Melanie Jean Hoyle

    The spoon theory definitely describes how I am right now after being diagnosed with Fibromyalgia. I feel like I maybe only have a dozen spoons per day as I’ll do so very little and then I’m exhausted and wanting to sleep. With that on top of every day pain I despair at how my life has turned back on me. For me it began with IBS and sleep disorders, followed by migraines, and after battling with those for years to get under control suddenly here comes fibromyalgia and undoes 35 years of care and treatment planning that have allowed me to live a normal life. It’s like having several rooms on fire with each fire reacting to a different method to put it out, only you cannot put it out completely so you have to find out what it reacts to and keep it to a small fire, then just as you have all rooms under control someone throws heaps of fuel onto them as well as adding a fire of their own. What’s worse is there is no cure and you don’t actually look ill, just tired and in lots of pain, and people who don’t understand this think you’re just being lazy or not being active enough, or that you’re antisocial and prefer being alone. If you mention it people think you’re just looking for excuses to avoid doing something, or they get tired and irritable of hearing about it all the time because that’s all they ever hear from you, so you feel isolated and despairing that there’s nobody who understands or can help pick you up when you’re feeling at your lowest.

  • treva

    Thank you. I now have a way to explain about my Lyme disease and why I can’t get everything done I used to do.

  • jude

    I thought my Gaba was keeping me awake at night so I tried to change this AM. I took it around 1 PM instead. Now I can’t find my nose or the spoons I had left. WHAT I learned ? Spoons are there to use when I REAAAALLY need them..DO NOT waste them on DUMB stuff.

  • Julie

    I wish there were a shorter version of this, many people I send here don’t take the time to read the whole thing :*( Which sucks, because if they don’t even want to read an explanation, how do they think living it feels? I just wish there was a shorter version.

  • Christine Hansen

    This is the perfect way to explain Fibromyalsia. Thank you so much for coming up with this.

  • Maria

    I really enjoyed reading the spoon theory, , thank you for writing it. I have fibromyalgia, scleroderma and other autoimmune diseases. It’s been about 16-18 years and just now I’m starting to see more people talking and writing about their illnesses, so it really helps and its very encouraging. We are not always in control of what we go through in life but we do have a choice in how we handle it…either we let things be stepping stones in our life or stumbling blocks I am also motivated to write my story or blog one of the two…many maybe both. Thank you so much again

  • Mike Evans

    Wow that is awesome I will have to try that out I have CRPS/RSD

    Thank you.

  • Marge Essink

    Daughter, senior nursing student, shared with me. An instructor had read to them in class. I read at 2 AM last night when I couldn’t go back to sleep for all the normal reasons. I cried and cried…..then I forwarded to few friends. THANK YOU

  • Andrea Gayle Hess

    Bless you baby I feel sorry that you’re having to go through all this I can remember being 17 and not feeling well either. Almost 8 years later was I diagnosed with multiple sclerosis I darty had a career and two children but didn’t understand why always felt so bad. I can tell you that each day is a struggle I am not going to lie but is a blessing for each day that you have with your family. I am actually better now than I was at the age of 17 and 18 due to medical benefits to have a come about I can’t remember the first doctors I saw telling me it was in my head low and behold it was just not the way they thought stay strong and keep your courage it will all work out and don’t give up on hope and faith I know this will sound crazy but I thank God every day that he gave me something I could handle that somebody else couldn’t it is a big struggle on my family but we all make it worthwhile you and your family will stay in my prayers

  • Deborah Lane

    Wendy, thank you for reaching out. I have struggled with these emotions for over 20 years, having symptoms since my early 20’s, and perhaps even in my teens if I really think about it. Giving myself permission to let go of who I was and who I have always thought I “should” be has been evasive. Thinking about how many spoons I have has made things more concrete for me. It is nice to finally feel free.

  • Wendi Wood Armstrong

    Hi Deb, thank you for sharing. I wanted to let you know that I know a lot of how you are feeling. I have an autoimmune disorder caused by the Anthrax vaccines I took while I was in the military. It took me years to change my expectations for myself. But for me, the best thing I ever did for myself was just to let go of who I WAS and accept who I AM, in this exact moment. Accepting who I am right now doesn’t mean I don’t want more, doesn’t mean I don’t want to keep improving. It just means I accept myself exactly where I am at this moment in time. In doing this, I actually freed myself from a lot of feelings I didn’t realize I had and allowed myself to move forward. I had been using a lot of my “spoons” on wasted emotions, like anger, regret, frustration by living in the past or looking too much to the future. I hope this helps a little in knowing you aren’t alone.

  • Sarah

    I read this post on bad days. I have Eosinophilic Esophagitis. It’s not a very well understood condition to even the medical community, so finding a doctor who is knowledgeable and willing to help very frustrating. Thank you for writing the spoon theory. It helps me greatly.

  • Lisa

    I read this and I cry. I have several rare diseases and it’s difficult when people just don’t understand. I used to be jealous of their ability to embrace life with an endless supply of spoons. I no longer feel that way. I know my limitations. I’ve become an expert at spoonology and knowing the costs involved in a task, an outing, even a simple visit by a friend. This is a great way if explaining what we go through daily! Thank you!

  • Deborah Lane

    I found your website the other day during another one of my extensive searches for understanding my set of conditions on the web. Up until then I had struggled mightily with shame, guilt and the overwhelming burden of extremely high expectations of myself. I was constantly berating myself for not doing enough to take care of my home, my paperwork, my family and my body. After reading about the spoon theory I had an epiphany. I could shed some of my unreasonable expectations of myself and accept that I was not alone in my struggles; I finally had a concrete way to visualize the struggle for completing simple everyday tasks.

    I have shared this piece with my therapist, my friends, family and most importantly, my wonderful wife of 22 years. Last night she told me that she had always known when I was down to my last “spoon”, but now we both would have the same terminology.

    Thank you for sharing, Christine. Your site is rescuing hearts and minds every day.

    Sincerely,
    Deb Lane

    Fibromyalgia, CRPS, Small Fiber Neuropathy, Lyme & pending Autoimmune Disease diagnosis…

  • Shaelynn DeBone

    Hello Christine and anyone else who might read this. I’m 17 and am coming up on my 2 year anniversary of being undiagnosed. Whatever it is, I’ve seen at least 5 specialists, I struggle just to attend my high school classes and that’s not including the homework. My Dad told me to look up the Spoon Theory and upon reading it this evening I found I could relate not only to the idea of losing my spoons just for small tasks and plotting out my day but for explaining it to someone and not knowing what to say. Being undiagnosed everyone fears the worst, but my biggest fear is not getting to go to college and it’s hard to explain to others that I don’t feel like I’m dying so why should they and that as long as I make the effort to struggle through another day they should believe that I’m still here and will find a way to save a spoon up so I can spend it with them. Thank you Christine for writing the Spoon Theory and sharing your experience.

  • What a great way to explain to people! I have Ulcerative Colitis and feel like my ‘spoons’ would represent the amount of energy I have in the day, by the end of the day I’m pretty sure I would be all out of spoons as chronic fatigue comes hand in hand with Ulcerative Colitis. I shall be talking about spoons more often now 😀 Great post x