Appointments.  We all have them and at times it can be a challenge to keep up.

Appointment fatigue, the exhaustion, stress, and burnout caused by a constant stream of appointments, tests, and waiting, is real.

The year before I left my job, a carpal tunnel surgery required extensive physiotherapy. Those appointments, while necessary, added much stress to my busy workday. I found myself running to and from each appointment concerned about the time I was missing from work.  Stress isn’t conducive to healing, and I eventually stopped attending those appointments. It was too much.

Following burnout diagnosis, I replaced physiotherapy with regular wellness appointments as mandated by the insurance company.

For more than two years, this was my routine and it will continue for the foreseeable future.

When energy levels are already tapped out, commitments like this can be overwhelming. I know how tired I get … I can only imagine how those daily or weekly appointments must feel.

Ways to Cope with the Emotional Drain

• Anxiety – Appointments, particularly health related, can make people anxious. Deep breathing or grounding techniques can help detach from invasive thoughts.
• Acknowledge and Validate – Release guilt about exhaustion. Juggling a constant stream of tasks, repeating the same information, and facing a clinical setting is draining.  Acknowledge the situation is difficult and give yourself permission to “wallow”.
• Batch appointments – Attempt to schedule appointments on the same day or week.
• Rely on Support from Family and Friends – Ask for drives to appointments. Have someone keep you company while waiting.  Four eyes and ears are better than two when it comes to taking in details of an important conversation. Ask for help completing the mountains of paperwork insurance companies require.
• Be Prepared – Make note of any questions in advance and write down the answers while fresh in your mind.
• Virtual Appointments – Request a phone or video call to eliminate travel.
• Take Strategic Breaks – A 1-to-3-month break from non-critical care can offer rest and recharge.
• Set Boundaries – Decline non-essential commitments if necessary. It’s okay to take time for yourself.

There is no cure for appointment fatigue so it’s important to find balance.

Chronic illness impacts every aspect of life – including mental health. When a health issue is ongoing, uncertain, or progressive, it can take an emotional toll, making it harder to stay positive or feel in control. Chronic illnesses can cause depression, anxiety, stress, or feelings of isolation, which can be as challenging as the illness itself.

Pain, fatigue, or unpredictable symptoms can be a daily part of life with a chronic illness. This can lead to frustration, hopelessness, or grief for the life once lived.

Unpredictable flare-ups or worsening symptoms can lead to constant worry, making it hard to relax or make plans.

Isolation and Loneliness

When a person’s energy is low or they cannot participate in social activities like they once did, they may feel cut off from family and friends. Over time, this isolation can make mental health struggles even worse.

Loss of Identity and Purpose

Many people define themselves by their careers, hobbies, or physical abilities. When a chronic illness removes that, it can create a deep sense of loss.

Medical Burnout 

Managing doctor’s appointments, treatments, and medications can feel overwhelming. The constant need to advocate for care, navigate healthcare systems, and explain symptoms to others can add to stress and exhaustion. 

The Overlap Between Physical and Mental Health with Chronic Illness

Mental health struggles can make symptoms worse. Stress, anxiety, and depression can heighten physical pain, weaken the immune system, and increase fatigue. This creates a cycle where poor mental health worsens physical symptoms, and worsening physical symptoms deepen mental distress. Because of this connection, treatment for both physical and mental well-being is essential. 

Find Support for Your Mental Health and Chronic Illness

If you or someone you love is struggling with the mental health impact of chronic illness, seek professional help. Inquire about any support that might be available such as mental health services or patient navigation.

You do not have to go through it alone.

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