Tag: Toni Bernhard

  • Navigating the Unexpected: A Journey Through Post-Viral ME/CFS

    When post-viral ME/CFS first appeared in my life over 30 years ago, it was like a sudden, uninvited guest that turned everything upside down. The plans I had carefully laid out—the career, the teaching, the travel—came to a screeching halt. My body, which once felt like a reliable vehicle for my ambitions, became a source of constant limitation.

    For many people today, especially in the aftermath of COVID, the experience of long COVID or post-viral ME/CFS can feel like a similar trainwreck. The life you knew, the expectations you had, are suddenly out of reach, and you’re left grappling with a new reality—one that modern medicine often struggles to explain, let alone resolve.

    I remember the early days well. The confusion, the depression, the overwhelming frustration that came with the unrelenting fatigue. In the beginning, it was hard to see any way forward. It felt like I was being asked to surrender everything I had worked for, again and again. Every time I hit a new limit, I had to lower the bar, lower it again, and lower it even further. It was a painful process of letting go, not just of my physical abilities, but of my identity and the future I had imagined for myself.

    But over time, and through countless moments of surrender, I began to see that while the path I had planned was no longer possible, there was another way forward. It was a quieter path, more inward, but it was no less valuable. Writing became my outlet, my way of contributing to the world, even while living in solitude and spending much of my time in bed.

    For those of you reading this who are newly facing the reality of post-viral ME/CFS, I want to acknowledge that this is not an easy journey. It’s okay if you need to take breaks, both from reading and from the mental and emotional load of processing what this diagnosis means. Be gentle with yourself, and if you find the post too long, take it in pieces, come back when you’re ready. The key is to pace yourself, in life and in reading.

    Surrendering to a New Reality

    One of the hardest lessons I had to learn was surrender—over and over again. Post-viral ME/CFS teaches you that you can’t control everything, no matter how hard you try. Every time I felt like I was getting close to managing the illness, there would be a setback. My energy would crash, and I’d find myself in bed for days or weeks at a time. At first, it felt like defeat. I had to give up so many aspects of life I’d taken for granted.

    But over time, I realized that surrendering wasn’t about giving up. It was about accepting what is, rather than constantly struggling against it. The more I fought the reality of my illness, the more frustration I experienced. Letting go didn’t mean that I had to stop hoping or working toward better health, but it did mean that I had to stop resisting what I couldn’t change in that moment.

    Surrendering, in this sense, became a way to make peace with the limits of my body, to find moments of ease even when everything else felt out of control. It was an ongoing practice, one that I still revisit, especially on difficult days.

    Navigating Others’ Reactions

    In addition to learning how to surrender, one of the most difficult challenges I faced early on was dealing with other people’s reactions. In those early days, many people didn’t even believe post-viral ME/CFS existed. I heard things like, “You just need to drink more coffee,” or, “Have you thought about taking naps?” Even when I was officially diagnosed as disabled by the government, my own mother thought I was just lazy and needed to be more active.

    This kind of misunderstanding, disrespect, and dismissal is, unfortunately, a common experience for many who suffer from post-viral ME/CFS. Family, friends, and even doctors would question or deny my experience. I’ve heard stories of doctors telling their patients not to even talk about ME/CFS because it “doesn’t exist.” It was often treated as a garbage-pail diagnosis, or dismissed entirely.

    While there is more understanding of post-viral ME/CFS today, the stigma still remains. Making peace with this aspect of the illness has been a long journey. What helped me most was cultivating compassion, not just for myself but for others. As Jesus said, “Forgive them, for they know not what they do.” Having compassion for the people in your life who may deny or diminish your experience is a key part of finding peace.

    An Evolving Perspective on Post-Viral ME/CFS

    In the early days of my journey with post-viral ME/CFS, I found myself going through what felt like the stages of grief as described by Elizabeth Kubler-Ross. At times, I thought I might be dying, and I cycled through stages of anger, grief, depression, and confusion. Acceptance didn’t come quickly, and it took years of processing and reflection before I could reach that place.

    One of the major steps toward acceptance came when I read How to Be Sick by Toni Bernhard. This book resonated deeply with me, and for the first time, I felt like someone truly understood what I was going through. Toni’s reflections on illness gave me a new sense of validation and self-respect, and her practical tips helped me develop a healthier way of relating to my experience. I highly recommend this book to anyone struggling with post-viral ME/CFS.

    Then, during a meditation class organized by students of Sogyal Rinpoche, based on The Tibetan Book of Living and Dying, I began to find deeper peace. It was around this time that I discovered a Tibetan sutra titled Transforming Suffering and Happiness onto the Path of Enlightenment. This teaching profoundly shifted my perspective once again.

    As I read the sutra, I realized that my anger, frustration, and negative emotions were not only draining my energy but also exacerbating my symptoms. It became clear to me that these stressful emotions were making my condition worse, and that when I was able to relax, let go, and find inner peace, I had greater capacity and longer periods of activity without crashing—or without crashing as severely. This was an important revelation: cultivating acceptance, forgiveness, and inner peace didn’t just feel better, it actually minimized my symptoms.

    Shifting Perspective: The Sutra That Changed Everything

    One passage from the Tibetan sutra resonated deeply with my experience of post-viral ME/CFS:

    “Whenever we are harmed by sentient beings or anything else, if we make a habit out of perceiving only the suffering, then when even the smallest problem comes up, it will cause enormous anguish in our mind.”

    This teaching hit home because, for a long time, I had been focusing only on the suffering. Everything in my life had become an enemy—my body, my circumstances, even the people around me. The more I centered my awareness on the pain and limitations, the heavier everything felt. Even the smallest setback would feel unbearable.

    The sutra showed me that the more we focus on suffering, the more it grows and colors everything we experience. By recognizing this, I began to understand that shifting my focus away from the suffering and toward acceptance could help me find peace. It wasn’t about denying the reality of the illness, but about no longer letting it dominate my entire perspective.

    The true transformation came not only by making peace with suffering but by learning to approach both suffering and happiness with the same equanimity. I had to remind myself that when I’m unhappy, this too shall pass, and when I’m happy, this too shall pass. This reminder became a useful way to stay balanced through the ebb and flow of life—the good days and the bad days, the good months and the bad months.

    Additionally, I found comfort in William Blake’s words: “He who kisses the joy as it flies lives in eternity’s sunrise.” It reminded me to appreciate the little moments of happiness, to savor them without attachment, knowing that they, too, are fleeting. This perspective helped me not to be disturbed by the constant changes and to find a sense of peace amidst it all.

    Discovering a New Path: Writing as Healing

    As I continued to navigate the ups and downs of post-viral ME/CFS, I eventually found a new passion that helped me stay connected to the world and give expression to my inner journey: writing. Although much of my life is spent in solitude, and my physical abilities are limited, writing has become my outlet, a way to contribute and share what I’ve learned.

    Through writing, I’ve been able to explore the lessons of impermanence, forgiveness, and acceptance, not just for my own growth but as a way to offer encouragement to others walking a similar path. Chronic fatigue may limit what I can do in the physical world, but it has opened up this creative space where I can still connect, reflect, and contribute.

    In this way, writing became not just a coping mechanism but a practice of karma yoga, an offering. It’s a way to kiss the joy as it flies, even amidst the challenges of chronic illness, and to embrace each moment—whether in suffering or happiness—as an opportunity for growth.

    🙏🕊️🙏

    “He who binds to himself a joy
    Does the winged life destroy;
    But he who kisses the joy as it flies
    Lives in eternity’s sunrise.”


    — William Blake, Eternity

  • Ten Suggestions for Managing ME/CFS and How You Can Apply Them to Your Daily Life

    This is what I have learned after 30 years of living with chronic fatigue. These ten focus points have helped me. Maybe they will help you, too.

    NOTE: This article contains a lot of information to process, particularly for those of us dealing with chronic fatigue. Take your time reading and absorbing this information, and don’t hesitate to take breaks as needed. To manage a chronic illness like ME/CFS or Long Covid effectively, it’s crucial to respect our reality and prioritize our self-care. Remember, success is measured in many different ways, and taking care of yourself is always a valuable investment in your overall health and well-being.

    Take care and be gentle with yourself.

    1. Pacing: The first suggestion is pacing. It’s essential to balance rest and activity to avoid overexertion and prevent symptom flare-ups. Remember that pacing is not about doing less, but about finding a sustainable balance. Listen to your body, and don’t push yourself into a flare-up. This will take some practice and is likely to change from day to day. So remember… Be careful…. Be mindful…. Discover what works best for you from day to day….
    2. Sleep Hygiene: The second suggestion is sleep hygiene. It’s crucial to establish a regular sleep schedule, create a relaxing bedtime routine, and maintain a sleep-conducive environment. Quality sleep can help reduce your symptoms and improve your overall well-being. Again, this is a practice that you can adapt and modify over time. So remember… Be careful…. Be mindful…. Discover what works best for you from day to day….
    3. Stress Management: The third suggestion is stress management. Stress can exacerbate symptoms of ME/CFS, so it’s crucial to find ways to manage it. Consider meditation, deep breathing exercises, or mindfulness practices to help manage symptoms. There is a free meditation class offered online by MBSR. The MBSR online training course is 100% free, created by a fully certified MBSR instructor, and is based on the program founded by Jon Kabat-Zinn at the University of Massachusetts Medical School. Palouse Mindfulness offers this course. Another suggestion is Toni Bernhard’s book, How to Be Sick. This is a powerful and insightful book that offers a unique perspective on the challenges faced by those of us suffering from chronic illnesses such as ME/CFS, Long Covid, and other similar conditions. You can take a look at this book below.
    4. Gentle Exercise: The fourth suggestion is gentle exercise. Very, very low-impact exercises like gentle stretching or breathing exercises can help improve physical function and well-being. However, always listen to your body and adjust the level of intensity as necessary so that you are always below your post-exertional malaise threshold. Most graded exercise recommendations do not take this into account, and people often overdo it and exacerbate symptoms. Also, low-impact exercise for us may simply be getting out of bed. Or, if bedbound, turning your head from side to side while lying down. Or, flexing and extending your feet while in bed. If you start by doing less and evaluate your response as you go, you will be less likely to exacerbate your symptoms. I can’t tell you how many times I was enjoying a stretching routine only to have PEM the next day. So remember… Be careful…. Be mindful…. Discover what works best for you from day to day….
    5. Nutrition: The fifth suggestion for optimal health and well-being is to pay close attention to your nutrition. A balanced diet that incorporates a variety of nutrient-dense foods, such as fruits, vegetables, lean proteins, and whole grains, is crucial to maintaining good health. Avoid consuming processed foods that contain high levels of artificial ingredients, unhealthy fats, and added sugars. Opt for fresh, whole foods that provide the essential vitamins, minerals, and fiber your body needs. Don’t forget to drink plenty of water to stay hydrated and promote optimal bodily function. Remember, a healthy diet is an investment in your long-term health and well-being.
    6. Cognitive-Behavioral Therapy (CBT): The sixth suggestion for managing ME/CFS, Long Covid, or any chronic illness is to consider cognitive-behavioral therapy (CBT). This evidence-based therapy can help you develop effective coping strategies to manage the emotional and psychological impacts of living with a chronic illness. By working with a therapist who specializes in CBT, you can learn to identify and challenge negative thought patterns, develop healthy coping mechanisms, and reduce feelings of stress and anxiety. CBT has been shown to be effective for individuals with chronic illnesses, and it can be a valuable tool in helping you manage your symptoms and improve your overall quality of life. Don’t hesitate to reach out to a qualified therapist to explore this option further.
    7. Support Network: The seventh suggestion is to seek out and maintain a strong support system. Your support system may include family, friends, and support groups. These individuals can provide you with emotional support and help you manage your condition.
    8. Medication Management: The eighth suggestion is medication management. When managing chronic fatigue, medication management is an important component. Work with your healthcare provider to find the most effective medications for your symptoms while discussing possible side effects and interactions. Starting with lower doses than normally suggested may also be recommended. So remember… Be careful…. Be mindful…. Discover what works best for you from day to day….
    9. Symptom Tracking: The ninth suggestion for managing a chronic illness like ME/CFS or Long Covid is to engage in regular symptom tracking. Keeping track of your symptoms can help you better manage your condition. By keeping a symptom diary, you can also better understandy patterns and triggers that may be exacerbating your symptoms. The key here is to do less of what makes you feel worse, and do more of what helps you to feel better.
    10. Education: The tenth and final suggestion is education. Educate yourself about ME/CFS & Long Covid, including symptoms, diagnosis, and management strategies. Becoming informed can help you advocate for yourself and make informed decisions about your health. Remember that education is an ongoing process, and it’s important to stay up-to-date on the latest research and information about your chronic conditions.

    In conclusion, managing chronic fatigue requires a multifaceted approach. By incorporating these ten suggestions into your daily life, you can better manage your condition, improve your quality of life, and find hope for the future. Remember to listen to your body, seek support, and stay informed. Thank you for reading.

    Please, for the benefit of others, leave your questions and comments below so we can all learn from one another about these ten steps.

  • Book Review: Navigating Chronic Illness with Tony Bernhard’s ‘How to Be Sick’

    Greetings Everyone…. This is about one of the absolutely best, most helpful books, I have ever found, about living with ME/CFS.

    Toni Bernhard’s “How to Be Sick” is a powerful and insightful book that offers a unique perspective on the challenges faced by those suffering from chronic illnesses such as ME/CFS, Long Covid, and other similar conditions.

    The book is written with great empathy, warmth, and practicality, providing readers with a wealth of information, insights, and practical tools to help them manage their condition and live a more fulfilling life.

    One of the most compelling aspects of this book is the author’s own experience of living with chronic illness. Toni Bernhard was a law professor when she became ill with a viral infection that left her bedridden and in constant pain. This experience gave her a unique perspective on what it’s like to live with a chronic illness, and she shares her insights and wisdom in a way that is both accessible and highly relatable.

    The book is divided into three parts, each addressing a different aspect of living with chronic illness. The first part focuses on the emotional and psychological challenges of coping with chronic illness, including the grief, loss, and isolation that can accompany such conditions. The second part offers practical advice on managing symptoms, including pain, fatigue, and brain fog, while the third part offers guidance on how to cultivate a sense of meaning and purpose in life despite illness.

    What sets this book apart from other self-help books for chronic illness is the author’s emphasis on mindfulness and compassion. Throughout the book, Toni Bernhard stresses the importance of being present in the moment, accepting one’s condition with kindness and compassion, and cultivating a sense of gratitude for the small joys in life.

    She also offers a range of practical mindfulness exercises and meditations that can help readers to cultivate these qualities in themselves.

    Overall, “How to Be Sick” is an essential read for anyone living with chronic illness, especially those suffering from ME/CFS, Long Covid, and other similar conditions. The book is not only packed with practical advice and insights, but it also offers a powerful message of hope and resilience that can help readers to find meaning and purpose in their lives despite illness.

    I highly recommend this book to anyone looking to live a more fulfilling life with chronic illness.

    Essentially… “How to Be Sick” by Toni Bernhard is a guidebook for people living with chronic illness or chronic pain. Toni, who was diagnosed with the sudden onset of chronic fatigue, shares her personal experiences and provides practical advice for managing physical and emotional challenges associated with chronic illness.

    Toni encourages us to accept our condition, practice mindfulness, and cultivate gratitude to improve our quality of life. The book also offers insights into navigating relationships, communicating with healthcare providers, and adapting to a new way of life.

    Without a doubt, “How to Be Sick” provides a compassionate and empowering approach to living with chronic illness. It is one of the most helpful and useful books I have ever read on the subject of living with chronic fatigue.

    Dear friends, If you have found any other books, that you would highly recommend, please share them in the comments section below – it is very possible that others can benefit from your suggestions as well.

    I personally, highly recommend this book to anyone experiencing ME/CFS, Long Covid or chronic illness of any kind. You can usually find a used copy on Amazon.

    May we all find peace, joy and wellbeing on our journey through life.

    🙏🕊️🙏