Wellness When You're Chronically Ill Isn't What You Think It Is

 

When you hear the word "wellness" these days, what comes to mind? Probably green smoothies, expensive supplements, or someone telling you to optimize your health at all costs. That version of wellness is NOT what we're talking about here.

I sat down with Dr. Victoria Rodriguez, a Licensed Professional Counselor to talk about what wellness actually means when you're navigating chronic illness. Victoria specializes in medical trauma and is my amazing co-facilitating the Chronic Illness Therapist Conference with me this March 6 & 7th, 2026. This conversation was full of real talk about accommodations, systemic barriers, and why your comfort actually matters.

Group of five women practicing yoga in tree pose on colorful yoga mats along a sandy beach with ocean and foggy coastal mountains visible behind them

Wellness Is Seasonal (And That's Okay)

You know that wellness wheel we all learned about in grad school? The one with eight different areas like financial wellness, career wellness, social wellness? Victoria pointed out something that should be obvious but often isn't: you can't focus on all of those at the same time when you're chronically ill.

Instead, wellness is seasonal. There are seasons where you can focus on one type of wellness, and seasons where another type takes a backseat. And that's not failure. That's just reality when you're living in a body that has limits.

This shifts the whole conversation. It's not about balance across all areas all the time. It's about recognizing what season you're in and working with that.

It's Easier to Change Your Environment Than Your Body

Victoria introduced us to the social model of disability during our conversation, and it reframes how we think about ourselves when we consider our health. The medical model says people are disabled because something is broken with their bodies or brains. But the social model says it's actually about the environment.

She gave a perfect example from her own life. When she was working in community mental health, constantly on her feet and running from client to client, she had to take one sick day a week. But when she started working from home, where she could get up later, have all her medications nearby, and control her environment, she didn't need those sick days anymore.

Her body didn't change. Her environment did.

This is huge for therapists working with chronically ill clients. Instead of asking "how can we get your body to do this thing," we can ask "what accommodations can we build into your environment so your body doesn't have to work so hard?"

This is exactly why Dr. Victoria and I are co-facilitating the Chronic Illness Therapist Conference this March 6 - 7, 2026 in Atlanta—we're not just talking about these accommodations theoretically, we're building them directly into the experience.

Secure your spot now for 13 specialized CE hours you won't find anywhere else.

Your Comfort Actually Matters

Victoria said something that stuck with me: "I always talk about, especially for wellness, that your comfort really does matter."

When you're uncomfortable or feeling unsafe in a space, your brain is so focused on finding comfort that it's hard to remember anything else. You can't access your higher-level thinking. You can't problem-solve. You're just trying to survive.

So whether you're a therapist creating your home office or working with clients, prioritizing comfort isn't indulgent. It's necessary.

Some ways to do this:

  • Invest in a chair that actually supports your body

  • Control the lighting in your space (lamps, adjust screen settings)

  • Build breaks into your schedule between clients

  • Give yourself permission to work fewer hours if that's what your body needs

  • Let clients know they can sit on the floor, bring you to their bed virtually, move around during session

And if you're working in an agency where you don't have much control, we suggest starting yourself off with a needs assessment. Notice throughout your day: when am I experiencing tension? After my third client? In the morning? And when I’m feeling most at ease?

This helps you identify where accommodations would make the biggest difference.

The Messages We've Inherited About Rest

Something Victoria said really hit me: "I think in the US in particular, we really dislike being comfortable."

She continues on to explain: Think about it. Cashiers standing for entire shifts. Teachers needing accommodations just to sit while teaching. We've built a culture that sees comfort as laziness.

And a lot of us are the first generation in our families who can even have conversations about wellness. Victoria shared that she's the first person in her family who can take a nap in the middle of the day. Her parents and grandparents didn't have that option.

So when you feel guilty for resting or for needing accommodations, remember: you might be the first one in your line who's had this choice. That doesn't mean you don't deserve it. It means your parents deserved it too, and didn't get the chance.

Overhead view of woman sitting on bed with laptop and orange cat, writing in notebook while working from home

Accommodations Are About Wheelchairs, Aid, and So Much More

When we think about accommodations, we often picture the obvious ones: wheelchair ramps, talk-to-text readers. But for those of us with dynamic and invisible disabilities, accommodations look different.

Maybe it's having a fragrance-free environment because some days you're really sensitive to smell. Maybe it's texting instead of calling because you're dealing with sensory overload. Maybe it's asking to step outside of a loud coffee shop mid-conversation because you're getting dysregulated.

Victoria emphasized checking out askjan.org, which lets you search by diagnosis or even just by symptom to find possible workplace accommodations. You don't have to know exactly what you need yet. Just start exploring what's possible.

Self-Disclosure as a Therapist: When and Why

We also talked about boundaries around self-disclosure when you're a chronically ill therapist working with chronically ill clients. This is something I get asked about constantly.

Here's my approach: I do disclose, but I'm very intentional about it. I mention it on my website, and in session I'll bring it up when I notice a client is over-explaining their symptoms because they're scared I won't understand.

When I say "I actually live with chronic fatigue and migraine too," and they stop over-explaining and can finally get to the point they actually wanted to make, that tells me the disclosure was helpful.

But Victoria gave an important caution: don't center your medical experience in a way that colors their decisions. Clients will ask what treatment you did, what worked for you. And that's where you have to be careful, because your experience isn't theirs.

The purpose of disclosure isn't to make it about you. It's to create safety so they can explore their own experience more deeply.

Group of four smiling business professionals in suits seated at modern conference room table, clapping their hands with notebooks and water bottles in front of them, windows visible in background

Building Wellness Takes Community

One thing Victoria kept coming back to: community can actually change your perception of pain. Community can help with pain management.

This isn't just about having people who understand your condition (though that matters). It's also about having people who can help with practical stuff: childcare, elder care, even just someone to complain to without judgment.

Sometimes the first step in any kind of wellness work is just being able to name the problem. To complain, as Victoria put it (using it as a neutral term). And having a community that validates that? That's powerful.

What We're Building at the Conference

All of this conversation is why Victoria and I are so excited about the Chronic Illness Therapist Conference we're hosting in March. We're not just talking about these accommodations theoretically—we're building them in.

Fragrance-free environment. Sensory room with low lighting and places to stretch out. Flexible seating (the room is double the size we need so people can sit on the floor, use blankets and pillows). Air purifiers throughout. KN95 masks in welcome bags. Fifteen-minute breaks between each talk. Virtual option for people who need to attend from home or bed.

We even created an Executive Functioning Package where we handle your hotel, some transportation, and give you an Atlanta City Pass so you don't have to think about logistics.

Because here's the thing: you deserve to show up to a professional conference and feel comfortable. You deserve to learn without your body being a barrier. You deserve rest built into the day, not just tacked on at the end when you've already pushed past your limit.

Wellness when you're chronically ill isn't about doing more. It's about creating environments that support your actual body and brain, not the body and brain you wish you had.


This blog post is based on an interview with Dr. Victoria Rodriguez on The Chronic Illness Therapist Podcast. For more resources on navigating healthcare challenges, subscribe to our newsletter and follow us on social media.

If you're a therapist who wants to learn more from Dr. Victoria Rodriguez, join us in the Chronic Illness Therapist Conference this March 6 - 7, 2026 in Atlanta (GA + Virtual). Click button below to secure your spot now.

 

Disclaimer: Everything we discuss here is just meant to be general education and information. It's not intended as personal mental health or medical advice. If you have any questions related to your unique circumstances, please contact a licensed therapist or medical professional in your state of residence.

Destiny Davis, LPC CRC, is solely responsible for the content of this article. The views expressed herein may or may not necessarily reflect the opinions of the guest.

The content in this blog post comes directly from a real, human interview between Destiny and her guest on The Chronic Illness Therapist Podcast. This written version was formatted using AI. Listen to the full episode to hear the actual conversation.


Listen to my full conversation with Victoria Rodriguez on Ep 117: Wellness When You're Chronically Ill Isn't What You Think It Is

Listen on Apple

Listen on Spotify

 

Listen to Dr. Victoria’s interview with me, Destiny Davis, on Ep 117: Wellness When You're Chronically Ill Isn't What You Think It Is

Listen on Apple

Listen on Spotify


Dr. Victoria Rodriguez (she/her/hers) is a Licensed Professional Counselor in New Orleans, Louisiana, and recipient of the 2024 Louisiana Counseling Association Distinguished Professional Service Award. Named the 2023 Outstanding Doctoral Student by the Gamma chapter of Chi Sigma Iota, Victoria specializes in medical trauma in her private practice and provides trainings on wellness for professionals and healthcare organizations. She serves on the Pregnancy Associated Mortality Review Board with the Louisiana Department of Health to improve equitable medical care in Louisiana. At the Chronic Illness Therapist Conference, Victoria will explore the systemic, institutional, and interpersonal barriers that impact wellness for chronically ill and disabled clients, examining how supporting client wellness influences therapeutic outcomes and career sustainability while navigating the ethical considerations unique to this work.

homebasedtherapist.com


Meet Destiny - The host of The Chronic Illness Therapist Podcast and a licensed mental health therapist in the states of Georgia and Florida. Destiny offers traditional 50-minute therapy sessions as well as therapy intensives and monthly online workshops for the chronic illness community.

Destiny Davis, LPC CRC, is solely responsible for the content of this article. The views expressed herein may or may not necessarily reflect the opinions of Dr. Victoria Rodriguez.

Destiny Davis (formerly Winters)

Destiny is a Licensed Professional Counselor and chronic illness educator.

Previous
Previous

Navigating Relationships When Chronic Illness Changes Everything

Next
Next

When Money Stress Meets Chronic Illness: What Financial Therapy Actually Is