We who have disabilities have certain limitations. We understand that and, with the passing of time, we accept them. But we also have abilities in addition to those limitations.

If you’ve followed this blog for any length of time, you know I’m manic-depressive. Or, to use the more common name for it, I have bi-polar disorder. People who are bi-polar are limited in different ways; limited in as many ways as there are people with the diagnosis, I imagine. And so it is with anyone who lives with chronic illness or a disability.

I believe that, although people with chronic illnesses and disabilities have limitations, most of us aren’t constantly “suffering.” What we’re doing is learning how to manage it; we’re living our lives and sometimes even thriving. Sure, we struggle sometimes.  But we also have hope. We manage to put one foot in front of the other (so to speak) and do the necessary things to have a relatively good life.

Stress exacerbates any chronic illness, so we must avoid situations we’ve discovered we can’t handle as easily as someone without a disability. The symptoms we often have because of stress could be mental or emotional. They could manifest as physical symptoms.

Please don’t expect us to make important decisions when we are sick. If we’re experiencing a flare-up or an episode of the illness, we may in fact, need your patience as we make simple decisions to just get through the day.

If it seems we’re being irritable, you’re right. Some disabilities are noted for having an irritability aspect. For me, this is one of the first symptoms I display when I begin a manic phase–even before I begin the ‘hyper’ activity. I think I can speak for many when I say this is another aspect of having a disability we wouldn’t suffer if we didn’t have to. Most of us have a great attitude toward life. We don’t complain all the time and we’re generally nice people. But if we’re in pain or not able to think our way out of a paper bag, we can get grumpy. Hey, everyone gets grumpy occasionally; people with disabilities are no different.

Some of the ultimate limitations are being bed-ridden; inability to communicate our needs effectively; a temporary inability to handle being in public or with groups; not being able to work; and the necessity for some sort of support equipment (i.e., wheelchairs, oxygen, inhalers). However, many disabilities are what we refer to as “invisible.” Please don’t assume someone isn’t struggling just because they don’t need equipment.

As far as our hope is concerned:

For the most part, we rely on being educated about our specific disability. Knowledge is power and when we understand what’s going on in our bodies, we’re better equipped to respond to the symptoms. Then we go from being helpless to being able to manage, to a certain degree, what’s happening. We might not be able to rid ourselves of the physical (or mental) state, but we can usually control what we do. We can control our attitude toward our illness and the world around us.

Many of us practice some sort of faith. We rely on worship and prayer and are grateful when our friends and loved ones pray for us.

People with disabilities usually need to grieve their health. That process may be subtle and we may not even realize grieving is what we’re doing. Frankly, our irritability might be happening because we’re moving toward acceptance of our limitations. I mean, who wants to come out and say, “I simply can’t do some of the things I want to do”? But acceptance is one key to handling our problems.

I’ve learned that having a good day might mean leaving the house and moving my focus off myself. I can get the proverbial shot in the arm by simply having a brief conversation with a neighbor or calling someone on the phone to chat. I write letters and notes to friends and family members. Engaging in hobbies or learning a new skill helps too.

People with disabilities have much to offer. We might not be able to work even part time jobs. But we can volunteer, we can engage in our communities as advocates for something we’re passionate about, and we can offer a compassionate ear to someone who’s struggling with an illness because we’ve been there ourselves.

Over the years, I’ve discovered what Helen Keller said is also true for me.

“I thank God for my handicaps for through them I have found myself, my work and my God.”

Seeing my illnesses as something I can learn about and learn from helps me to keep a positive outlook even during a flare-up. I know God is with me. Even during a psychic ‘crash,’ I know that when I pray, God hears me. I don’t look like I’ve got it together–and I don’t. But I trust that God is in control.

Today, I’m believing less in “self-help” and relying on “God-help.” Ironically, in my most vulnerable states, I realized God can make me strong. In our world many of us think we must declare our independence. We believe our dreams are a result of hard work and self-sufficiency. While there’s nothing wrong with hard work, I prefer to declare dependence. On God.

Having a disability doesn’t make me less human. It doesn’t mean my limitations define me. Having a disability doesn’t mean I can’t make contributions to society. I’m a person living my life with purpose because God has promised me that I can.

Author’s note: I don’t claim to know everything about every chronic illness. I know some illnesses make an individual totally unable to make decisions for themselves and caregivers are needed to help them navigate life. This post about the abilities and limitations of people with disabilities is not all-inclusive or meant to be medical advice. The comments herein are taken from observations of my friends’ conditions, conversations with those individuals, and my own experience with several chronic illnesses. For those interested in such things, many support groups exist addressing the needs of a variety of illnesses.