I’ve been thinking about this a lot in the last few weeks. Thinking about it ever since Peter O’Sullivan asked me to tell him my story when I was a patient demo during his Cognitive Functional Therapy workshop at the San Diego Pain Summit.

And every time I think about it, I get teary. It touches something deep within me that I’ve been trying to figure out. As someone who has been telling my story for a good three plus years now on this blog you wouldn’t think it’d have such an effect on me to be asked to tell it.

But I’ve been telling my story unsolicited. No one asked me to, I just started sharing my experiences. And it’s been incredibly therapeutic for me. It allows me to explore questions, reflect on what’s happened, and try to make sense of what’s going on with what I have learned and what I have lived.

It has also let me know that I’m not alone. Sharing my story has allowed me to connect with people in meaningful ways, even if only via the interwebs. I have a tribe of folks who get me. Who hear and understand me, who encourage me and celebrate my successes, and who support me and lift me up when I fall.

Tell me your story…

But not one healthcare professional ever asked me to tell them my story. I’ve been asked all sorts of kind and probing questions before, of course. How are you today? What brings you here today? How can I help you? Tell me about your pain. Tell me about your hip…

Never tell me your story, though. And that’s different. That’s about my entire narrative, not just the painful bits. The painful bits certainly inform and influence the narrative, but that’s not all there is.

Pain is not just felt in a body part, after all. It reverberates through our entire being, our whole life. Our whole story. By asking only about our pain we are never asked about our suffering, and they’re different.

Suffering is about what the pain means

The pain in my hip meant losing a valued career. It meant losing my identity and feeling lost. It meant worrying about the future that suddenly looked so different than the one I had planned for. A future that was dark and scary and uncertain. Pain meant losing my sense of self-worth, my purpose.

It meant losing me.

And pain was everything in those early years. And it only meant loss. Loss of self, of financial security, of friends, of career prospects, of beloved hobbies and activities, of adventure, of hope, of my dreams.

That was why I suffered. Not the pain in my hip so much, but what the pain meant for my life, for me as a person. And it all seemed pretty meaningless at the time.

All that pain, all that suffering, all that loss.

What is my story?

It’s sure not just about pain, not just losses, not just suffering. My story goes well beyond pain. It involves my identity and sense of worth, values and goals, barriers and obstacles, feelings and emotions, behaviors and reactions, thoughts and beliefs, hopes and dreams, fears and worries. It involves laughter and adventure, coziness and love, nature and books, good food and drink, awesome people and places.

My story involves my pursuit of meaning and purpose, my definitions of success, my ability to adapt and persist, learn and grow.

For a long time, though, pain was the whole story. For a long time I’d felt like pain was something that had come in and taken over my life. An unwanted intruder. Something that didn’t belong. Something I spent all my time and energy trying to be rid of it. I battled it, and fought and resisted.

It was exhausting and left no room for anything else.

It wasn’t until I stopped battling, stopped fighting, that things started to change, though. Wasn’t until I stopped resisting that I stopped suffering. Only then could I start living a meaningful and purpose-centered life rather than a pain-centered life. Only then was there room for the things that mattered to me.

What is pain?

There is no simple definition. What I do know is that pain is a part of me, a part of my story. I can’t just be rid of it by wishing it away or thinking positively and even doing everything ‘right’ doesn’t mean it will be banished.

This isn’t to say that I will always have pain, nor is it to say that I won’t. It just means that pain is a part of my life right now, though a much smaller part than in years past, and that pain will always be a part of my life in the form of memory and experience, even if someday it resolves completely.

Pain is woven throughout the fabric of my life. No matter what happens in the future it will always be a part of my tapestry. That’s ok. It hasn’t all been suffering, after all. Pain has also awakened in me a need to reflect, to seek meaning, to find purpose and perspective. It has helped me define what is important to me, what I value and the ways in which I want to connect with the world.

Pain has a tendency to bring existential questions to the forefront of our minds, doesn’t it? Why am I here? How did I get here? What is my path? Where am I going? What really matters?

So pain has played a role in shaping who I am today, as have all of my other life experiences. And I kinda like who I am.

My story includes snowboarding and cheesy grins :)


That’s acceptance, isn’t it? Not surrendering to pain, not giving up or giving in, but rather surrendering to life. Our experiences, even painful ones, are not the enemy.

Acceptance means giving up the tireless fight and giving in to reality. It’s doing what we can within that reality to pursue purpose and live meaningfully. It’s about opening ourselves up to possibility, to growth, to what truly matters.

And it doesn’t mean accepting this present now as our future, too. This moment is not a forever now, even though it may feel like it. Everything is impermanent. Our emotions, our sensations, our thoughts – all impermanent. They can and will change, and we can facilitate that change.

We will get through it. We always have.


But we can’t get through it alone. I thought for a long time I could. But even with all that *I know* about pain, it’s hard to apply it to myself. It’s hard to see my own big picture. Even writing about my pain here on this blog it’s never the whole story all at once. I never seem to connect all the dots.

That’s why Pete asking me to tell my story was so profound, not to mention the actual telling of it. The power of that dialogue, of sharing my narrative with someone who was obviously attentive and caring, who truly listened and was able to reflect back to me my story and probe to go deeper, cannot be overstated.

Hear us

To have someone hear your whole story and believe you and reassure you and let you know you’re not alone is invaluable. Even when you (think you) know a lot. Even when you’ve lived pain for and studied pain for years.

A trusted, knowledgeable, empathetic guide can help us reflect honestly and provide perspective and reassurance, and through such, help us forge our path forward from a place of safety and support. (My dear friend Lissanthea, a PT, shares the importance of this in her recent piece on her sciatica experience, too).

This might be the crux of care to begin with. Not what you do so much as what you say and how well you listen. And we don’t value that enough.

Dialogue and sharing stories, validating experiences and providing reassurance, exploring insights and discovering new perspectives, being supportive and giving encouragement. That’s therapy, in the ‘third space’ as John Quinter and his colleagues call it.

A time and place where the trusted guide and the person living with pain can come together to make sense of things and find a way forward.

The key word there is together. Dialogue, not monologue. Discussion, not lecture. Exploration and discovery, not dogma.

Why is narrative and dialogue so important?

Because pain is an existential threat, not just a threat or perceived threat to the tissues. Pain upends our lives. It steals our attention and resources away from what is meaningful and valued and becomes all that we see, all we know. It’s f’n hard. It can be dark and isolating, scary and worrisome.

It’s not just about painful body part, you know?

Chronic pain can lead to strained relationships, financial insecurity, depression, loss of function, an inability to engage in hobbies and social outings, loss of jobs and career opportunities, and feelings of worthlessness and purposelessness. And it can lead to us losing our sense of self, which may be the greatest threat of all.

Who are we after pain? Who will we be?

If we never address those existential questions, if we are never able to reestablish our sense of self, never able to reconnect with what we value and find meaningful, never able to make sense of of what is happening, can we ever get better?

I don’t think so.

It ain’t easy

It’s not easy to ‘go there’, that’s for damn sure. It can be really really uncomfortable. We’re not used to being vulnerable. In fact, many of us have been taught that vulnerability is weakness.

So it’s no wonder that it’s hard for the person in pain to need help, let alone ask for it. It’s no wonder that it’s hard for the person treating pain to not have all the answers, let alone admit it. Both threaten our respective identities. That’s scary. That’s threatening.

On top of that, it’s just plain hard to talk about hard things (my good friend Bronnie, an OT, discusses more of that in this post).

But vulnerability is not weakness, it is strength. Uncertainty is not weakness, it is reality. And has hard as it is, as scary as it might be, perhaps we need to embrace both to more effectively deal with the aporia of pain.

The path forward

There is a way forward, though, and I think it’s through dialogue and storytelling. And it doesn’t have to be so scary or so hard.

Stories are how we make sense of things, after all. Stories help us make sense of the world, others, ourselves. They help put our experiences into context and perspective. It’s why people share intimate stories with their barbers and bartenders, with strangers and friends, with loved ones and healers.

We all want connection. To be heard and understood, reassured and believed. We want someone to listen, to be able to look at the big picture and help us connect dots. How relieved do we all feel when we can ‘get something off our chest’? When we can give voice to our thoughts and worries, our fears and hopes…our dreams and nightmares?

Being heard gets us unstuck. And being unstuck helps us move forward. Perhaps successful treatment is about being human(e), above all else. Perhaps there is more to our stories and sharing those stories, than we give credit to.

Tell me your story. What a powerful thing to ask somebody.

Tell me your story

I have an existential map. It has ‘You are here’ written all over it. ~Steven Wright  ;)


16 Responses to "Tell me your story: the power of dialogue"

  1. “Pain has a tendency to bring existential questions to the forefront of our minds, doesn’t it? Why am I here? How did I get here? What is my path? Where am I going? What really matters?

    So pain has played a role in shaping who I am today, as have all of my other life experiences. And I kinda like who I am.”

    Joletta -WOW! You’re a beautiful writer and an inspiration. It’s very hard for people to grasp the depths of my pain, but so very relieving to read from someone that does.

    • Thank you so much for reading the post and for taking the time to leave such kind and encouraging words, Julie. You have no idea how much I appreciate it!

      It is always good to hear that we are not alone. Thank you my friend!

      • Hi Joletta, I’m a Physio who owned his own Physio clinic, which I now know was churning out large amounts of clinical rubbish. Then a Physio called Michael joined us and it all changed. He’s been on Peters uk courses since their inception and he’s pretty remarkable (although very self effacing). He struck a chord in me, we worked closely, I got better and better (still a very long way to go), been to Peters courses x5 years now, again in a months time and I’m now obsessed with this approach. Tried to get my business partner on board, he came to the course one year under duress, wouldn’t / couldn’t engage or adopt. Once I knew this way and results as a clinician the existing business model and practice were broken (and abhorrent!) so I sold up and got out. So, the point of all this was to say thank you, your writing is very powerful to help clinicians like me. Maybe even more than for people in pain as it gives insightful guidance in what is important from your perspective. The skill that is needed is considerable and takes time and harsh reflection to hone and the chances of getting it wrong and getting a backfire are high. I’m now going to follow your journey. Well done getting your life back it’s amazing. Oh, and although Peter is clearly extraordinary in many ways you need huge credit as well. Keep going

        • What a wonderful message to receive, Neil! Thank you for for kind words and for sharing some of your story and own journey through trying to make sense of pain and how best to help those living with it. It does take time, and often some harsh reflection. That is not easy to do, so I am so very appreciative of you and others who’ve taken that on. It is hard to know we can be wrong, but pain and being human are filled with uncertainties and embracing that uncertainty is the only way will get better at this stuff.

          Good on you for the path you’ve taken, Neil! Thank you. And keep on keeping on!

  2. I think this is amazing.
    It’s like massage found me .
    Pain always needing love. Worked very hard. Injured at work .

    Now after so much pain. I understand and I can heal.
    It’s not about arrogance and superior.
    It’s humble and lovely , to be trusted and true.
    Beauty in the pain.
    It’s a journey. It’s life .

    • Thank you so much for reading my post and sharing your poetic words, Brenda. I can relate to your story. I was in the worker’s compensation system for years and often felt doubted, disbelieved and dismissed. But healing still managed to take place. It was/is a long journey, but is humbling, lovely and true. I trust the path I’m on.

      With love and kindness,

  3. Bless you for sharing your story it made me cry- happy tears😂

    I’m an Occupational Therapy Assistant with both LUE and RUE CMC Arthroplasty surgeries due to severe degenerative osteoarthritis (Thumbs)

    Unemployed since my recent surgery in 11/2016. This journey is difficult for now but not impossible! My work as a COTA/L is my life’s passion! I’m adjusting day by day.

    You may see me struggle but I’ll never quit!!

    Remember this: WE RISE BY LIFTING OTHERS 👍🏽🤗😘

    You expressed my inner feelings and I’m grateful for your insight!!

    • What a wonderful message to receive, Cynthia, thank you for sharing it. I am sorry to hear about your difficult journey but it sounds like you have a wonderful outlook. You are right, it’s not impossible! And everything is impermanent, this too will change.

      I can’t tell you how much you have lifted me up today. I appreciate your kind words beyond measure and I’m grateful for the connection. Ever onwards and upwards!

  4. Your blog somehow finds a way to express all of the things I feel in a way that is concise, eloquent, and relatable. I found this blog last summer in the beginning of my chronic pain journey, and I’m glad I did. It makes me feel a little better to know that there’s people like me out there that are experiencing the same kind of suffering (although I’d much prefer none of us were!).

    I can’t really explain to my friends or family that do not have chronic pain what it’s like to be out among “normal” people and feel incredibly isolated and different. I’m trying to reconnect with old hobbies or find new ones, but when they see me doing them they often think that I’m all better. And it’s usually easier to just let them assume that than explain that I am in the same amount of pain I was at the start of all this.

    Even in a room of a hundred people I often feel like I’m an island unto myself.

    • Thank you so much for the kind words and for taking the time to share some of your story. I’m sorry that you can relate to what I write but I’m happy that you found something you can connect to that makes you feel less alone. Pain can be very isolating so I greatly appreciate your reaching out to let me know I’m not alone, too.

      I know what you mean about feeling like an island in a room of people. When my pain was at it’s worst my whole world was pain, it was small and lonely, even when I was with people. Even when those people loved and cared about me. It took me a long time to feel like my world was expanding beyond pain, to feel connected to the people, places and experiences in my life again.

      To get to that place I had some very awkward and vulnerable conversations. I started with my husband and eventually had similar conversations with my close family and friends, as they were the only ones who truly mattered to me (another thing pain taught me was who and what matters most to me). I explained that I had chronic pain but that I was going to try to live my life with pain in it rather than wait for it to be gone. I told them that some days I would be able to do things and some days I wouldn’t, some days I would be happy and joyful and some days I would be sad and frustrated, and on the latter days I might be short of temper or patience and not to take it personally, that it just meant my bucket was overflowing.

      I use the bucket analogy a lot. Some days I have lots of room in it and can engage in all sorts of activities. Other times it’s full up and the littlest thing will set it to overflowing.

      I was lucky that my husband and my close family and friends understood to the extent that they could and accepted me, pain and all. But I did lose a lot of friends in the bargain. I don’t speak to most of the people I worked with for over 10 years at the fire department. That still hurts and it’ll always suck but it is what it is, you know? And I have met wonderful people, like yourself, through the blog that have let me know I’m not alone and have become a part of my tribe. Folks who get it without me having to explain. That’s invaluable.

      I hope that you continue to reconnect with hold hobbies and find new ones. And know that you don’t have to explain yourself, only do so to those you want to. I found that telling people I still had pain but that engaging in meaningful activities helps, most of them got it and they stopped questioning whether or not I still had pain. Others didn’t get it, and I just don’t have time for them!

      Things do change and they can get better. There is hope. And doing the things that we love helps a whole lot, I’ve found.

      You are not alone my friend. Never alone.

  5. Jo, hello. I have been hooked in to your website/blog for about a month now and have found many very valuable insights. First my story, briefly:

    I am a former dancer/runner/gym rat who overdid it all the time. In my early 30s I developed lower back pain which I insisted dancing/running/gym rating through until I could barely move. It took 4 years to diagnose the problem (SI joint and pelvis dysfunction) and by then it was chronic, had caused tremendous anxiety/depression symptoms. I had lost the ability to do my joyful activities, those strenuous workouts and dance classes that helped control an underlying anxiety condition (many years later diagnosed with PTSD from childhood trauma). So life as I knew it came to a screeching halt. The Shelley I knew and liked was gone. I pushed through my work days and my relationship with spouse #1 with much pain and angst.

    Over the first few years I never gave up looking for relief. The most success I had was with the Alexander Technique, a movement and posture based discipline that helped take me out of the fight or flight muscular pattern I had developed. As the pain eased, my mood improved, my outlook on life changed for the better, I gained a sense of myself back, my marriage ended and I met/fell in love with spouse #2. I thought I was out of the woods.

    Fast forward to present. I am now 62 years old. I have been married for 22 years. We have moved way too many times for my husband’s career. I lost a brother to suicide and have been challenged with other traumas/abuses from my family of origin. The stress has been over the top. The back pain returned years ago and is ever present, so provides an extra layer of stress and sorrow to my heart. I have been briefly hospitalized twice for severe depression (the grief, loss of self, loss of purpose and meaning, so get you when you speak of these things).

    With all that said, I have been working with a therapist to process the trauma and get a handle on how I cope with the pain. As you so well articulate, it’s not so much about the degree of pain but what it means to me as the person I was and want to be.

    So you blogs really help. I get so isolated with my thoughts, my pain. I know others my age that seem to cope so much better, they just go on. My intention is to get to the point where I no longer fear the pain. Yes, it’s been that many years of fear and hyper arousal. I do have tools that I use (meditation, breathing, mantras) and I am somewhat active with walking and stretching activities. Of course this all helps.

    Please keep writing. It means so much to know I am not alone. Thank you.

    • Shelley – hello! I am so happy you found my blog and that you’ve become hooked – that is such a wonderful thing to hear! And I’m so grateful you reached out to say hello and share a bit of your story. You have no idea how much it means to me, thank you. I’m sorry to hear of your pain and struggles with depression, PTSD and family troubles. It sounds like it has been a rough road, but it’s one you’ve navigated as best as anyone could. You’ve done so good to get this far and to keep taking one step after another as you figure things out from here.

      I am glad to hear you are working with a therapist to process the trauma and to discover some coping strategies that will work for you for your pain and fear. You’ve been through so much it must be a difficult process to go through, but I also believe it is a necessary one. The only way through is through, isn’t it? You are strong and resilient, that much is evident, and that will see you through this, too. Overcoming fear isn’t easy, but it is possible. I was once so afraid of my pain, it was the fear that limited me more than the pain itself.
      And finding meaning again meant more than anything else, I think. We lose ourselves to the pain and fear and I felt lost for a long time, unconnected from myself, let alone others. Finding my way back to a meaningful life, even though it was one much different than the one I lead before, was such a wonderful thing. One I’m ever grateful for.

      I hope your new therapist will help you to make sense of things and empowers you with knowledge and skills that will help you overcome what you can and cope with what you need to. And that you find meaning again along the way. Meditation has been my best strategy, I think. And one I came to late in the game, but better late than never! And time outside walking, I couldn’t live without it. I never want to go back to the days when I didn’t leave the house. There is light. There is hope for all of us. And we are not alone.

      Thank you so much for your kind words and for sharing of yourself and your story here. I am grateful to connect. Please know that you are never alone. xx

  6. Pingback: Wired Into Pain – Unfortunate Trivializations

  7. Pingback: The challenging patient…

Leave a Reply

Your email address will not be published. Required fields are marked *