When your reality is dismissed

What happens when your illness isn’t visible—and the people around you don’t believe you? This deeply personal reflection explores the impact of being dismissed, misunderstood, and unsupported while living with Ehlers-Danlos syndrome. It looks at how lack of awareness in healthcare and relationships can delay diagnosis, compound suffering, and leave people feeling alone in their experience.

COMPLEX DISEASEHEDS

Joanna Bauer-Savage

5/2/20263 min read

person behind fog glass
person behind fog glass

When your reality is dismissed

Illness, invisibility, and the impact of not being believed

There’s a particular kind of suffering that comes with living with a condition like Ehlers-Danlos syndrome.

It’s not just the pain.
Or the fatigue.
Or the unpredictability.

It’s what happens when people don’t believe you.

The quiet harm of being dismissed

When your condition is:

  • not visible

  • not easily measured

  • not clearly shown on scans or blood tests

It becomes easier for others to:

  • minimise it

  • question it

  • or dismiss it entirely

Sometimes this comes from lack of knowledge.

Sometimes from systems that aren’t designed for complex, multi-system conditions.

And sometimes—from something much more personal.

A lack of empathy.
A lack of care.
Or an inability to sit with what they don’t understand.

When it happens in medicine

As doctors, we’re trained to look for evidence.

But what happens when the evidence isn’t obvious?

That’s where clinical skill should meet:

  • curiosity

  • humility

  • and compassion

Even when we don’t have answers, we can still say:

“I believe you’re struggling.”

When that doesn’t happen—when symptoms are dismissed or belittled—it can delay diagnosis, prolong suffering, and erode trust.

When it happens at home

This part is harder to speak about.

Because illness doesn’t happen in isolation.

It happens in relationships.

And when the person you rely on most:

  • doesn’t acknowledge your reality

  • resents your needs

  • or responds with anger instead of care

The impact goes far beyond the physical.

There was a time in my life, after a major abdominal surgery, where I was:

  • in significant pain

  • physically dependent

  • caring for three young children

  • living abroad, without a strong support system

What I needed in that moment was support.
Gentleness.
Safety.

What I experienced instead was the opposite.

Moments of:

  • emotional neglect

  • harshness

  • and a level of disconnection that left me feeling completely alone

I won’t go into every detail.

But I will say this:

It was one of the most vulnerable periods of my life—and one of the most confronting in terms of what I learned about relationships.

The psychological impact

Years later, in therapy, I understood more clearly what had happened.

Not just physically—but emotionally.

Experiences like this can leave a mark:

  • not just as memories

  • but in the nervous system

For me, parts of that time were processed as trauma.

Not only because of the surgery and pain—
but because of how alone I felt within it.

When illness meets survival

There’s something important that often gets overlooked:

When you are physically unwell, your capacity to act is limited.

People sometimes say:
“Why didn’t you just leave?”

But when you:

  • can’t move properly

  • can’t care for yourself independently

  • don’t have support, resources, or access

Your choices are not the same.

Sometimes you are simply trying to get through the day.

A message I want to be clear about

If you are ever in a situation where:

  • your experience is repeatedly dismissed

  • your needs are met with anger or resentment

  • you feel unsafe, unsupported, or devalued

That is not something you have to justify.

And it is not something you deserve.

Illness does not make you less worthy of care.
If anything, it is when you need it most.

The red flags

Whether in healthcare or in personal relationships:

  • being dismissed or not believed

  • being shamed or belittled for symptoms

  • lack of empathy in moments of vulnerability

  • conditional care—only when you are “well”

These are not small things.

They matter.

Moving forward

This is one of the darker parts of my journey.

And I share it carefully—not to blame or shame—but because it’s real.

And because I know I’m not the only one who has experienced this.

There is also another side:

  • healing

  • understanding

  • and eventually, making different choices

But first, there has to be awareness.

If this resonates with you—you’re not alone.

And if you feel able to share, what helped you begin to feel supported again?

Medical disclaimer:
This article reflects personal experience and is intended for educational and reflective purposes. It does not replace medical or psychological care. If you are experiencing distress, trauma, or feel unsafe in a relationship, please seek appropriate professional support.