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
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.
Contact
info@joannabauersavage.com
© 2026 Joanna Bauer-Savage
All rights reserved
Joanna Bauer-Savage
10115 Berlin, Germany
Link to Wild Woman Reborn:
https://www.wildwomanreborn.com
