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representation of chronic illness in books

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In my last blog post, I shared how I often feel invisible when reading books because I can never find authentic portrayals of chronic illness in fiction. In this post, I share 6 beautiful novels about chronic illness with authentic and relatable chronically ill characters.

The books surrounding me offer opportunities as I lie on my bed, tethered to it by chronic illness. Every book is a magical passport granting freedom and the possibility to escape the real world for a moment. I can open a book, and chronic illness and all its symptoms and complications seemingly dissipate from existence. Books allow me to be and do anything I want. Living inside books is the only place I can be free from the debilitating symptoms of chronic illness.

"Books allow me to be and do anything I want. Living inside books is the only place I can be free from the debilitating symptoms of chronic illness." Click To Tweet

I love reading books, but sometimes they make me feel lonely. And the more my life seems strange compared to the characters that live inside books. The more time I escape inside the pages of books and away from my reality, the more its magic dissipates. Because books, particularly fiction, ignore the thing that affects my life the most – chronic illness.

"The more time I escape inside the pages of books and away from my reality, the more its magic dissipates. Because books, particularly fiction, ignore what affects my life the most – chronic illness." Click To Tweet

I’ve often felt excitement upon discovering a book depicting life with a chronic illness. But that spark of excitement is fleeting as I often feel frustrated after turning the last page. Finding books representing chronic illness is incredibly hard, and authentic representations are even rarer. Because usually, books that do feature chronically ill characters are inaccurate, lack nuance, or are entirely ableist in their portrayal.

There is a long way to go before we have authentic, chronically ill characters in popular fiction. But that’s not to say there aren’t authors who are getting it right. Some writers are doing an excellent job of making the literary world a little more inclusive. Below are my recommendations for novels about chronic illness that became mirrors of my thoughts and experiences of living with ill health.

"Although there is a lack of authentic representation of chronic illness in fiction, the six books mentioned in this post deeply resonated with me as someone with a chronic illness and disability." Click To Tweet

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6 Novels About Chronic Illness That Got It Right

Please Read This Leaflet Carefully by Karen Havelin

Novel about chronic illness: Please Read This Leaflet Carefully by Karen Haven

Having been diagnosed with severe endometriosis in her twenties, she believes being self-reliant is the only way to survive her painful and debilitating illness. Between doctors’ appointments and in and out of hospitals, Laura confronts single parenting after her divorce, leading a life her teenage self would be in awe of.

After many years of enduring pain and the feeling of never being understood, Laura navigates her sexuality and unrecognised chronic condition the best she can. And forced to question her beliefs as she learns to find a certain peace, even in an impossible situation. Figure skating has been her salvation, as do writing and her dream of escaping Norway and moving to NYC.

My Thoughts:

It’s funny; I still struggle to discuss it despite years of living with chronic pain. There don’t seem to be words to describe the pain adequately or its effect on my life. But somehow, Havelin has eloquently articulated my and many others’ chronic pain experience. I resonated so deeply with the words on the page that they mirrored my thoughts and feelings. I underlined passages that struck a chord and that I felt reflected my very own journey of living with ill health.

The reverse chronological narrative brilliantly illustrates the endurance of chronic pain. It also demonstrates how pain and illness can determine the circumstances of people like Laura forced to endure it. And it is why Please Read This Leaflet Carefully is one of the best novels about chronic illness and chronic pain.

To read my full thoughts about Please Read This Leaflet Carefully; you can read my full review here.

"The beautiful, eloquent descriptions of what it's like to live with chronic, debilitating pain makes Please Read This Leaflet Carefully one of the best novels about chronic illness." Click To Tweet

Get A Life, Chloe Brown by Talia Hibbert

Chloe Brown is a chronically ill computer geek with a goal, a plan and a list. After almost – but not quite – dying, she’s come up with a list of directives to help her ‘Get a Life’:

  • Enjoy a drunken night out
  • Ride a motorbike
  • Go camping
  • Have meaningless but thoroughly enjoyable sex
  • Travel the world with nothing but hand luggage
  • And…do something bad

But it’s not easy being wrong, even when you’ve written step-by-step guidelines. Chloe needs a teacher, and she knows just the man for the job: Redford ‘Red’ Morgan.

With tattoos and a motorbike, Red is the perfect helper in her mission to rebel, but as they spend more time together, Chloe realises there’s much more to him than his tough exterior implies. Soon she’s left wanting more from him than she ever expected…maybe there’s more to his life than her list ever imagined?

My Thoughts:

Unfortunately, books rarely bestow us with authentic, chronically ill heroines. Until Chloe Brown, that is! I love that illness surfaces a lot in the book – because chronic illness influences most, sometimes even all, aspects of your life. My life looks like Chloe’s, from the many mobility aids strewn about the place to my inconsistent schedule because of inevitable flare-ups. Every detail in the book feels incredibly familiar as it mirrors my reality of living with a chronic illness. I also love Chloe and see her as a role model. Throughout the book, Chloe talks a lot about her condition and disability, but without it being the whole of her identity. It is admirable that she lives a happy life and thrives without finding a cure or overcoming her illness.

But, more than that, it is hopeful and uplifting as Chloe finds acceptance and love with the male protagonist, Red. Throughout the book, Chloe fears rejection from friends and potential partners because of her disability. Unfortunately, I have experienced this, but Red assures her she isn’t a burden and she shouldn’t accept people treating her as such. In these conversations, it felt like the author, Hibbert, talked directly to me and addressed my insecurities. In all, it is a book that gives us hope we, too, can find love and romance even with a chronic illness and disability.

"It was so incredibly comforting reading about someone who, like me, has bad pain days, brain fog, and a slew of other debilitating symptoms but is still considered sexy and attractive and worthy of love." Click To Tweet

Take A Moment by Nina Kaye

Novel about chronic illness: Take a Moment by Nina Kaye

Meet Alex. She has a wonderful fiancé, a job she thrives in, and a best friend she’s known since childhood. Life’s not perfect, but it’s pretty fantastic. Until a shock diagnosis suddenly throws everything off course.

But Alex has never been one to back down from a fight. Now single and unemployed, she packs up and moves from her Glasgow hometown to vibrant Birmingham for a fresh start. In a new job, in a new city, she’s learning what’s important in life all over again.

Friendship, fun and romance lie just around the corner. But can Alex leave her way and learn to take a moment and live?

My Thoughts:

Described purely romantic fiction, I would argue that it is so much more than that. It is a thought-provoking, heartfelt and life-affirming novel about chronic illness and its impact on every facet of a person’s life and identity. But, more than that, I felt seen and represented in a book in a way I never had before. Unlike the main character Alex, I do not live with MS, myself but the symptoms I live with overlap. Therefore, reading Alex’s experiences and feelings was like reading my own.

Take A Moment gives a brilliant insight into the experience of becoming chronically ill. The sudden loss of independence, suddenly feeling vulnerable in your own body, the concern about being unreliable, people treating you differently, and facing professional barriers. Too often, the focus on us becomes what we can no longer do instead of what we can. The book highlights the strengths and insight you gain when living with a chronic illness. But, it also emphasises the importance of having supportive people around you – friends, family or colleagues. I hope this raises awareness and makes people more empathetic towards those with invisible conditions.

At times, the words jumping from the pages took me back to the start of my chronic illness journey and the time I received my diagnosis. But despite all this, the book isn’t maudlin or depressing, it emphasises the challenges, yes, but it’s also incredibly positive. It is a reminder that a chronic illness diagnosis does not mean the end but can be the start of something better. And a book that also makes you appreciate the people that are always there; and who believe in you when you don’t believe in yourself.

"Despite being a novel about a woman diagnosed with a chronic illness, Take a Moment isn't gloomy. It is a fun, heart-warming and life-affirming read about what we can do and achieve with the right support." Click To Tweet

The Little Pieces of You and Me by Vanessa Greene

Novel about chronic Illness: The Little Pieces of You and Me by Vanessa Greene

Best friends Isla and Sophie made each other a promise long ago to never let life pass them by. Years later, Isla is in love, living abroad and fulfilling her dreams. But for Sophie, things haven’t turned out how she was expecting, and she hasn’t achieved anything she and Isla discussed.

And then, in one sudden moment, life irrevocably changes for both women.

Isla and Sophie have hard decisions, but above all else, they must face the uncertainty ahead. Only when they realise this is easier together, two friends standing side by side, can each woman embrace whatever the future holds for them.

My Thoughts:

Chronic illness does not take centre stage in The Little Pieces of You and Me. However, some descriptions were so visceral and resonated so much that I thought the book was still worth mentioning.

“Her body, something she’d always taken for granted, could no longer be counted on to behave predictably. She’d almost stopped seeing it as part of her, and instead looked on it as an adversary, biding its time preparing to trip her up.”

Vanessa Greene, The Little Pieces of You and Me

After reading this passage, I realised I had tears in my eyes. As someone with a neurological condition, like one of the characters in the book, this sentence hit close to home. It felt like I was reading how I see my body on the page, and for the first time, it felt like someone understood me.

But most of all, the book is about love and friendship. The strong friendship between Isla and Sophie was heartfelt, and their connection came alive from the pages. Both characters encounter challenges but weave seamlessly through the book with great sensitivity and compassion. I love how both characters were resilient enough on their own but were even stronger when together. The book teaches us that we can often know precisely what we want and can easily list them. But then suddenly, life can change, ct, the one thing that makes you happiest was never on our list. A book that is well-worth reading if needing something uplifting and thought-provoking.

"Despite chronic illness not being centre stage, in The Pieces of You and Me, it was still a book that resonated with me because of its poignant and visceral descriptions of living with a neurological disorder." Click To Tweet

Meet Me on the Buddy Bench by Hannah Pearl

Novel about chronic illness: Meet Me on the Buddy Bench by Hannah Pearl

When an ordinary bench becomes a lifeline…

As a primary school teacher, Ava Lam is familiar with the ‘buddy bench,’ a rainbow-painted bench where sad or lonely children can sit to show they need a friend.

But are buddy benches just for kids? Ava might have assumed so – until she finds herself sobbing her heart on a park bench, and a kind stranger sits beside her.

The stranger, Dr Sam Stone, has a house and an impressive job, and he’s even training for a marathon – all things that have become painfully out of reach for Ava in her new and scary circumstances. But whilst Sam appears to have everything figured out, he needs a sympathetic ear just as much as she does.

Is this encounter a one-off, or could the ‘buddy bench’ begin to represent a source of comfort and support that will become precious to them both?

My Thoughts:

Again, this book seems like a typical romantic read for the regular chick-lit audience but packs much more of an emotional punch. The book does not shy away from sharing the emotional and physical challenges of living with a chronic illness. It gave a brilliant insight into the reality of invisible illnesses like ME, which the book shines a light on. The dismissal of symptoms from medical professionals and the lack of understanding from family and friends all hit so close to home, as I, too, have experienced this.

The author has accurately portrayed so many elements of living with an invisible illness that I can only hope it will raise awareness among the wider public. But like, with like all of the books I have mentioned, the story does not dwell on the negatives. It is a positive and uplifting story about how it is possible to rebuild your life after an illness has suddenly shattered it. The idea of the buddy bench to help build connections with others is such a charming and unique idea that you begin to wish one were in your area!

"The book gave a relatable and authentic insight into the reality of living with a chronic illness. Although light-hearted, it does not shy away from sharing the emotional and physical challenges of being chronically ill." Click To Tweet

Tomorrow and Tomorrow and Tomorrow by Gabrielle Zevin

Novel about chronic illness: Tomorrow and Tomorrow and Tomorrow by Gabrielle Zevin

Sam and Sadie meet in a hospital in 1987. Sadie is visiting her sister; Sam is recovering from a car crash. The days and months are long there, but playing together brings joy, escape, fierce competition – and a special friendship. Then, that time is over too soon, and they must return to their everyday lives.

When the pair spot each other eight years later in a crowded train station, they are catapulted back to that moment. The spark is immediate, and together they work on what they love – creating virtual worlds in the digital realm that eludes them in their real lives. Their collaborations make them superstars.

This is the story of the perfect worlds Sam and Sadie build, their imperfect world and the thing that comes after success: Money. Fame. Duplicity. Tragedy.

My Thoughts:

I was interested to read this book because of the glowing reviews I read online. I’m not a fan of video games, which is the book’s central theme. I was, however, interested in how it would deal with other main themes such as disability, chronic pain and chronic illness. As it turned out, I completely fell in love with the book, its characters and even the world of video games! The book is one of the most comprehensive portrayals of chronic pain I have ever read. Sam’s pain, disability and medical trauma underlie the book, shaping who he is, his relationships and how he functions in the world. There were many poignant quotes throughout the book, but one that stood out was:

“Sam was scared and ashamed because he felt as if he had no control over his body, no understanding of what was causing the pain and this, no means to ameliorate it.”

Gabrielle Zevin, Tomorrow, and Tomorrow, and Tomorrow

One of the most relatable aspects of Zevin’s depiction of Sam’s disability is how it dictates his life. I could feel it as much as he does, resonating with my experiences. Just as Sam can never forget he’s in pain, neither can we, as voyeurs of his experiences. It resonates as someone living with chronic pain; it is a part of my life I can never forget, just like Sam. His only reprieve, however, comes from playing video games. When the book immerses us in the world of video games, we also go through a reprieve from Sam’s pain. He goes on to explain:

“Sometimes, I would be in so much pain. The only thing that kept me from wanting to die was the fact that I could leave my body and be in a body that worked perfectly for a while.”

Gabrielle Zevin, Tomorrow, and Tomorrow, and Tomorrow

Although I don’t play video games, I still resonated with the need to escape from chronic pain. I find distraction and solace in books; I love that I can be anyone else and be free from pain and illness, if only for a short while.

Although the book deals with several tragedies, I found Sam’s arc hopeful. It is a story that shows us that Sam can still live, succeed and eventually thrive despite it all.

"This book is a masterpiece on the daily challenges of chronic pain and illness and learning to find peace with our disabilities when we face them. A book that is beautifully written and hard to forget." Click To Tweet

As a confessed bookworm, I read a lot of books! You will rarely see me without a book in my hand. But it is rare for me to find a book with a character like me living with a chronic illness; however, as this post has shown, seeing more novels about chronic illness on our bookshelves is encouraging.

"It is encouraging to see more novels about chronic illness on our bookshelves." Click To Tweet

Any other novels about chronic illness I might have missed?

Have you read any great novels about chronic illness? What have been your favourites? Let me know; I always love learning about new books and authors I may not have found on my own!

Why We Need More Representation of Chronic Illness in Books

In my bedroom, everywhere I turn, whichever cupboard I open, I find a book. I regularly and with considerable enthusiasm rescue books from the bookshelves at any place that sells them. I lean on books not just for the pure enjoyment of reading but also for some healthy escapism. Since becoming chronically ill, books have become even more crucial. Books have become a magical portal, allowing me to escape the severe, debilitating symptoms that are now my constant reality.

"Since becoming #chronicallyill, books have become even more crucial. Books have become a magical portal allowing me to escape the severe, debilitating symptoms that are now my constant reality." Click To Tweet
Pink background with a girl reading a book she is holding in her hand with text that reads 'Books are a magical portal allowing me an escape from pain and chronic illness'

Pain and illness often confine me behind the same four walls, with a scenery that never changes. But books offer a window offering views of worlds and places, both real and imagined. Books and my imagination allows me to run, walk and move without the fear of falling and being unable to get back up.

"Pain and illness often confine me behind the same four walls, with scenery that never changes. But books offer a window offering views of worlds and places, both real and imagined." Click To Tweet

In his essay, Mirrors, Windows, and Sliding Glass Doors, Rudine Sims Bishop stated that books, as well as being a window offering views of worlds, can also be a mirror. He wrote, “Literature transforms human experience and reflects it back to us, and in that reflection, we can see our own lives and experiences as part of the larger human experience.” 

If Books Are A Mirror, They Fail To Reflect The Reality of Living With Chronic Illness

It saddens me that my favourite pastime ignores the thing that affects my life the most. The more time I spend inside books, the more my life feels as fictional as what I’m reading. Because whenever I pick up a book, there is never a mirror, only a void. Whatever I read, I can never see any fragments of my reality reflected on the pages of literature.

"The more time I spend inside books, the more my life feels as fictional as what I'm reading. Because books rarely reflect any fragments of my reality of living with a #chronicillness." Click To Tweet
The more time I spend inside books, the more my life feels as fictional as what I'm reading. Because whenever I pick up a book, there is never a mirror, only a void. Whatever I read, I can never see any fragments of my reality reflected on the pages of literature.

As in the real world, chronic pain and illness remain invisible and ignored in the literature I love to read. Constant, severe and debilitating symptoms don’t besiege the characters in books as I am. Nothing I read involves characters who depend on mobility aids to help them navigate the outside world.

I can never relate to or see myself in the characters represented on the pages of popular fiction. Instead, the main characters, love interests and heroes are everything I am not – healthy, strong, and able-bodied. And so it evokes a feeling of uncertainty about where or even if I belong.

"I can never relate to or see myself in the characters represented on the pages of popular fiction. Instead, the main characters, love interests and heroes are everything I am not – healthy, strong, and able-bodied." Click To Tweet

As I search the bookshelves, no books reflect my experiences of being chronically ill back at me. I can only imagine what it would be like to find a book that reflects my story. I can only imagine reading words on a page that resonates so deeply that it feels like I am reading about my feelings and experiences of living with a chronic illness. Or how it would feel to see chronically ill characters who, like me, feel stuck, unable to move past or grow because of it.

If books did, there would be light and connection to a world that can sometimes be dark and lonely.

Books Representing Chronic Illness Would Give Me Something Familiar to Cling To Against The Tides of Loneliness

A book illuminating the realities of chronic illness would give me something familiar to cling to; a safety raft against the violent waves of solitude. Books that would grant me solidarity, allowing me to relate my experiences and be a witness to a body similar to my own.

"A book illuminating the realities of chronic illness would give me something familiar to cling to; a safety raft against the violent waves of solitude." Click To Tweet

Something that would finally provide me with validation that my pain and experiences are real. Something I can wave around as evidence that what I’m experiencing is not fictitious or all in my head. If such books existed, I imagine the inked words rising from the pages like a pair of arms embracing me, reminding me I’m not alone.

"If representations of chronic illness did exist in books, I imagine the inked words rising from the pages like a pair of arms embracing me, reminding me I'm not alone." Click To Tweet
A picture of a girl, on her right lies a pile of book, and to the left two books with a pair of glasses and a cup of tea on top. Girl is reading a book. Lies above are the words 'We read to know we're not alone' by William Nicholson

As I reflect on my childhood, puzzlement was the most overwhelming feeling I experienced when I first exhibited strange symptoms. I didn’t know anything about chronic pain or illness. I knew nothing about the diagnosis the doctors would eventually uncover. Usually, when I encountered a problem, I ran to books to try to make sense of it. But, this was a complication for which books had no answers. It only left me feeling confused, lost in the cold and with no map to help guide my way.

"Usually, when I encountered a problem, I ran to books to try to make sense of it. But, #chronicillness was a complication for which books had no answers." Click To Tweet

Why We Need More Representation of Chronic Illness in Books

It was a scary and lonely time. But if there had been more representation of chronic illness in books, it might have made everything less frightening. If there were fictional characters I could identify with, I could see life with a chronic illness differently. And perhaps discover new ways to cope with the many illness-related obstacles. But more importantly, seeing characters thriving despite health challenges would give me hope when there’s often none to see.

"But more importantly, seeing characters thriving despite health challenges would give me hope when there's often none to see." Click To Tweet

I hate sharing my life with chronic illness. It is ceaseless, painful and terrifying, But still, I have been subject to suggestions that I am faking. Or at least exaggerating my illness for attention.

But chronic illness, especially those illnesses and disabilities that are invisible, remains unseen in books and popular culture. Still, illness and disability are taboo subjects, hidden in the dark, ignored and unconsidered.

 imagine the inked words rising from the pages like a pair of arms embracing me, reminding me I’m not alone.

Representation Can Improve Understanding of Experiences Beyond That of Our Own

But books are empathetic, connecting us to experiences beyond our own and opening our eyes to obstacles others face. If there were authentic representations of chronic illness in fiction, perhaps those not facing such issues would be more aware and understanding of those who do. It will prevent others from judging us when we have to cancel at the last minute. It will help people not to judge us for needing certain accomodations despite being young and looking healthy. If more stories existed featuring main protagonists living with chronic illnesses, it would help validate our existence and help us feel seen and a part of society.

"If there were authentic representations of chronic illness in fiction, perhaps those not facing such issues would be more aware and understanding of those who do." Click To Tweet

Although the representation of chronic illness in literature is lacking, it isn’t to say that there isn’t any. With the emergence of ‘Sick-Lit,’ a new genre of young adult fiction features characters living with illness. Characters who live with chronic illness alongside the added complications of adolescence and growing up. My younger self could only crave the kind of solace, affirmation and community seeing my experiences represented in something tangible.

Seeing Chronic Illness In Books Would Give Those Experiencing It Something to Relate To

As I read the pages of sick-lit, I felt its words could have been about my own life. I could relate to the suffocating loneliness and isolation its characters often expressed through being sick. But, still, my older self felt disconnected from the story and its representation of chronic illness. Because as a 30-something-year-old, I am older than those characters represented in sick-lit, usually angsty teens or young adults. The problems and complications I face from being chronically sick are very different and rarely discussed in popular literature.

Chronic Illness Needs More Representation in Books

It’s encouraging that we are starting to see the representation of chronic illness in books; it still isn’t enough. Older readers, like myself, deserve to see themselves in the characters. Books with characters struggling with chronic pain and illness whilst also grappling with all the responsibilities of adulthood.

I want to read about characters who struggle with losing their independence. Characters who, like me, battle with insecurity because of the physical effects it has on their body and their life. I want to cheer on characters who feel worthless and unattractive. And who often fear that they will never find love because of something they think makes them a burden.

I would love nothing more than to open a book to find a mirror when I read. A mirror that reflects my experiences and feelings of living with a chronic illness. Because no matter who you are, the bookshelf and the literary world should be a place for everyone. The books aligned on our bookshelves should be as diverse as the world we live in and should represent everyone. But until there is more representation of chronic illness in books, I will have to continue reading for escapism.

"Because no matter who you are, the bookshelf and the literary world should be a place for everyone. The books aligned on our bookshelves should be as diverse as the world we live in." Click To Tweet