20 Feb 2026 · 14 min
Tess explores the grief and identity shift that comes with dysautonomia and other nervous-system conditions, where lost productivity triggers an identity crisis. She explains why boundaries are survival tools, not preferences, and offers communication strategies for relationships that minimize or disappear when limits appear.
Chapters
Welcome to the Spoonie Ninja Podcast, Living on Borrowed Spoons. This is a quiet, honest space for living with chronic illness, parenting through it, and finding humor where we can. Hi, I'm Tess, also known as the Spoonie Ninja. I'm a chronic illness advocate, author, and mom, and I live with multiple chronic conditions. Living on Borrowed Spoons is a space for real conversations about illness, mental health, parenting, relationships, and surviving systems that weren't built for You don't need to be strong here. You just need to be human. Thanks for spending your time with me. Now, let's dive into the podcast. Episode 4, When Your Nervous System Changes the Rules: Grief, Identity, and Relationships. Living with a nervous system condition doesn't just change how your body works. It changes how you see yourself. And how the world sees you. This episode isn't about symptoms, it's about what happens around them. Because there's a kind of grief that comes with dysautonomia that no one warns you about. Not the loud, obvious kind, the quiet kind. The kind that shows up when you realize that your body no longer follows the same rules as it used to. Let's start with grief. Most people think that grief only belongs to death, But chronic illness introduces loss in smaller, ongoing ways. You grieve the version of yourself who didn't have to think about standing, the spontaneity that you used to have, the plans that quietly became unrealistic, and the energy that you assumed would always be there. The hard part is no one hands you a permission slip to grieve those things. You're still here. You're still functioning. You don't look sick enough to justify the sadness. But grief doesn't require permission. It shows up anyway. Sometimes it looks like anger. Sometimes numbness. Sometimes exhaustion that has nothing to do with sleep. And sometimes it shows up as guilt for Missing the body that you had, even while trying to survive in the one that you're in now. Then there's identity. When your nervous system changes the rules, you don't lose energy. You lose reference points. You start asking questions like, who am I if I can't do the things that I used to do? Who am I if I rest because it's required and not optional? Who am I if my value can't be measured by Being productive. And that can be destabilizing, especially if you were the reliable one, the caretaker, the overachiever, the strong one, the one who pushed through. Illness doesn't erase who you are, but it does ask you to redefine yourself. And redefining yourself while surviving is not easy. You're still you. Just operating with a different operating system. But let's talk about relationships, because this is where things often hurt the most. When your body has different rules, especially different rules that other people don't always update their expectations with, some relationships soften. They slow down with you, and they learn. Others don't. People may Minimize your experience, offer advice instead of understanding, get uncomfortable with your limits, or disappear whenever you can't keep up. And that hurts, even when you understand why it happens. You just start to feel like you're too much, or not enough, or a burden, or an inconvenience. So you explain yourself. And then you explain yourself again, and then you wonder why you're so tired. But here's something important: you're not responsible for making other people comfortable with your illness. Your job is to keep yourself regulated, to protect your own energy, and to survive with dignity. The people who are meant to stay will adjust, and the ones who can't— That loss is real too. And yes, that deserves grief as well. There's also a specific loneliness that comes from invisible illness. When you look fine, but feel anything but. When you cancel plans and feel guilty. When you show up and then you pay for it later. When you weigh every decision against your nervous system's tolerance. That constant calculation is exhausting. And it's okay to acknowledge that. If you're in the middle of this, the grief, the identity shifts, the relationship changes, you are not broken. You're adapting. Grief doesn't mean that you've given up. It means you cared. Identity shifts don't mean that you've lost yourself. They mean you're evolving. And relationship changing? That doesn't mean that you failed. It means that your life required honesty. And most of the time, your life was better without those people anyway. You don't have to accept everything all at once. You don't have to be positive. And you don't have to be inspirational. You just have to be real with yourself. That's enough. Let's talk about boundaries. Not the social media version. Not the perfectly worded scripts. And not the kind that assume people will respond reasonably. The kind that you set because your nervous system requires them. When you live with a nervous system condition, boundaries are not about preference. They're about regulation. They're about survival. And that changes everything. Here's the first thing: your limits are are not negotiable just because they inconvenience someone else. They may be flexible. They may shift, but they are not imaginary. And yet this is where the guilt sneaks in, because most of us were taught that boundaries, that needing space is selfish and that rest is something that you earn. So when your body starts to enforce limits that you didn't choose, You feel like you're failing at being easy to deal with. You're not. Your nervous system has different requirements now. Overexplaining makes things worse. A lot of people fall into the overexplaining when they have chronic illness. You give context, you justify, you soften, You add medical details, and then you apologize, and then you're exhausted before the boundary even lands. Here's the truth: if someone needs a dissertation to respect your limit, they weren't going to respect it anyway. I'll repeat that just so you hear it again. If someone needs a dissertation to respect your limit, they were not going to respect it Anyway, you don't owe anyone your symptom list. You don't owe anyone proof, and you certainly don't owe anyone access to your medical reality. Boundaries work best when they're simple. I can't do that today. I need rest. I won't be able to commit to that. That's it. You don't even have to make it palatable. You just have to make it clear. Now let's get to the part where we communicate limits without guilt. This part, it takes practice. Lots of practice. Because when your body has different rules, your limits can feel unpredictable, even to you. You might worry about disappointing people, being seen as unreliable, being misunderstood, and being left out. So you push yourself past what's safe, and then your nervous system responds hard. Here's a reframe that matters. Every time you ignore a boundary, your body remembers. Every time you honor one, you build trust with yourself, and that trust is foundational. You're not being dramatic for protecting your capacity. You're being responsible. I always try to remind myself that if my body needs rest and I'm not taking the time to do it, it will make me. The difference between an explanation and communication is that communication is saying what you need. An explanation is trying to control how someone feels about it. You're responsible for the first. But you are not responsible for the second. Some people will understand. Some people won't. Some people try to negotiate. Your job is not to convince. Your job is to notice when your nervous system tightens, and then you respond accordingly. That might mean ending conversations earlier, or declining invitations without counteroffers. Or sitting in silence and just existing. Discomfort doesn't mean that you did something wrong. It often means that you did something new. Protecting your nervous system in a world that pushes— well, the world is loud. It's fast. It's demanding. And it does not slow down for Dysautonomia. So protection becomes intentional. Protecting your nervous system might look like Leaving early instead of staying until you crash. Saying no, even when you would've pushed through. Choosing predictability over spontaneity. Limiting emotional-draining conversations. Reducing your sensory input. These aren't weaknesses. They're strategies. You're designing a life that your nervous system can tolerate. That's not giving up. That's an intelligent adaptation. Boundaries change relationships. Here's the part that people don't warn you about. When you start honoring your limits, some relationships will change. People who benefited from your overexertion may resist. They may guilt you and they may minimize your needs, but that does not mean your boundaries are wrong. It means the dynamic relied on you ignoring yourself. Healthy relationships, they will adjust. Unhealthy ones will push back. That information is painful, but it is valuable. You don't need to confront everyone. You don't need to explain yourself into exhaustion. You're allowed to quietly choose yourself, but boundaries with yourself matter too. This part's easy to miss. Sometimes the hardest boundaries are internal. Not pushing because you feel guilty, not overcommitting on good days, and not punishing yourself for resting. Your nervous system doesn't care about your intentions. It cares and responds to the load. Learning when to stop before symptoms escalate is a skill, one that takes time. You will misjudge it sometimes, and that's not a failure. That's learning. So if you're listening to this and feeling resistance, that tight feeling in your chest, that's okay. Boundaries bring up fear. Fear of being misunderstood, fear of being alone, and fear of not being enough. But your body is not asking for perfection. It's asking for safety. And safety comes from consistency, not sacrifice. You're allowed to live gently. You don't have to harden yourself to survive this. You don't have to become rigid. And you don't have to shut people out. You just have to listen when your body says that's enough. It's not selfish. That's care. If nothing else, take this with you. Your nervous system is not a problem to overcome. It's a system to support. And you are allowed to build a life that reflects that truth. This has been Living on Borrowed Spoons. Thank you for staying with me and take care of yourself gently. Until next time. My amazing warriors, I'm sending you spoons, sharpened or spared, depending on the day. Thank you for being a part of my ninja clan. Thank you.
