Important Things You Shouldn't Say to Someone With Fibromyalgia


Fibromyalgia is a chronic and often invisible illness that affects millions of people around the world. It is characterized by widespread pain, chronic fatigue, sleep disturbances, cognitive challenges, and a long list of other symptoms that can deeply impact every aspect of daily life. Because fibromyalgia is often misunderstood, those who live with it frequently face not just physical hardship but emotional and social burdens as well. One of the most painful parts of managing this condition is dealing with insensitive or dismissive comments from others, especially when those comments come from well-meaning family members, friends, or even healthcare providers.

Words matter. What people say can either support and validate someone’s experience or cause harm, even if unintentionally. When someone lives with an illness that is not always visible to the outside world, the way others react plays a major role in how they cope with it. Being supportive does not require having all the answers, but it does require empathy, patience, and understanding.

Here are the most important things you should avoid saying to someone with fibromyalgia—and why these phrases can be so damaging.

“But you don’t look sick”

This is one of the most common and hurtful comments people with fibromyalgia hear. While it may be intended as a compliment, it invalidates the real, debilitating nature of the illness. Just because someone appears physically well does not mean they are not in severe pain or struggling to function. Chronic illnesses do not always manifest in obvious ways, and outward appearances rarely tell the whole story.

“It’s all in your head”

Implying that fibromyalgia is a psychological issue or a figment of imagination is both inaccurate and deeply offensive. Fibromyalgia is recognized as a legitimate neurological condition involving the central nervous system. Dismissing it as mental or emotional creates stigma, undermines trust, and adds to the emotional burden patients already carry.

“You’re just stressed out”

Stress may worsen fibromyalgia symptoms, but it is not the cause. This comment oversimplifies a complex condition and places blame on the individual for their illness. It suggests that if they could just relax, their symptoms would disappear, which is not true. People with fibromyalgia often manage stress proactively, and still, their symptoms persist.

“You should try exercising more”

Exercise is indeed part of many fibromyalgia treatment plans, but suggesting it casually can come across as judgmental. For people in constant pain and fatigue, even gentle movements can feel overwhelming. The body needs rest, not unsolicited advice. When suggesting lifestyle changes, it's crucial to recognize that what works for one person may not work for another and that progress looks different for each individual.

“Everyone gets tired”

Fatigue in fibromyalgia is not the same as normal tiredness. It is a bone-deep, persistent exhaustion that sleep does not fix. Saying this minimizes a key symptom and suggests that the person is overreacting. Living with fibromyalgia means navigating each day with limited energy, and equating that to regular fatigue is misleading and dismissive.

“At least it’s not something serious”

Fibromyalgia may not be fatal, but it is life-altering. The pain, brain fog, digestive issues, and other symptoms can interfere with work, relationships, and overall quality of life. This comment downplays the condition and ignores the mental, emotional, and financial toll it can take over time.

“Have you tried going gluten-free, vegan, or cutting out sugar?”

While dietary changes may help some people, unsolicited medical advice is rarely helpful. It implies that the person has not done enough or is responsible for their continued suffering. Most people with fibromyalgia have tried numerous therapies, diets, and treatments. If they want advice, they will ask for it.

“You’re too young to be this sick”

Illness does not discriminate based on age. Saying this assumes that chronic illness only affects older adults, which is untrue. People of all ages live with fibromyalgia, including teenagers and young adults. This statement adds an extra layer of guilt and shame, as if being ill is a personal failure.

“Maybe you just need to push through it”

Pushing through pain and fatigue is often what leads to flare-ups and long-term setbacks. This mindset encourages overexertion and ignores the importance of pacing and rest in managing chronic illness. It can make someone feel weak or lazy for honoring their limitations, even when those limitations are medically necessary.

“You should see a therapist”

Mental health support is important, but using this phrase to suggest that fibromyalgia is purely emotional is offensive. It implies that the condition could be resolved with talk therapy alone, ignoring the very real physical components. Therapy may be part of a holistic care plan, but it is not a replacement for medical treatment.

“You’re lucky you don’t have to work”

This assumes that not working is a luxury when, in reality, many people with fibromyalgia would love to work if they were physically able. Being forced out of employment due to health is not a choice. It often brings financial hardship, loss of identity, and social isolation.

“Other people have it worse”

While this may be true, it does not make another person's suffering any less valid. Pain is not a competition. Telling someone to be grateful because others have different struggles dismisses their lived experience and discourages open communication.

“You just need to get out more”

During a flare-up, even getting out of bed can be a challenge. Encouraging someone to be more social or active without understanding the physical cost it brings can be unintentionally cruel. Isolation is not always a choice but a necessity driven by pain, fatigue, and environmental triggers.

“You were fine yesterday”

Fibromyalgia symptoms fluctuate, often from hour to hour. This unpredictability is one of the hardest parts of the illness. Just because someone looked okay the day before does not mean they are faking their current symptoms. Comparing one day to the next oversimplifies a complex condition.

“You're just being dramatic”

This phrase is deeply invalidating. People with fibromyalgia are often silent about their pain, enduring more than they let on. Accusing them of exaggerating adds emotional distress to physical suffering and may discourage them from being honest about their needs.

“It could be worse”

While meant to be comforting, this minimizes the person’s current reality. It tells them their suffering isn’t significant enough to be acknowledged. Living with fibromyalgia is hard enough without being told to silence their pain in favor of others’ stories.

“I get aches and pains too”

Yes, everyone experiences discomfort at times, but fibromyalgia pain is persistent, widespread, and often debilitating. Comparing ordinary soreness to chronic illness overlooks the intensity, duration, and full-body nature of fibromyalgia symptoms.

If you care about someone living with fibromyalgia, the most helpful thing you can do is believe them. Listen without judgment. Offer support without trying to fix everything. Respect their boundaries, pace, and the strategies they use to manage daily life. Chronic illness already strips people of so much. Kindness, understanding, and thoughtful words can offer the strength to carry on.

Speak gently. Ask how you can help. Recognize that what may seem like a small gesture or comment to you can make a huge difference in someone else’s day. And most importantly, never assume you know what they’re going through. Their battle is often unseen—but very real.


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