This document discusses common issues faced by those with chronic illnesses and provides strategies for managing them. It notes that chronic illnesses typically have a gradual onset, difficult diagnoses, involve trial and error treatment, and rarely have cures. It recommends goals of relieving symptoms, slowing progression, and preventing damage. Managing chronic illnesses also involves adjusting to a new "culture" with its own language, challenges, and approaches. Specific strategies discussed include managing fatigue, dealing with difficult emotions, using mindfulness, keeping action plans and to-do lists, focusing on what makes one feel good, reframing views of treatment, and choosing one's own attitude.