When Getting Better Hurts More Than Staying Sick: The Paradox of Recovery

In the last couple of months, I’ve had a breakthrough in my recovery.  After being mostly couch-bound since January, I’m now able to run.  And my cognitive abilities have improved so much that I just finished a small project.  So many things I’ve hoped for have become reality!

I thought I’d feel nothing but elation if I ever got back to this point, but instead, now that I’m here…

I’ve found a dark side that no one wants to talk about.


Yesterday, it crystallized as I relayed to my therapist how much progress I’ve made lately…

“You’re telling me all of this,” she said, scanning me up and down.  “But something is still bothering you.”

Before I could figure out what it was, out of nowhere, the emotion overtook me, and I broke down.

“I lost a year of my life!” I sobbed. “I’ve been gone for a year and didn’t know until now.”

I’d been struck by the paradox of encephalitis recovery: when you’re at your worst, you’re too sick and impaired to know it, and in a way everything hurts less. As you get better, you start to see all that you’ve lost, and the grief sets in.  You can only mourn what you know was taken away from you.

Although I was incredibly fortunate to have accomplished far more than I should’ve been able to accomplish over the past year (including finishing college, starting a book, and getting through graduate school applications), everything was so much harder than it would’ve been if I were well.  As a result, I was often miserable if I tried to do anything productive, so I usually avoided any overly demanding work that I could—but that meant there were many things I wanted to do that I didn’t get to do.

On top of this, I had physical fatigue so severe that over-exerting myself could mean multiple days in bed with flu-like symptoms afterwards.  I also lost a certain spark of my personality and unquantifiable aspects of myself.

These days, as I’m getting closer and closer to a “normal” healthy person’s life, I’m so sad that I spent all these months going to appointments, getting treatments, and taking it easy so that my brain could heal from the damage my disease had done to it—rather than working on exciting projects or enjoying myself.  Now that I’m doing those things again, I feel like all of the months when I couldn’t are lost months of life.

On the contrary, last fall, when the catastrophic relapse of my illness which turned me into a shell of a human being began, I felt very little emotion about it—especially as the disease progressed and wreaked more and more havoc upon my brain.

In the most lucid times back then, I was devastated to realize I was sick again, but it was in a distant and abstract way.  Objectively, I saw I couldn’t do my school work anymore, and that I wasn’t all “there”—yet I had no concept of how much of my “self” had been lost. 

In the less-lucid times, my disease made me so numb and detached from everything that I couldn’t possibly feel any grief at all.

But now that I’m better, I feel all of the pain and anger and frustration that I wasn’t capable of feeling when I was ill.  And sometimes, I don’t know how I can handle it.


Some people think that once you cure your encephalitis/PANS, the fight is over.  They think that once the brain inflammation is gone, so are all your problems.  But in many ways, that’s only the beginning of the healing process…

I’m angry that my illness happened to me again.  I’m shocked that such a cruel disease exists.  I’m worried that I’ll never be cured for good.  I’m afraid of losing everything all over in another relapse.  I’m uncertain as to how I can rebuild my life when I’m not sure if I’ll be able to maintain it.

I have nightmares about the whole experience.  I constantly over-analyze every emotion and twitch for fear that they’re symptoms.  I get tense whenever someone coughs and imagine their germs triggering my next flare-up.

So where do I go from here?

There are days when my experience makes me feel like there’s no point to my life, and I wonder why try to do anything at all if I could get sick all over again.

But I’ve realized that to give up is to let this disease win.  It’s bad enough that it happened at all, but how tragic would it be if I recovered yet never truly lived?

So no matter how scared or angry or sad I am, I know I must keep moving forward.  No one knows if I’ll ever have another relapse, but I do know that I’m going to make the most of the amazing life that I’m regaining now.


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P. S. Thank you, everyone who shared last week’s post in reply to the Journal of Pediatrics’ paper on PANS.  I’ve been overwhelmed by the response.  I believe that together, we will win this fight for awareness and access to proper treatment!  Thanks for your support.

15 thoughts on “When Getting Better Hurts More Than Staying Sick: The Paradox of Recovery

  1. This has been one of the hardest things for my daughter. You describe it so well. I wish neither one of you knew this pain. Thinking of you and sending healing thoughts! 💕

  2. You’ve described the feeling oh so well! I developed a really bad infection 3.5 years ago and adjusted to my new “normal,” until realizing late last year that something was seriously wrong… instead of going away like it was supposed to, it grew and spread. It’s only now I can look back and see that I haven’t been fully engaged in my work, relationships, and hobbies… and it’s because I’ve been too fatigued and cognitively impaired to even realize the loss. Stay strong and keep going!

    1. Thanks, esoterica! Same to you. That sounds really difficult. As someone with Lyme disease I know too well how insidious and damaging infections can be to one’s life. I hope you’re getting treatment and things keep getting better now!

  3. Wonderful, insightful thoughts!
    When you’re feeling better, you have to live your life, and not worry about the other ‘shoe dropping.’ If it’s going to drop, it will whether you live your life or not, so just live it & enjoy yourself!

    1. Thanks, Melanie! It’s definitely a struggle, but you’re right that the best we can do is not think about the other shoe dropping. Why ruin the good times worrying about it if it may never drop at all?

  4. I’ve experienced this also and I’ve never heard it described so well as I do in this post. I have little healing windows that occur and everytime I have PTSD like reactions related to the years I’ve been ill and all that has happened. It truly feels like surviving an apocalypse that no one else knows about.

    1. Wow, you’re so right: “like surviving an apocalypse that no one else knows about.” I’m sorry that you have these experiences, too, but I suppose there’s some comfort in knowing we’re not alone. I hope you can find some peace soon. <3

  5. This is definitely the darkest part of the reality that is PANDAS/PANS/Lyme/AE…we’ve had to mourn the loss of those days, months and years also. It is one of those intangible realities for which those who have not experienced this type of loss can’t really fathom the depth and scope of it. Thank you for being honest about your reality and its impact.

    1. And thank you for reading! It’s definitely something that people who haven’t lived it (or something similar) can grasp. People can’t always tell from the outside how much of ourselves we lose to this… I hope you and yours are doing well.

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