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Flaky Doesn’t Mean Faithless: Chronic Illness and Friendship Guilt


🧠 The Truth About Being a ‘Flaky’ Friend

People with chronic illness or neurodivergence often carry a ton of guilt about canceling plans, going silent, or not showing up “like we used to.” We’ve internalized the idea that not being physically or emotionally available = not being a good friend.

But here’s the reality:
➡️ According to a 2019 survey by the NIH, over 60% of chronically ill individuals reported losing friendships due to symptoms like fatigue, pain, or mental health swings.
➡️ A 2022 study on social isolation in disability populations found that many people with invisible conditions felt “socially unreliable” — not because they didn’t care, but because their bodies were unpredictable.

I don’t make plans anymore. I can’t remember exact situations where I flaked due to hurting but I do remember the fun others had without me and who wants that?


💬 You’re Not Letting People Down — You’re Living with Limits

Chronic illness isn’t convenient. ADHD isn’t on a timer. Fibro flares don’t RSVP.
Being “flaky” is often just a side effect of surviving something the world wasn’t built to accommodate.

That doesn’t make you unreliable.
That makes you human.

I’ve certainly had others call and cancel for short notice, so intellectually I know I’m not the only one, but shit every time I can’t do something I feel like someone is shining a spotlight on me.


🧷 What Real Friendship Looks Like

True friendship isn’t measured by how often you show up, but how real you are when you do.
Some friends won’t get it—and that hurts. But the right people? The ones who stay? They see your effort, not your absence.

And let’s be honest, sometimes we don’t show up for others because we can’t even show up for ourselves. That’s not selfish. That’s self-preservation.


What You Can Do Instead of Guilt-Looping

  • Send a quick check-in text even if you can’t talk: “Hey, not up for chatting, but I’m thinking of you.”
  • Leave room for honest updates, not excuses: “I wish I had more spoons today. I hate canceling.”
  • Say thank you to the people who stay without making you feel bad.

To the select few who love me regardless and pick up where we left off no matter how much time passed, I appreciate and love you.


❤️ Final Thought

You’re not a bad friend. You’re just living in a body that asks a lot of you. If people mistake that for being faithless, they were never seeing you clearly to begin with.

Give yourself the grace you’d give anyone else struggling.

You don’t owe anyone more than what you’ve got to give. And what you do give—your honesty, your love, your truth—is enough. Til next time gang, take care of yourselves, and each other.


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