Writing Through the Storm: Maintaining a Writing Practice with Chronic Illness

Photo by Marcus Aurelius

Maintaining a satisfying writing practice requires focus, energy, and consistency—qualities that chronic illness often disrupts. But, with the right strategies and perspectives, it’s possible to honor your impulse to write while tending to your body’s needs.

I can speak to this from personal experience because I live with Mast Cell Activation Syndrome (MCAS), so I’m no stranger to the potential tough days that hover on the periphery of my life, my writing practice, and my business every single day, like a bully waiting to have a go at my weak spots. 

While I can’t say that I’ve found a magic solution—at least not yet—here are some strategies and perspectives to help you navigate the unpredictable nature of chronic illness while still honoring your writing practice.

1. Redefine Productivity

Having a chronic illness will force you to adjust your expectations—about your own abilities, about other people’s expectations of you, and about what “productive” looks like for you. Writing every day for hours—or every day, period—may not be realistic, and that’s okay. Instead, focus on what you can do. Whether it’s writing for 5-15 minutes each day, writing for a couple of hours one day each week, or simply jotting down ideas when they come to you, every effort counts. Remember, progress doesn’t have to be linear.

2. Create a Flexible Routine

Rigid schedules often don’t work well when dealing with the symptoms or flare-ups of chronic illness. Instead, build a flexible routine. Leave more open space in your calendar to allow for those “surprises.” Slow down the pace of your life, in general. Identify the times of day when you feel most energetic and aim to write during those windows. On tougher days, give yourself permission to shift to less demanding creative tasks, like brainstorming, researching, or reading for inspiration. And rest. Sometimes it’s best to simply rest.

3. Set Tiny, Achievable Goals

When you’re managing limited energy and avoiding triggers, big goals can feel overwhelming. And not meeting them can be demoralizing. Best approach: Put that big goal on your calendar, way out into the future. Then, break it down into small, manageable steps, and put those on your calendar, too. For example, set smaller breadcrumb goals, like 100 words, one scene or outline, or one dialogue exchange. Reaching and acknowledging those smaller goals that rest within the larger ones will send dopamine cascading through your lovely brain, which will provide you the motivation to keep going.

4. Manage Your Environment

For people with chronic illness, environmental triggers like certain foods, fragrances, or temperature changes can impact health and energy levels. Create a writing space that minimizes these risks. If you need to, get an air purifier, use hypoallergenic materials, and a stash of safe, healthy, non-reactive snacks and drinks to keep your energy up while writing. Do this, at the very least, in your writing space, and preferably throughout your entire home. If you live with other people, ask for what you need from them. 

5. Use Tools and Technology

Assistive tools can make writing more accessible. If you’re having a low day but feel you have the energy and wherewithal to accomplish small tasks, speak your thoughts and words instead of typing or writing by hand. Writing apps like Scrivener or Evernote can help you organize ideas efficiently, or use the Voice Memos on your phone to get random thoughts and ideas about a scene, chapter, or character in one place so you can refer to them later. If brain fog is a challenge, try using templates or prompts to find your way in. Writing can look many ways.

6. Embrace the Power of Rest

Rest isn’t just a break from writing; it’s an important and essential part of the creative process. (That’s why I offer the Do Nothing Challenge!) Pushing through exhaustion often leads to burnout or worsening symptoms. Instead, listen to your body and give it the care it needs. Resting mindfully, daydreaming, soaking in an epsom salts bath, or applying ice packs can get you through rough spots to rejuvenate your energy and spark new ideas. Resting is an aspect of your writing life.

7. Build a Support System

If you don’t know other writers who understand the challenges of chronic illness (and bonus if you do!), look for groups that specialize in connecting people with chronic illness for encouragement and empathy. Sharing your experiences with others can make life feel a lot less isolating and lonely. You might be surprised how many writers you can find who also live with chronic illness—both are highly sensitive.

8. Work with Your Medical Team

If you’re managing a chronic illness and you have a solid medical team, they can be a big help by offering guidance on managing energy levels, avoiding flares, and maintaining concentration. Sometimes, adjustments to treatment plans can improve your ability to focus on creative work. Interestingly, a fair amount of doctors write fiction on the side, so if you have one or can find one, they’ll understand why your writing matters to you.

9. Practice Self-Compassion

It’s easy to feel frustrated when illness interrupts your writing, and during those times when you’re struggling to find you way back, guilt can set in. Remember that you’re doing the best you can under challenging circumstances. Be kind to yourself, and acknowledge the resilience it takes to keep creating despite the hurdles. Honoring your impulse to write is an act of self-love. So is showing yourself compassion and grace.

10. Celebrate Every Accomplishment

No matter how small, every word written is a reason to celebrate. Whether it’s finishing a paragraph, re-reading what you wrote last, or simply making a note about where you’ll pick up when you’re feeling better, tracking your efforts will keep you involved. Maintain a notebook or digital file to log your accomplishments, or as mentioned in #3 above, schedule them on a calendar. Then, treat yourself to something nice and/or fun, depending on the accomplishment and your budget, of course. You’ll get a double hit of dopamine—from finishing the task, followed by the enjoyment of your reward. Over time, these wins will remind you of your strength and progress, and each one will propel you on to the next.

Final Thoughts

Living with a chronic illness doesn’t mean you have to give up on your writing dreams. It means finding new ways to approach them, and being kind to yourself in the process. By adapting your practice to fit your health and working within your unique limitations, you can keep your creative spirit alive and thriving. Remember, your unique perspective as someone who navigates these challenges brings depth and authenticity to your writing. And that’s what the world needs.

Keep writing, even if it’s one word at a time. Because as Margaret Atwood once said, “A word after a word after a word is power.” 

You are a writer, no matter the pace.

Sending you mad writing mojo…

Happy writing!

10 Self-Care Tips for Writers Exploring Complicated Characters and Difficult/Taboo Subject Matter

Photo by MART PRODUCTION: https://www.pexels.com/photo/woman-in-black-leather-jacket-sitting-on-brown-wooden-floor-7277896/

Conceiving and developing characters is more taxing on a wrier than many realize.

To render a protagonist and her story believable—to create emotional verisimilitude—writers must be able to do the dance between objectivity and subjectivity

To be objective, you must step outside the character to observe them from all angles, and from the inside and out to perform a kind of detached “reporting” to the reader.

To explain. To summarize. To tell. 

To be subjective, you must climb inside the character and roam around through clandestine caverns of their heart, mind, and soul, to live in their skin and render them believable as a living, breathing human being who steps off the page and into readers’ hearts and minds.

To leave an impression. To invoke pathos. To show.

This process can be simultaneously harrowing and debilitating, fulfilling and transforming.

The emotional impact of being a writer is something many don’t discuss.

It’s something non-writers don’t or can’t comprehend. It’s something beginning writers don’t expect, which can become a great obstacle for many.

To write and tell universal stories that resonate in the hearts of your readers,
you must be willing to feel deeply. 

So, it’s important to have self-care practices in place.

Use these tips to help you navigate the emotional experience of living a writing life. 

Set Emotional Limits for Each Session
Decide in advance how deeply you’re willing to delve into intense scenes. Use timers or word count goals to create a natural stopping point before you feel emotionally drained. 

Create a Transition Ritual
After writing challenging scenes and material, establish a ritual to transition out of that mindset. Light a candle, take a shower, or engage in a simple mindfulness exercise to signal closure for the day.

Check In with Yourself Regularly
Before and after writing sessions, pause to assess your emotional state. Jotting a few thoughts down in your writer’s notebook or using a simple rating system can help you track how your work is affecting you.

Balance Heavy Writing with Joyful Activities
Counterbalance the emotional weight of your work with activities that bring you joy—gardening, dancing, reading lighthearted books, or spending time with friends.

Maintain a Strong Support Network
Share your emotional responses to your writing with trusted friends, fellow writers, or a therapist. Talking through your emotional experiences can help you process them more effectively.

Physically Ground Yourself
Writing intense material can leave you feeling untethered. Engage in grounding activities like yoga, stretching, or walking barefoot outside to reconnect with your body.

Take Breaks Without Guilt
Step away when needed. Whether it’s an hour, a day, or a week, giving yourself space to rest and recharge is part of the creative process, not a failure to push through.

Separate Reality from Fiction
Remind yourself that your characters’ pain and struggles aren’t your own. Visualizing a metaphorical “door” you close after writing can help you leave the fictional world behind.

Curate a Self-Care Bundle
Have a “writer’s comfort kit” on hand for tough moments. Include soothing items like herbal tea, a favorite playlist, stress balls, candles, or inspirational quotes.

Seek Professional Guidance if Needed
Writing about trauma, taboo topics, or deeply personal emotions may bring up unexpected feelings. A therapist can provide tools to navigate these emotions healthily.


Viewing your writing as a full body experience, including your emotional body, will help you work through obstacles when you feel compelled to shy way from your practice due to fear of feeling deep emotions.

Let me know in the comments which practices you already use and if you try a new one.

As always… Sending you mad writing mojo…

Happy writing!

The Epistolary Novel: 180 Examples

After working with college students for 20 years and more recently in the past few years with clients, I’ve seen, time and again, the resistance to—and more importantly, the fear of—writing.

This fear is often deeply embedded due to past experiences, some of which come from childhood. Sometimes the fear is of not feeling capable of taking on something so seemingly daunting as writing a novel due to the mass of information that needs to be understood, compiled, reconciled, and of course, written.

It recently occurred to me that, maybe, approaching novel writing with an epistolary approach—a story told in letters (and a variety of other mediums)—which can be, in theory, bitten off in smaller pieces.

Of course, we still need to achieve the overarching story arc and character arcs expected in novels, but thinking about writing a novel one letter at a time just might take the pressure off for some.

If this sounds appealing or intriguing to you, take a look at this list of 180 epistolary examples. Maybe check a few of them out, see how they’re done, and start one of your own.

Below the list, you’ll find one of my most recent YouTube videos about the epistolary novel.

(Note: Almost all of the titles listed below link to Amazon.com. This is in no way an endorsement of Amazon, nor is it a suggestion that you buy any of these titles from Amazon. It was simply the most convenient place find the titles and provide a synopsis so you can see which titles interest you. If, like me, you prefer to support local bookstores, you can always find titles that interest you here and buy them elsewhere. Also, this statement is in no way meant to be a critique of people who choose to buy from Amazon. To each, their own.)

  1. Love Letters between a Nobleman and His Sister by Aphra Behn (1684)
  2. Pamela by Samuel Richardson (1740)
  3. Letters from a Peruvian Woman by Françoise de Graffigny (1747)
  4. Julie or the New Heloise by Jean-Jacques Rousseau (1761)
  5. The Expedition of Humphry Clinker by Tobias Smollett (1771)
  6. Evelina by Frances Burney (1778)
  7. Les Liaisons dangereuses by Pierre Choderlos de Laclos (1784)
  8. Aline and Valcour by Marquis de Sade (1795)
  9. Hyperion by Friedrich Hölderlin (1797)
  10. The Sorrows of Young Werther by Johann Wolfgang von Goethe (1799)
  11. The Wild Irish Girl by Sydney Owenson (1806)
  12. Persuasion by Jane Austen (1817)
  13. Letters of Two Brides by Honoré de Balzac (1841)
  14. Poor Folk By Fyodor Dostoyevsky (1846)
  15. The Tenant of Wildfell Hall by Anne Brontë (1848)
  16. The Woman in White by Wilkie Collins (1859)
  17. Lady Susan by Jane Austen (1871)
  18. Dracula by Bram Stoker (1897)
  19. The American Diary of a Japanese Girl by Yone Noguchi (1901)
  20. The Kempton-Wace Letters by Jack London (1903)
  21. Daddy Long Legs by Jean Webster (1912)
  22.  Letters From Skye by Jessica Brockmole
  23. Dear Enemy by Jean Webster (1915)
  24. You Know Me Al: A Busher’s Letters by Ring Lardner (1916)
  25. Zoo, or Letters Not About Love by Viktor Shklovsky (1923)
  26. Givi Shaduri by Mikheil Javakhishvili (1928)
  27. Farthing Hall by Hugh Walpole and J.B. Priestley (1929)
  28. The Documents in the Case by Dorothy L. Sayers and Robert Eustace (1930)
  29. Anne of Windy Poplars by Lucy Maud Montgomery (1936)
  30. Screwtape Letters by C.S. Lewis (1942)
  31. I Capture the Castle by Dodie Smith (1948)
  32. Short stories about the Glass family by J.D. Salinger (1953)
  33. Houseboy by Ferdinand Oyono (1956)
  34. The Key (Kaji) by Jun’ichiro Tanizaki (1956)
  35. Kagi by Jun’ichiro Tanizaki (1956)
  36. Flowers for Algernon by Daniel Keyes (1959)
  37. Short stories about the Glass family by J.D. Salinger (1961)
  38. Short stories about the Glass family by J.D. Salinger (1963)
  39. Up the Down Staircase by Bel Kaufman (1964)
  40. Harriet the Spy by Louise Fitzhugh (1964)
  41. Herzog by Saul Bellow (1964)
  42. Up the Down Staircase by Bel Kaufman (1965)
  43. Silence by Shusaku Endo (1966)
  44. The Feverhead by Wolfgang Bauer (1967)
  45. Ada by Vladimir Nabokov (1969)
  46. 84, Charing Cross Road by Helene Hanff (1970)
  47. Go Ask Alice by Anonymous (1971)
  48. Carrie by Stephen King (1974)
  49. Letters of Insurgents by Sophia Nachalo and Yarostan Vocheck, as told by Fredy Perlman
  50. A Woman of Independent Means by Elizabeth Forsythe Hailey (1978)
  51. Letters by John Barth (1979)
  52. Shikasta by Doris Lessing (1979)
  53. So Long a Letter (Une si longue letre) by Mariama Bâ (1981)
  54. The Color Purple by Alice Walker (1982)
  55. Dear Mr. Henshaw by Beverly Cleary (1983)
  56. The Adrian Mole Diaries by Sue Townsend (1985)
  57. Letters to Alice: On First Reading Jane Austen by Fay Welden(1985)
  58. The Jolly Postman by Allan Ahlberg and Janet Ahlberg (1986)
  59. Black Box by Amos Oz (1986)
  60. Juletane by Myriam Warner-Vieyra (1987)
  61. Memoirs of an Invisible Man by H.F. Saint (1987)
  62. The Facts by Philip Roth (1988)
  63. Fair and Tender Ladies by Lee Smith (1988)
  64. Sorcery and Cecelia or The Enchanted Chocolate Pot by Caroline /Stevermer and Patricia Wrede (1988)
  65. The Trick of It by Michael Frayn (1989)
  66. Absolutely Normal Chaos by Sharon Creech (1990)
  67. So Long a Letter (Une si longue lettre) by Mariama Bâ (1990)
  68. Letters from the Inside by John Marsden (1991)
  69. Possession by A.S. Byatt
  70. Griffin and Sabine by Nick Bantock (1991)
  71. Nothing but the Truth by Avi (1991)
  72. Letters from Rifka by Karen Hesse (1992)
  73. Parable of the Sower by Octavia E. Butler (1993)
  74. “Manners of Dying” (short story) by Yann Martel (1993)
  75. Youth in Revolt by C.D. Payne (1993)
  76. Microserfs by Douglas Coupland (1995)
  77. The Prestige by Christopher Priest (1995)
  78. Two Solitudes (short story) by Carl Steadman (1995)
  79. Zenzele: A Letter for my Daughter by J. Nozipo Maraire (1996)
  80. Bridget Jones’s Diary by Helen Fielding (1996)
  81. The Pull of the Moon by Elizabeth Berg (1996)
  82. Going Solo by Hope Keshubi (1997)
  83. Freedom and Necessity by Emma Bull and Steven Brust (1997)
  84. The Fan by Bob Randall (1997)
  85. Jazmin’s Notebook by Nikki Grimes (1998)
  86. Parable of the Talents by Octavia E. Butler (1998)
  87. Last Days of Summer by Steve Kruger (1998)
  88. Speak by Laurie Halse Anderson (1999)
  89. The Perks of Being a Wallflower by Stephen Chbosky (1999)
  90. Ender’s Shadow Saga by Orson Scott Card (1999)
  91. Inconceivable by Ben Elton (1999)
  92. The Fox Woman by Kij Johnson (1999)
  93. Home Thoughts by Tim Parks (1999)
  94. Feeling Sorry for Cecelia by Jaclyn Moriarty (2000)
  95. House of Leaves by Mark Z. Danielewski (2000)
  96. The Princess Diaries by Meg Cabot (2000)
  97. e by Matt Beaumont (2000)
  98. The Plant by Stephen King (2000)
  99. Tarzan’s Tonsillitis by Alfredo Bryce Echenique (2001)
  100. Ella Minow Pea by Mark Dunn (2001)
  101. Mr. Mee by Andrew Crumey (2001)
  102. P.S. He’s Mine! By Rosie Rushton and Nina Schindler (2001)
  103. The Boy Next Door (#1) by Meg Cabot (2002)
  104. La silla del águila (The Eagle’s Throne) by Carlos Fuentes (2002)
  105. The Year of Secret Assignments by Jaclyn Moriarty (2003)
  106. We Need to Talk about Kevin by Lionel Shriver (2003)
  107. The My Dearest Letters by Rodger Morrison (2003)
  108. The Egyptologist by Arthur Phillips (2004)
  109. Love, Rosie by Cecelia Ahern (2004)
  110. TTYL by Lauren Myracle (2004)
  111. Gilead by Marilynne Robinson (2004)
  112. Boy Meets Girl (#2) by Meg Cabot (2004)
  113. Ibid: A Life by Mark Dunn (2004)
  114. Almost Like Being in Love by Steve Kluger (2004)
  115. Cloud Atlas by David Mitchell (2004)
  116. The Grand Tour by Carolin Stevermer and Patricia Wrede (2004)
  117. The Historian by Elizabeth Kostova (2005)
  118. Upstate by Kalisha Buckhanon (2005)
  119. March by Geraldine Brooks (2005)
  120. Every Boy’s Got One (#3) by Meg Cabot (2005)
  121. Bloodline by Kate Cary (2005)
  122. Who Moved My Blackberry? by Lucy Kellaway (2005)
  123. The Book of Renfield by Tim Lucas (2005)
  124. World War Z by Max Brooks (2006)
  125. Where Rainbows End by Cecelia Ahern (2006)
  126. Eleven by David Llewellyn (2006)
  127. The Beatrice Letters by Lemony Snicker (2006)
  128. The Mislaid Magician or Ten Years After by Caroline Stevermer and Patricia Wrede (2006)
  129. The Absolutely True Diary of a Part-Time Indian by Sherman Alexie (2007)
  130. Book of a Thousand Days by Shannon Hale (2007)
  131. The Gum Thief by Douglas Coupland (2007)
  132. The White Tiger by Aravind Adiga (2008)
  133. The Guernsey Literary and Potato Peel Pie Society by Mary Ann Shaffer and Annie Barrows (2008)
  134. From A to X: A Story in Letters by John Berger (2008)
  135. Dear Everybody by Michael Kimball (2008)
  136. The Letters by Luanne Rice and Joseph Monger (2008)
  137. Overqualified by Joey Comeau (2009)
  138. Voss by David Ives (2009)
  139. Treehouse: A Found E-mail Love Affair by Joseph Alan Wachs and Jason Alan Franzen (2009)
  140. Richard Yates by Tao Lin (2010)
  141. Life Form by Amélie Nothomb (2010)
  142. Super Sad True Love Story by Gary Shteyngart (2010)
  143. Attachments by Rainbow Rowell (2011)
  144. The Antagonist by Lynn Coady (2011)
  145. Why We Broke Up by Daniel Handler (2011)
  146. The Islanders by Christopher Priest (2011)
  147. Frances & Bernard by Carlene Bauer (2012)
  148. Code Name Verity by Elizabeth Wien (2012)
  149. Aeternum Ray by Tracy R Atkins (2012)
  150. Dear Mr Knightley by Katherine Reay (2013)
  151. Where’d You Go Bernadette by Maria Semple (2013)
  152. A Tale for the Time Being by Ruth Ozeki (2013)
  153. Permission by SD Chrostowska (2013)
  154. The Closeness That Separates Us by Katie Hall and Bowen Jones (2013)
  155. September Ends by Hunter S Jones (2013)
  156. Texts from Bennet by Mac Lethal (2013)
  157. Love Letters to the Dead by Ava Dellaira (2014)
  158. Gabi, a Girl in Pieces by Isabel Quintero (2014)
  159. To All the Boys I’ve Loved Before by Jenny Han (2014)
  160. Dear Committee Members by Julie Schumacher (2014)
  161. Texts from Jane Eyre by Mallory Ortberg (2014)
  162. Vanessa and Her Sister by Priya Parmar (2014)
  163. The Divorce Papers by Susan Rieger (2014)
  164. Every Blade of Grass by Thomas Wharton (2014)
  165. Illuminae by Amie Kaufman and Jay Kristoff (2015)
  166. The Martian by Andy Weir (2015)
  167. The Devourers by Indra Das (2015)
  168. Dear Mrs. Naidu by Mathangi Subramanian (2015)
  169. Everything, Everything by Nicola Yoon (2015)
  170. The Incarnations by Susan Barker (2015)
  171. Bats of the Republic by Zachary Thomas Dodson (2015)
  172. How to Party With an Infant by Kaui Hart Hemmings (2016)
  173. Sleeping Giants by Sylvain Nèuvel (2016)
  174. Not a Self-Help Book: The Misadventures of Marty Wu by Yi Shun Lai (2016)
  175. The Boy is Back (#4) by Meg Cabot (2016)
  176. Dracula vs. Hitler by Patrick Sheane Duncan (2016)
  177. Gemina (Illuninae Files #2) by Arnie Kaufman and Jay Kristoff (2016)
  178. The Rise and Fall of D.O.D.O. by Neal Stephenson and Nicole Galland (2017)
  179. Obsidio (Illuminae Files, #3) by Arnie Kaufman and Jay Kristoff (2018)
  180. This is How You Lose the War by Amal El-Mohtar and Max Gladstone (2019)

If you know of other epistolary novels not mentioned in this list, please leave them in the comments below, and I’ll add them to the list.

Sending you mad writing mojo…

Happy writing!

Johnnie
OOOO

The Magic That Happened When I Wrote Miranda’s Garden (Has This Ever Happened To You?) I Want To Know!

I talk a lot about the “magic” of writing. And I mean that in a certain kind of way.

I’m not talking about a fluffy, sparkly kind of magic. I’m talking about what I call the “rough magic” of writing. The alchemy that happens on the page and inside the writer, and that can’t help but ripple out into the world.

Let me know in the comments about your magical writing experiences. I know I’m not alone in this…

Get my “10 Ways To Banish Writer’s Block So You Can Write Your Novel”

Sending you mad writing mojo…

Happy writing!

Niching Down: Why I’m Only Teaching ONE Genre From Now On. Can You Guess Which One?

Since leaving academia two-and-a-half years ago, I have focused on growing my business to help people write books. But I made a grave mistake… I have recently realized I was doing something in my business life I haven’t done for YEARS in my personal life. 

But I have my head on straight now, and everything’s changing. Listen to hear about where my focus is going now and why… 

Get my “10 Ways to Banish Writer’s Block”

Sending you mad writing mojo…

Happy Writing!

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