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    1. Chronic illness
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    Learn more about chronic illness

    Chronic illness refers to a long-term physical health condition that lasts a year or more, requires ongoing medical care, or limits daily activities. Common examples include diabetes, heart disease, arthritis, multiple sclerosis, chronic fatigue syndrome, and autoimmune conditions, and many people live with more than one at once. Therapy for chronic illness does not treat the underlying medical condition. Instead, it supports the emotional and psychological weight of living with it: the stress, uncertainty, grief, and changes to daily life that a long-term diagnosis can bring.

    You don't need to be in crisis to find support useful. Living with a chronic illness affects far more than the body, and many people reach a point where the emotional side becomes as demanding as the medical one. You might find therapy helpful if you:
    • Feel worn down by the ongoing demands of managing a condition or its treatment
    • Are grieving the routines, plans, or sense of self that the illness has changed
    • Notice persistent low mood, anxiety, or anger about your health
    • Struggle with uncertainty about the future or with fluctuating symptoms
    • Feel isolated, or that people around you don't understand what daily life is like
    • Find that stress seems to worsen how your symptoms feel
    Living with a long-term condition can raise the risk of depression and anxiety, and these are worth taking seriously rather than treating as something you simply have to endure. Therapy cannot cure the illness, but it can help you adjust, cope, and protect your wellbeing alongside your medical care. Only a qualified professional can assess or diagnose a mental health condition, so if low mood or anxiety is affecting your daily life, it is worth speaking to a therapist or your doctor.

    Several therapeutic approaches can help you manage the emotional impact of chronic illness, and the right fit depends on what you're finding hardest.
    • CBT: Cognitive Behavioural Therapy helps you notice and challenge unhelpful or catastrophising thoughts about your health, which can make the day-to-day demands of a condition easier to manage. It is the most widely used talking therapy for people living with chronic illness.
    • ACT: Acceptance and Commitment Therapy focuses on accepting what cannot be changed while committing to what still matters to you. It suits people adjusting to permanent changes or living with uncertainty.
    • Body therapy works with the physical experience of illness, helping with the tension, fatigue, and disconnection from the body that long-term conditions can bring.
    • Mindfulness teaches ways to stay grounded amid pain, fatigue, or worry, and can help reduce the stress that often makes symptoms feel worse.
    • Counselling offers space to talk through grief, frustration, and the practical strain of living with a condition, at your own pace.
    Choosing an approach isn't something you have to do alone. IC's matching can pair you with a therapist whose approach suits your situation. Get matched.

    It's Complicated is a therapist-founded mental health platform connecting clients with verified practitioners across Europe and globally, in over 60 languages. We work with over 2,500 vetted therapists, with in-person availability in Berlin, Amsterdam, Barcelona, Lisbon, Vienna, and other major cities, alongside online sessions worldwide. It's Complicated is free to use, and you pay your chosen therapist directly at rates they set. Finding a therapist who understands life with a chronic illness matters, because you shouldn't have to explain the basics of your condition before the real work can begin. Our matching service is built to remove that friction. You complete a short survey, our psychologists combine data-driven insights with human judgement to identify the right therapists for your situation, and you choose from a shortlist of strong candidates. You can also browse our directory directly if you'd prefer to choose yourself. Get matched with a therapist who understands chronic illness, or browse the directory to choose yourself.
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    It's Complicated is not suitable for acute psychological or medical crises or emergency situations.If you are in a serious crisis and need urgent help, please contact a local emergency service or use one of these resources instead.

    Our therapist network for chronic illness

    Finding the right therapist can make all the difference. Explore 2,500+ carefully selected professionals to find yours.

    Our therapist network for chronic illness

    Finding the right therapist can make all the difference. Explore 2,500+ carefully selected professionals to find yours.
    Get matched
    I think you've succeeded in making a compassionate online platform, and that's energising, especially coming from a country where the waiting lists in therapy are soul-drainingly long.Anonymous client
    I hope there will be more platforms like It's Complicated - humane, humble, honest, and nourishing.Anonymous client
    I've now had 10 sessions with my therapist, and she is amazing. I've worked with several therapists over the last few years, but this is the first time I feel like somebody actually understands me.Anonymous client
    I've learned a lot about myself, my partner, and how we relate to each other. What I really like about It's Complicated is that finding a therapist wasn't as hard as I thought it would be.Anonymous client
    What really sets It's Complicated apart is the care they put into matching you with the right therapist. There are no rushed or random pairings, it's about long-term support and genuine connection.Anonymous client
    I had a really good experience with It's Complicated! As an expat, finding a therapist can feel pretty overwhelming, especially when you don't know where to start. This made it a lot easier.Anonymous client

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    Related topics

    Mental health is rarely just one thing, and different topics often go hand in hand. If you're exploring help with chronic illness, these areas might be worth a look too.
    Chronic pain
    Chronic pain
    Cancer support
    Cancer support
    ME/CFS support
    ME/CFS support
    Depression
    Depression
    Health anxiety
    Health anxiety

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    Get help with chronic illness

    Getting help with chronic illness can be tough, but you don't have to do it alone. Our therapists are here to support you. Online or in-person, with no waiting times.Get matched
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    FAQs about chronic illness

    Chronic illness means a long-term physical condition lasting a year or more, needing ongoing care, or limiting daily life, such as diabetes, arthritis, multiple sclerosis, or chronic fatigue syndrome. Therapy does not treat the illness itself but supports the emotional strain, grief, and stress of living with it.

    Therapy helps you manage the psychological side of illness: low mood, anxiety, grief for lost routines, and the stress of uncertainty. It cannot change the medical condition, but it can improve wellbeing, build coping skills, and help you stay engaged with what still matters to you.

    Cognitive Behavioural Therapy (CBT) is the most widely used approach for chronic illness, helping you challenge catastrophising thoughts and manage shifting symptoms. A good therapist works alongside your medical team rather than separately, so your psychological and physical care support each other rather than pull in different directions.

    Look for someone experienced with health-related distress and long-term conditions. It's Complicated matches you with vetted therapists who understand chronic illness: you complete a short survey, and our psychologists suggest suitable practitioners for online or in-person sessions, so you can start without explaining the basics first. It's Complicated is also free to use.

    Online therapy suits many people with chronic illness well, particularly when fatigue, mobility, or treatment schedules make travel difficult. Sessions from home remove a practical barrier that in-person therapy can create, and research suggests online therapy can be as effective as face-to-face for anxiety and low mood.

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    Browse the blog
    Ziv Shorkend
    RESPONSE TIME UNKNOWN

    Ziv Shorkend

    Ziv Shorkend

    Counsellor
    ADHD • Expat life • Anxiety • Depression • Chronic illness • Chronic pain • Crisis intervention
    RESPONSE TIME UNKNOWN
    ADHD • Expat life • Anxiety • Depression • Chronic illness • Chronic pain • Crisis intervention
    US$100 / session100
    Berlin
    Online only
    Andrew Kaufman
    RESPONSE TIME UNKNOWN

    Andrew Kaufman

    Andrew Kaufman

    Psychosocial Counsellor
    Anxiety • Burnout • Cancer support • Chronic illness • Crisis intervention • Life transitions • Men's work
    RESPONSE TIME UNKNOWN
    Anxiety • Burnout • Cancer support • Chronic illness • Crisis intervention • Life transitions • Men's work
    €100 / session100
    The Hague
    In-person and Online
    Marijana Batan
    RESPONSE TIME UNKNOWN

    Marijana Batan

    Marijana Batan

    Psychologist
    Divorce & break up • Life transitions • Burnout • Chronic illness • Perimenopause & menopause • Relationships • Menstrual coaching
    RESPONSE TIME UNKNOWN
    Divorce & break up • Life transitions • Burnout • Chronic illness • Perimenopause & menopause • Relationships • Menstrual coaching
    €90 / session90
    Prague
    In-person and Online
    Elise Borgese
    USUALLY RESPONDS WITHIN 24 HOURS

    Elise Borgese

    Elise Borgese

    Counsellor & Social worker
    Anxiety • Burnout • Chronic illness • Grief & loss • Health anxiety • LGBTQ+ • Relationships
    USUALLY RESPONDS WITHIN 24 HOURS
    Anxiety • Burnout • Chronic illness • Grief & loss • Health anxiety • LGBTQ+ • Relationships
    €95 / session95
    Copenhagen
    In-person and Online
    Hendrik Berg
    USUALLY RESPONDS WITHIN 4 HOURS

    Hendrik Berg

    Hendrik Berg

    Counsellor
    Chronic illness • Gender identity • LGBTQ+ • Academic or educational problems • ADHD • Activism • Relationships
    USUALLY RESPONDS WITHIN 4 HOURS
    Chronic illness • Gender identity • LGBTQ+ • Academic or educational problems • ADHD • Activism • Relationships
    €90 / session90
    Berlin
    In-person and Online
    Holly  Paglia
    USUALLY RESPONDS WITHIN 24 HOURS

    Holly Paglia

    Holly Paglia

    Psychologist
    Self-confidence • Grief & loss • Depression • Anxiety • Chronic illness • Crisis intervention • Trauma
    USUALLY RESPONDS WITHIN 24 HOURS
    Self-confidence • Grief & loss • Depression • Anxiety • Chronic illness • Crisis intervention • Trauma
    €70 / session70
    Delft
    Online only

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    Take a short survey and let our dedicated team of matching specialists help you find the right therapist. Built by clinical experts, our matching service combines data-driven insights with human care to find the best match for your needs.Start matching
    Dr Nushka Marinova
    USUALLY RESPONDS AFTER 24 HOURS

    Dr Nushka Marinova

    Dr Nushka Marinova

    Psychologist & Integrative Counsellor
    Anxiety • PTSD • Chronic illness • Stress • Depression • OCD • Autism
    USUALLY RESPONDS AFTER 24 HOURS
    Anxiety • PTSD • Chronic illness • Stress • Depression • OCD • Autism
    €110 / session110
    Amsterdam
    In-person and Online
    Jonna Paukkunen
    USUALLY RESPONDS WITHIN 4 HOURS

    Jonna Paukkunen

    Jonna Paukkunen

    Sex Therapist & Psychologist
    Sexuality • Sexual dysfunctions • Disorders of sexual preference • LGBTQ+ • Relationships • Anxiety • Chronic illness
    USUALLY RESPONDS WITHIN 4 HOURS
    Sexuality • Sexual dysfunctions • Disorders of sexual preference • LGBTQ+ • Relationships • Anxiety • Chronic illness
    €85 / session85
    Rotterdam
    Online only
    Anastasia Stavrou
    USUALLY RESPONDS WITHIN 2 HOURS

    Anastasia Stavrou

    Anastasia Stavrou

    Integrative Therapist & Art Counsellor
    Anxiety • Chronic illness • Grief & loss • Relationships • Life transitions • Trauma • Expat life
    USUALLY RESPONDS WITHIN 2 HOURS
    Anxiety • Chronic illness • Grief & loss • Relationships • Life transitions • Trauma • Expat life
    €55 / session55
    York
    Online only
    Inês Trindade
    USUALLY RESPONDS WITHIN 4 HOURS

    Inês Trindade

    Inês Trindade

    Clinical and Health Psychologist & Cognitive Behavioural Therapy (CBT) Therapist
    Depression • Anxiety • ADHD • Expat life • Chronic illness • Chronic pain • Stress
    USUALLY RESPONDS WITHIN 4 HOURS
    Depression • Anxiety • ADHD • Expat life • Chronic illness • Chronic pain • Stress
    €75 / session75
    Coimbra
    Online only
    Hatice Birgül  Doering
    RESPONSE TIME UNKNOWN

    Hatice Birgül Doering

    Hatice Birgül Doering

    Counsellor
    Anger • Anxiety • Burnout • Work & career • Chronic pain • Chronic illness • Insomnia & sleep disorders
    RESPONSE TIME UNKNOWN
    Anger • Anxiety • Burnout • Work & career • Chronic pain • Chronic illness • Insomnia & sleep disorders
    €80 / session80
    Izmir
    In-person, Online and Text
    Marian Taboada
    USUALLY RESPONDS WITHIN 2 HOURS

    Marian Taboada

    Marian Taboada

    Health Psychologist
    Grief & loss • Chronic illness • Spirituality • Spiritual crisis • Life transitions • Expat life • CBT: Cognitive behavioural therapy
    USUALLY RESPONDS WITHIN 2 HOURS
    Grief & loss • Chronic illness • Spirituality • Spiritual crisis • Life transitions • Expat life • CBT: Cognitive behavioural therapy
    €60 / session60
    Madrid
    In-person and Online
    Marcus Knapp
    USUALLY RESPONDS WITHIN 24 HOURS

    Marcus Knapp

    Marcus Knapp

    Psychologist & Non-medical Practitioner for Psychotherapy
    LGBTQ+ • Gender identity • Chronic illness • Chronic pain • Psychological abuse • ADHD • Autism
    USUALLY RESPONDS WITHIN 24 HOURS
    LGBTQ+ • Gender identity • Chronic illness • Chronic pain • Psychological abuse • ADHD • Autism
    €95 / session95
    Berlin
    Online only
    Elliot Lima-Pinto Helt
    USUALLY RESPONDS AFTER 24 HOURS

    Elliot Lima-Pinto Helt

    Elliot Lima-Pinto Helt

    Couples Therapist & Counsellor
    LGBTQ+ • Polyamory • Chronic illness • ADHD • Autism • Relationships • Counselling
    USUALLY RESPONDS AFTER 24 HOURS
    LGBTQ+ • Polyamory • Chronic illness • ADHD • Autism • Relationships • Counselling
    €100 / session100
    Berlin
    Online only
    Trang Duong
    USUALLY RESPONDS WITHIN 8 HOURS

    Trang Duong

    Trang Duong

    Psychologist
    Attachment • Chronic illness • Complex PTSD • Grief & loss • Personality disorders • Relationships • Mood disorders
    USUALLY RESPONDS WITHIN 8 HOURS
    Attachment • Chronic illness • Complex PTSD • Grief & loss • Personality disorders • Relationships • Mood disorders
    €90 / session90
    Utrecht
    In-person and Online
    Nicole Pieper
    USUALLY RESPONDS WITHIN 4 HOURS

    Nicole Pieper

    Nicole Pieper

    Somatic Coach & Relationship Coach
    High sensitivity • Anxiety • Trauma • Female empowerment • Life transitions • Expat life • Chronic illness
    USUALLY RESPONDS WITHIN 4 HOURS
    High sensitivity • Anxiety • Trauma • Female empowerment • Life transitions • Expat life • Chronic illness
    €120 / session120
    Berlin
    In-person and Online
    Karolin Horn
    USUALLY RESPONDS WITHIN 4 HOURS

    Karolin Horn

    Karolin Horn

    Integrative Therapist & Hypnotherapist
    Trauma • Complex PTSD • Dissociative disorders • Depersonalisation & derealisation • Chronic illness • Chronic pain • Panic attacks
    USUALLY RESPONDS WITHIN 4 HOURS
    Trauma • Complex PTSD • Dissociative disorders • Depersonalisation & derealisation • Chronic illness • Chronic pain • Panic attacks
    €90 / session90
    Berlin
    Online only
    Gertraud Hagedorn
    USUALLY RESPONDS WITHIN 8 HOURS

    Gertraud Hagedorn

    Gertraud Hagedorn

    Medical Psychotherapist & Cognitive Behavioural Therapy (CBT) Therapist
    Relationships • Burnout • Chronic illness • Divorce & break up • Self-confidence • Depression • Psychosomatic disorders
    USUALLY RESPONDS WITHIN 8 HOURS
    Relationships • Burnout • Chronic illness • Divorce & break up • Self-confidence • Depression • Psychosomatic disorders
    €100 / session100
    Leer
    Online and Text
    Felix Schmidt
    USUALLY RESPONDS WITHIN 8 HOURS

    Felix Schmidt

    Felix Schmidt

    Clinical Psychologist & Neuropsychologist
    Depression • Relationships • Addictions • Anxiety • Trauma • Chronic illness • Stress
    USUALLY RESPONDS WITHIN 8 HOURS
    Depression • Relationships • Addictions • Anxiety • Trauma • Chronic illness • Stress
    €85 / session85
    Cologne
    Online and Text
    Johanna Tietze
    RESPONSE TIME UNKNOWN

    Johanna Tietze

    Johanna Tietze

    Psychotherapist in training
    Work & career • Expat life • Life transitions • Chronic illness • Existential analysis • Person-centred approach
    RESPONSE TIME UNKNOWN
    Work & career • Expat life • Life transitions • Chronic illness • Existential analysis • Person-centred approach
    US$125 / session125
    Sioux Falls
    Online only
    Olga Safontseva
    USUALLY RESPONDS WITHIN 2 HOURS

    Olga Safontseva

    Olga Safontseva

    Gestalt Therapist & Psychological Counsellor
    Chronic illness • Health anxiety • Binge eating disorder • Psychosomatic disorders • Expat life • High sensitivity • Stress
    USUALLY RESPONDS WITHIN 2 HOURS
    Chronic illness • Health anxiety • Binge eating disorder • Psychosomatic disorders • Expat life • High sensitivity • Stress
    €40 / session40
    Pérez Zeledón Canton
    Online and Text
    Kerstin Neumann
    USUALLY RESPONDS WITHIN 8 HOURS

    Kerstin Neumann

    Kerstin Neumann

    Psychologist
    Chronic illness • Relationships • Self-confidence • Life transitions • Female empowerment • ADHD • High sensitivity
    USUALLY RESPONDS WITHIN 8 HOURS
    Chronic illness • Relationships • Self-confidence • Life transitions • Female empowerment • ADHD • High sensitivity
    €98 / session98
    Berlin
    In-person and Online
    Lucia Liesen
    USUALLY RESPONDS WITHIN 4 HOURS

    Lucia Liesen

    Lucia Liesen

    Clinical Psychologist & Psychotherapist in training
    LGBTQ+ • Personal development • Chronic pain • Chronic illness • Depression • GAD: Generalised anxiety disorder • OCD
    USUALLY RESPONDS WITHIN 4 HOURS
    LGBTQ+ • Personal development • Chronic pain • Chronic illness • Depression • GAD: Generalised anxiety disorder • OCD
    €100 / session100
    Berlin
    In-person and Online
    Kristen Luongo
    USUALLY RESPONDS WITHIN 8 HOURS

    Kristen Luongo

    Kristen Luongo

    Counsellor & Cognitive Behavioural Therapy (CBT) Counsellor
    Adjustment disorders • Borderline personality disorder • Chronic illness • Chronic pain • Depression • Grief & loss • Health anxiety
    USUALLY RESPONDS WITHIN 8 HOURS
    Adjustment disorders • Borderline personality disorder • Chronic illness • Chronic pain • Depression • Grief & loss • Health anxiety
    €85 / session85
    Alicante
    Online and Text
    Maita Nichols
    RESPONSE TIME UNKNOWN

    Maita Nichols

    Maita Nichols

    Jungian Psychoanalyst
    Depression • Psychological abuse • PTSD • Trauma • Chronic illness • Dream analysis • Jungian therapy
    RESPONSE TIME UNKNOWN
    Depression • Psychological abuse • PTSD • Trauma • Chronic illness • Dream analysis • Jungian therapy
    £70 / session70
    Cambridge
    Online only
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