The Invisible Burden of Chronic Illness Loneliness


I'll never forget the darkness that engulfed my world. For three long years, I was bedridden, my body ravaged by an enigmatic chronic illness. Pain and exhaustion were my constant companions, and doctors were stumped. At just 25 years old, I was sentenced to a life of isolation and despair.

Studies estimate that up to a third of chronically ill patients experience extreme loneliness, a condition inextricably linked to their disease. This loneliness intensifies symptoms, exacerbates anxiety and depression, and diminishes the quality of life. Socially isolated patients face a 30% higher mortality risk.

My loneliness was a crushing weight. Days blurred into an endless expanse as I lay motionless, too weak to move, too sick to even contemplate escape. My mind, my only refuge, was clouded by the relentless fog of pain. I began to forget the feeling of health, the thrill of dreams and aspirations. The outside world faded into oblivion. I was utterly alone.

Chronic illness often spirals into social isolation. Bedrest, restricted mobility, and frequent hospitalizations make maintaining connections a daunting task. Friends drift away, unable to fathom the complexities of chronic illness. The chronically ill are often housebound, dependent on others, and self-conscious about their limitations. Their world shrinks to the confines of their bedroom or hospital room.

This isolation exacts a heavy price. A recent study revealed that the cost of loneliness in the US healthcare system exceeds $6 billion annually. Lonely individuals incur more doctor visits, endure longer hospital stays, and are less likely to prioritize their health. Loneliness worsens health, creating a vicious cycle.

Fortunately, solutions exist for this public health crisis. Peer support groups provide a lifeline, connecting patients with others who share their struggles. Community programs identify isolated individuals and offer personal visits, fostering a sense of connection and belonging. Social prescribing connects patients to social activities and voluntary services, expanding their social circles and enriching their lives. Healthcare providers must actively screen for loneliness, offer mental health support, and educate patients on the risks and consequences.

One night, as I lay in bed, a ray of light pierced the darkness. I stumbled upon Viktor Frankl's Man's Search for Meaning, a book that changed my perspective. In one night, I realized that I had to take control of my situation. I vowed to find a diagnosis, regain my mobility, and live a full life.

This pivotal moment ignited my journey to understand the needs of chronically ill patients. Six months ago, I founded my own patient empowerment organization, driven by my promise to alleviate the crushing loneliness I had experienced. Patients yearn to be heard, respected, and actively involved in their care. They crave support, community, and hope. My organization tirelessly works to make this a reality.

The Loneliness Epidemic: A Call to Action

The loneliness of chronic illness is devastating but not inevitable. With awareness and support, patients can maintain social connections and rediscover purpose. I implore healthcare leaders to prioritize this issue. With compassion and innovation, we can end the isolation epidemic, improve lives, and empower the chronically ill.

Specifically, I call for the following actions:


  1. Mandate loneliness screening at hospitals, clinics, and doctor's offices to identify high-risk patients early and provide mental health support and resources.
  2. Increase funding for peer support groups, social prescribing programs, and community outreach initiatives to connect isolated individuals with support systems.
  3. Launch public health campaigns to raise awareness and reduce stigma around chronic illness loneliness, encouraging friends and family to remain engaged.
  4. Pass legislation requiring healthcare facilities to report data on patient loneliness and isolation levels, enabling evidence-based policy and resource allocation.
  5. Increase research on chronic illness loneliness to better understand its impact and develop effective interventions.


With compassion, innovation, and commitment, we can create a healthcare system that prevents anyone with chronic illness from experiencing the crushing isolation I endured. In the past six months, I have been working tirelessly on a solution for this huge issue and I hope that market forces will be on my side with this one.

The technology, knowledge, and resources exist. What we need is the collective will to prioritize this issue and take action. I call on all healthcare stakeholders to join me in ensuring that those living with chronic illness can maintain social connections, community, and hope.


Roy Shternin is an author, speaker, and advocate for chronically ill patients. He is the founder of the Patient Empowerment Organization, a non-profit organization that provides support and resources to chronically ill patients. Shternin is a passionate advocate for raising awareness of the challenges faced by chronically ill patients and for improving the quality of care for these patients. He has written extensively about his own experiences with chronic illness and has spoken to audiences around the world about the importance of patient empowerment. Shternin is a leading voice in the fight to end chronic illness and loneliness.