Supporting someone

For partners, parents and friends: what these conditions are, why someone can look fine and feel awful, and why "just push through" backfires.

What helps most

If someone you love has POTS, long COVID, ME/CFS or dysautonomia, one of the hardest parts is that it often does not show. They can look completely fine and feel terrible, and their routine test results can come back normal. Neither of those means it is in their head.

These illnesses also run on a delay. Doing too much on a good day can mean a crash a day or two later, which is why "just push through" or "you seemed fine yesterday" tends to backfire, however kindly it is meant.

The most useful things you can do are believe them, help them pace instead of push, and take some of the load on bad days. Recovery is usually slow and uneven, so a setback is not the same as going backwards.

Something you can look at together.

Autonomic gives the person you care about a daily score and a pacing budget, so how today is going has an answer neither of you has to guess.

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Newest on Supporting someone

All 10 answers →
Alexander Grey / Unsplash
Long COVID · 11 min Why Am I So Tired? Fatigue in POTS, Long COVID, and Dysautonomia Fatigue is the most common and most dismissed symptom in POTS, long COVID and dysautonomia. Here is what actually drives it, the different kinds of tired, and how to read and pace around it without spiraling. Read the full answer →
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POTS · 11 min POTS in Teenagers: What Adolescent POTS Looks Like and Why It Often Gets Better POTS most often begins in the teen years, frequently after a virus, a growth spurt, or a concussion. The diagnostic threshold is higher for adolescents, and the outlook is more hopeful than for adults. Here is how teenage POTS behaves and how to track it at home. Read the full answer →
POTS Flare-Ups: What Triggers Them and How to Recover
POTS · 11 min POTS Flare-Ups: What Triggers Them and How to Recover A POTS flare is a temporary spell of amplified symptoms above your usual baseline, set off by things like heat, illness, hormones or overexertion. Here is how to recognize a flare, what tends to trigger one, and a calm, step-by-step way to recover. Read the full answer →
Vitaly Gariev / Unsplash
POTS · 11 min Why Are All My Test Results Normal When I Feel This Sick? Your ECG, bloodwork and echo came back normal, but you can barely stand up without your heart pounding. Here is why 'normal' and 'this sick' can both be true, what standard tests miss in dysautonomia, and the exact evidence to bring back to your clinician. Read the full answer →
Austin Spaeth
Long COVID · 7 min From Daily Crashes to Living Again: What I Tracked, What I Changed, and What the Data Showed A patient-founder's honest account of four years with long COVID and dysautonomia: the daily crashes and labile blood pressure, why I started measuring, the routine I built piece by piece, and what my own HRV and blood pressure data actually showed. Read the full answer →
Sage Friedman / Unsplash
POTS · 10 min Is It POTS or Anxiety? How to Tell Them Apart POTS and anxiety share almost every symptom: racing heart, dizziness, shortness of breath, that wired feeling. The one thing that reliably separates them is what your heart does when you stand up. Here is how to read the difference without spiraling. Read the full answer →
Autonomic · free app

Know what kind of day it is before you get out of bed.

Take a quick heart reading each morning and Autonomic gives you a score out of 100, plus a plain note on how much your body can handle today. So you can plan around a bad day instead of finding out halfway through it.

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The Autonomic Outlook: today scores 92 out of 100, Excellent, with a note on how much the day can take