Thanksgiving is upon us and soon many families and friends will participate in a tradition of announcing what they are thankful for this year. But many people have a hard time with this concept because they have truly had a hard time with their lives lately.

Chronic Illness is a tough thing to ignore at a time like this. It’s not really something to be thankful for having. But, there can be enlightenment amidst adversity.

I may not have mentioned that in addition to having a Parkinson’s diagnosis (starting in 2019), I have also been blessed with carrying Fibromyalgia, Sjogren’s Syndrome and Celiac disease. Woohoo! Jackpot! Just slap the snark right off me if you must. But gently please.

But really, finding gratitude while facing a challenging diagnosis like Parkinson’s disease can be deeply transformative, even though it is not always easy. Gratitude doesn’t mean denying or minimizing the struggles; instead, it’s about recognizing moments of value, connection, or meaning that exist alongside the hardship.

Here are ways that I try to cultivate gratitude while navigating Parkinson’s:

1. Focus on the Present Moment

• Practicing mindfulness can be difficult for some people to really quiet their mind enough, but I try to ground yourself in the present. Acknowledge small joys like a smile from a loved one, a beautiful sunset, or a good meal.

2. Celebrate What You Can Do

• Recognize your abilities and strengths, even if they have changed. Appreciate the small victories—whether it’s completing a task, moving through a challenging day, or trying something new.
• Focus on the support systems or tools that help you manage Parkinson’s, such as medication, therapies, or mobility aids.

3. Nurture Relationships

• Be grateful for the people who support and care for you. Express your appreciation for their presence and acts of kindness.
• Engage in meaningful conversations and activities with loved ones to maintain and deepen those bonds.

4. Appreciate Personal Growth

• Reflect on how facing Parkinson’s has shaped your perspective on life. It may bring newfound wisdom, patience, or resilience.
• Acknowledge your courage in navigating the challenges and recognize your progress.

5. Find Purpose

• Engage in activities that bring you joy or contribute to others, such as volunteering, mentoring, or creative pursuits.
• Connecting with others in the Parkinson’s community can be empowering, helping you find solidarity and shared purpose.

6. Turn to Nature and Art

• Spend time outdoors or engage with music, books, or art that lifts your spirits. These experiences often provide a sense of awe and gratitude.

7. Reflect on What Parkinson’s Has Taught You

• Many find that chronic conditions teach them patience, empathy, or a greater appreciation for life’s simple pleasures. Acknowledge these lessons, even if they come with difficulty.

8. Practice Gratitude in Small Steps

• Gratitude doesn’t have to feel monumental. It’s okay to start small—be thankful for a moment of rest, a helping hand, or simply making it through another day.

The key reminder here is that being grateful doesn’t negate the reality of frustration, sadness, or fear. You can hold space for both emotions simultaneously. Gratitude is about noticing and honoring the positive aspects, however small, that coexist with the challenges.