Chronic Illness Therapy | Body-Centered Support
Living with chronic illness can ask so much of your attention. You may spend your days tracking energy, symptoms, appointments, food, pain, rest, or what might trigger a flare. Over time, your body can begin to feel unpredictable. The place you once simply lived from can begin to feel like something you have to constantly monitor, manage, or control.
I'm Danielle Wiggins, a somatic psychotherapist and the founder of Space Takes Practice. My own relationship with chronic illness, grief, movement, and embodiment has deeply shaped the way I understand healing.
Living in a body that changes, asks more of you, or doesn't respond the way you wish it would can reshape your relationship with trust, capacity, identity, and everyday life.
Through somatic psychotherapy, contemplative practice, and embodied care, I offer a space to slow down and listen to what your body has been trying to communicate. Together, we explore pacing, self-trust, agency, grief, and the ongoing relationship with a body whose needs may continue to change.
On this page, you'll learn more about working with a chronic illness therapist, how I approach this work, and whether this way of working feels like the right fit for you.
What is it like working with a chronic illness therapist?
Therapy supporting chronic illness offers space for the parts of living with illness that often don't have somewhere to go. Beyond appointments, treatment plans, and symptom management, there’s the emotional, relational, and embodied experience of living in a body that asks something different of you.
Together, we explore the grief of changing capacity, the pressure to push through, the uncertainty of an unpredictable body, and the ways illness can reshape identity, relationships, creativity, and everyday life. We pay attention to pacing, self-trust, boundaries, agency, and the relationship you're building with your body as it continues to change.
We become curious about what happens when your relationship with the body becomes centered around management alone. We work from a place of respect rather than urgency. Together, we make room for something broader to emerge: trust, communication, grief, rage, agency, and the possibility of relating to your body as more than a problem to solve. Creating that space can help you move through daily life with greater ease, compassion, and choice.
Common signs that working with a chronic illness therapist may be supportive
Constant self-monitoring
You may find yourself tracking symptoms, energy, food, pain, sleep, appointments, or possible triggers throughout the day. Over time, your attention can become consumed by managing your body instead of simply living your life.
Pushing through until you crash
You may keep going until your body forces you to stop. It can become difficult to recognize your limits before you've already exceeded them, making it hard to know what sustainable capacity actually feels like.
Grieving a body that has changed
You may miss the version of yourself who moved through the world differently. This grief can touch your work, relationships, creativity, sense of identity, and the future you imagined for yourself.
Feeling unseen or misunderstood
You may find yourself explaining your symptoms, justifying your limits, or worrying that other people don't understand what living in your body is actually like. Over time, this can become lonely and exhausting.
Living with uncertainty
Symptoms, flare-ups, changing capacity, or the unpredictability of your body can make it difficult to trust plans, make commitments, or fully settle into the present. Even joyful experiences may carry the quiet question of whether your body will cooperate.
How do I know if I may benefit from working with a chronic illness therapist?
- Do I feel like my body requires constant tracking or management? You may spend much of your attention on symptoms, energy, pain, food, rest, medication, appointments, or what might trigger a flare.
- Do I push through until my body forces me to stop? This pattern can happen when you have learned to override signals, minimize needs, or measure worth through productivity and consistency.
- Do I grieve who I used to be or the life I thought I would have? Chronic illness can bring losses that are not always visible to others, including changes in identity, freedom, creativity, work, and relationships.
- Do I feel like I have to explain or justify my limits? You may find yourself trying to make your body’s reality understandable to others, which can create loneliness, frustration, or self-doubt.
- Do I want a different relationship with my body, even if symptoms are still present? Therapy can support more pacing, agency, compassion, and connection, rather than making your body something you constantly fight or manage.
When this approach may be a good fit
Many of the people who find their way to my practice are looking for support beyond symptom management. They're longing for a place where the emotional, relational, and embodied experience of living with chronic illness is welcomed into the conversation.
This work honors the reality of changing capacity. Your limits don't have to be justified. Your grief doesn't have to be minimized. Together, we build a relationship with your body that makes room for pacing, self-trust, frustration, tenderness, agency, and the complexity of living in a body that asks for care.
This approach may not be the best fit if you're primarily looking for medical advice, symptom treatment, or a process centered on increasing productivity. My work lives alongside medical care, offering support for the human experience of living with illness.
What working together with chronic illness support looks like
In the first session, we may begin by understanding how chronic illness is shaping your daily life, not only medically, but also emotionally, relationally, and creatively. We might talk about your symptoms, energy patterns, flare-ups, rest, work, appointments, relationships, and the parts of your life that feel smaller or harder to access now. You do not have to prove that your experience is real or make it easier for me to understand.
Sessions may include conversation, pacing support, body awareness, nervous system tracking, grief work, boundary exploration, creative reflection, and practices for noticing your body without immediately trying to control it. We may explore topics like medical fatigue, fear of flare-ups, canceling plans, asking for help, resentment, body grief, changing identity, creative blocks, or the pressure to appear okay. Some sessions may focus on practical rhythms, like how to notice early signs of depletion or how to make decisions without overriding your limits.
Weekly sessions can be supportive during periods of uncertainty, transition, or flare, though frequency can be adapted to your energy and access needs. Progress may look like trusting your limits sooner, feeling less shame around rest, communicating needs more clearly, or relating to your body with less blame. The goal is not to make your illness meaningful or force acceptance. It is to build a more honest, compassionate, and workable relationship with the body you are living in.
Chronic illness therapist
I'm Danielle Wiggins, a somatic psychotherapist and the founder of Space Takes Practice.
My relationship with chronic illness has deeply shaped both my life and my work. I understand what it can be like to live in a body that asks for more attention, adaptation, and care than you expected. I also know how easily illness can reshape trust, capacity, identity, creativity, and the rhythms of everyday life.
My work is rooted in somatic psychotherapy, contemplative practice, movement, creative expression, and lived experience. You don't have to convince me that your experience is real or make it easier for me to understand. Together, we create space for the grief, uncertainty, resilience, and aliveness that can all exist while learning to live in a body that has changed.
Beginning where you are: Gentle practices for living with chronic illness
Listen before your body has to shout.
Notice the early signs that you're nearing your limit, not only the moment everything becomes too much. Fatigue, brain fog, irritability, changes in pain, or difficulty making decisions are all ways your body may be asking for your attention.
Let rest become part of the rhythm.
Rest doesn't have to be earned. It can be woven into the way you care for your capacity, rather than something you receive only after pushing yourself beyond it.
Stay curious without turning your body into a project.
Tracking symptoms can be helpful, but it can also become exhausting. Instead of trying to notice everything, ask yourself: What supported me today? What depleted me? What might my body be asking for now?
Let your limits be simple.
You don't have to explain every cancellation, boundary, or change of plans. Sometimes "My capacity changed today," or "I'm not able to make that work," is enough.
Make room for grief, anger, and tenderness.
Living with chronic illness can bring loss alongside resilience, frustration alongside gratitude. None of these experiences cancel each other out. They all deserve room to exist.

Hi, I’m Danielle Wiggins
An Associate Marriage and Family Therapist based in Santa Monica and the founder of Space Takes Practice.


Payment plans and details
Investment
Somatic psychotherapy is a collaborative, relational process that unfolds over time. Sessions are designed to support awareness, integration, and meaningful change across the body, mind, and emotional life.
Individual Somatic Psychotherapy
$265 per 50-minute session
Most clients begin with weekly sessions, though the rhythm of our work can be adjusted based on your needs.
Limited sliding scale spots are available when space allows. If cost is a concern, you’re welcome to ask about availability during your consultation.
Extended Sessions & Therapy Intensives Somatic Psychotherapy
Longer sessions are available for clients who want deeper immersion in a single sitting. Extended sessions (90 minutes–3 hours) can be especially supportive for EMDR work or when exploring complex experiences that benefit from additional time.
Investment varies depending on length and format and can be discussed during your consultation.
Insurance
Space Takes Practice is an out-of-network practice. Payment is due at the time of service, and a superbill can be provided for potential reimbursement through your insurance plan.
FAQ
What is the best therapy for chronic illness?
The best therapy for chronic illness is usually one that recognizes illness as a whole-life experience, not only a medical condition. Chronic illness can affect your body, nervous system, grief, relationships, identity, work, creativity, and sense of capacity. For many people, a trauma-informed and somatic approach can be supportive because it helps you listen to your body without turning your body into a problem to control.
In my work, therapy may include somatic psychotherapy, nervous system tracking, pacing support, grief work, boundary exploration, and space to process the emotional reality of living with symptoms, uncertainty, and changing capacity. The goal is not to pressure you into positivity or productivity. It is to help you build a more honest, compassionate, and workable relationship with the body you are living in.
Can therapy help with physical symptoms?
Therapy isn't a treatment for chronic illness itself, and it doesn't replace medical care. At the same time, many people notice meaningful changes as they develop a different relationship with their bodies. Less tension. Less bracing. More trust in their limits. Greater ease in daily life. Some people also notice shifts in pain, nervous system activation, or symptom intensity as their bodies experience more safety and support.
Every body is different, and I don't promise specific outcomes, but these changes are experiences many clients describe over time.
My work lives alongside medical care, supporting the emotional, relational, and embodied experience of living with illness while honoring whatever your body is asking of you today.
What are the 5 C’s of chronic disease?
The “5 C’s” can mean different things depending on the source. One patient-centered way they are described is: complexity, chronicity, comorbidity, cost, and caregiver burden. In plain language, this means chronic illness is often complicated, ongoing, connected to other health concerns, expensive or resource-intensive, and often affects support systems too.
From a therapy perspective, these “5 C’s” matter because chronic illness does not only affect symptoms. It can shape your time, choices, relationships, finances, identity, energy, and emotional life. Therapy can offer space to process the weight of that reality, support pacing and boundaries, and help you relate to your body with more care and less constant self-management.
Is teletherapy an option for chronic illness support?
Yes, teletherapy can be a meaningful option for chronic illness support. For many people living with chronic illness, online therapy can reduce the strain of commuting, parking, waiting rooms, symptom unpredictability, or needing to be physically present somewhere when capacity is limited.
Teletherapy can still include conversation, somatic awareness, nervous system tracking, pacing support, grief work, and reflection on daily rhythms. We can also adapt sessions around your energy, symptoms, and access needs. Some clients prefer online sessions because they can stay in their own space, use supports nearby, and transition more gently after therapy.
Do I need a formal diagnosis to start therapy?
No, you do not need a formal diagnosis to begin therapy for the emotional and embodied experience of chronic illness. You may be in the middle of medical testing, dealing with symptoms that are not fully explained, recovering from years of dismissal, or learning how to live with a diagnosis you already have. Your experience is still real and worth support.
In our work, I do not need you to prove that your body is struggling. We can begin with how your symptoms, uncertainty, capacity, grief, relationships, and daily life are affecting you now. If medical questions come up, I may encourage you to continue working with appropriate healthcare providers, but therapy can support the human experience of living in a body that asks for care, even before everything has a clear name.
Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit
www.cms.gov/nosurprises or call
(800) 985-3059.