Reclaiming Your Life: Jacob Teitelbaum, M.D. on Treating Fibromyalgia

In the second part of an interview with The Educated Patient, Jacob Teitelbaum, M.D., a fibromyalgia expert, addresses the complexities of diagnosing and treating fibromyalgia, a condition that remains misunderstood within the medical community. He explains that modern medicine often struggles with illnesses that don’t fit neatly into conventional diagnostic categories, particularly conditions like fibromyalgia that lack confirmatory tests.

Historically, he emphasizes, illnesses such as lupus and multiple sclerosis were also dismissed, with symptoms being attributed to hysteria, a term rooted in gender bias against women. Fibromyalgia, similarly, has faced stigma, as its multi-systemic nature and lack of physician training leave patients feeling invalidated and unsupported.

Teitelbaum highlights the importance of affirmation and validation for patients. When doctors dismiss their symptoms as psychological, it not only undermines patients but also affects how families, insurers and society perceive the illness. He urges patients to seek doctors who understand fibromyalgia, as well as supportive friends and family who recognize its unpredictable nature. Patients must also accept their limitations without guilt and prioritize self-care.

According to Teitelbaum, a key part of managing fibromyalgia is to allocate energy wisely. He advises making a list of activities that feel good versus those that don’t. By identifying obligations that are non-negotiable and eliminating “should-do” activities that drain energy, patients can focus on what truly brings them joy and comfort. He stresses the importance of resting when needed, explaining that rest is a valid and necessary part of healing.

Despite its complexity, Teitelbaum reassures patients that fibromyalgia is treatable and advocates for a step-by-step approach to recovery. His books, including From Fatigued to Fantastic and Three Steps to Happiness, offer guidance on physical and emotional recovery.

He stresses that learning to say “no” is critical for maintaining long-term health, advising patients to trust their feelings rather than societal expectations. A simple “no” without explanation, he says, is a powerful tool to protect energy and prevent burnout.

Ultimately, patients must take charge of their health journey, proceed at a comfortable pace, and develop the ability to set healthy boundaries — empowering themselves to regain control and achieve a better quality of life.

For free informational tools and resources on fibromyalgia and Long COVID, Teitelbaum encourages readers to email him directly at FatigueDoc@gmail.com or visit EndFatigue.com.