Becoming aware of your thoughts


Helpful thoughts lead to good feelings such as joy, hope, excitement and determination. These thoughts can help you feel less stress and tension.

Here are some examples of helpful thoughts:

• I’m really good at biology.
• I’m not a great guitar player but I sure have fun playing!
• I can manage this flare in my arthritis.

Unhelpful thoughts can cause negative feelings and emotions. These thoughts can also lead to a lot of stress and tension. Here are some examples of unhelpful thoughts:

• I won’t do well on the next math test.
• I can’t finish this project on time!
• This flare will never stop.

Everyone has unhelpful thoughts that come and go in their mind. Usually these thoughts do not lead to any problems. However, when you develop a habit of unhelpful ways of thinking about situations, bad feelings can develop. Can you imagine having unhelpful thoughts in your mind all day? It would be very hard to feel good.


One type of unhelpful thinking that is known to have a big influence on pain and stress is called “catastrophising.” A catastrophe is a disaster or something horrible, like a shipwreck or earthquake that kills many people. But catastrophising is when we tend to unrealistically think that something really bad or horrible has happened or will happen.

Here is an example of how some young people may have catastrophising thoughts:

Carrie studied all week for a chemistry test. When she got her test back a week later, she saw that her mark was 70%. This was the lowest mark she had ever gotten. As she stared at her test she thought:

“I can’t believe I got this mark! I studied so hard, and none of it paid off! I’m going to fail the class and never get into university! My parents will hate me! My life is over!”

Carrie turned a fairly small negative event (a not-so-great mark on one test) into a catastrophe (“My life is over!”)

Have you ever catastrophised about something?

Later in this section, you will learn about ways to help identify and manage your unhelpful thoughts. This will help you learn how to maintain or restore positive feelings through changing your thinking habits.

Realistic versus unrealistic beliefs

An unrealistic belief is something that you may think is true, but it actually is not. These unrealistic beliefs can then lead to unhelpful thoughts and stress. They can increase your pain and other symptoms.

Here’s an example:

In this example, the unrealistic belief caused the unhelpful thoughts. The belief that good basketball players never miss a shot is clearly wrong or unrealistic. All basketball players, even the very best in the world, miss a shot once in a while. If these types of unhelpful thoughts are allowed to build, bad feelings of stress and tension may arise. However, unrealistic beliefs can be challenged and turned into more realistic and helpful beliefs. This can help to make you feel good about yourself.

In the next section, we will discuss some of the ways to change your unhelpful thoughts and beliefs into helpful ones.


Welcome to the Taking Charge: Managing JIA Online Program! In this section you will learn what to expect in the program, how to get started and how to set goals to better manage JIA.

JIA stands for juvenile idiopathic arthritis. Find out what causes JIA, the different types of JIA and how it will affect you now and in the future.

Diagnosing JIA may be difficult as joint pain and swelling may be a part of many different illnesses. Diagnosis of JIA typically includes a physical exam, blood tests and imaging studies.

Pain, stiffness, and tiredness or fatigue, are common symptoms of JIA. These symptoms can lead to difficulties with participating in school and sports activities, and enjoying time with your friends. Learn about pain, fatigue, and stiffness, how to manage symptoms and how these symptoms can cause stress.

There are several strategies you can use to help you cope with pain, stress, and sleep problems. These include relaxation, distraction, and managing your thoughts. In this section, learn more about how each of these strategies work.

When you know about your medications, you can talk to your doctor about them and make good choices for yourself. Find out about the different types of JIA medications, how they work, common side effects, and the importance of talking to your doctor about your medication plan.

Did you know that there are many other therapies that you can use to manage JIA symptoms? They can help to prevent complications so that you can do all the things you want to do. In this section, learn more about physical, occupational, and psychological therapies; maintaining healthy nutrition; surgical options for JIA, and more.

Your role in making decisions about your treatment plan is very important. Your health-care team and other members of your support system are available to help you make these decisions. In turn, they can help you to manage your JIA.

Whether you have JIA or not, you need to maintain a healthy lifestyle. Find out how to stay healthy and active, learn about puberty and relationships, healthy body image, and making healthy lifestyle choices.

Sometime between the ages of 18 to 22, you most likely will transition from your pediatric rheumatologist to the adult health care setting. At that time, there are a number of things you, your family, and your health-care team can do to help make this change go smoothly.