Each category gets a different response. With people I don't know or rarely see I just glaze over my situation and give the most superficial responses. With people who are really in my life but clearly don't want the details will get honest but fairly superficial responses. Those close friends and family who are really interested will get the most details as these are the only ones who really want to hear it.
Learning the difference has taken some time both for me and for others.
The place I am most open is online as Migrainista. It is here on my blog/facebook/twitter accounts that I've really opened up and have been as honest as possible. The support and sharing from you all has been such a blessing for me. It helps me to feel less odd and alone in all the craziness that is chronic migraines and fibromyalgia. After all, truly explaining this madness is very difficult.
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