Do you have a problem or a dilemma?

If a challenge upsets you, try distinguishing whether you have a problem or a dilemma.

Some sources define “problems” as difficulties to be solved and define “dilemmas” as circumstances with equally desirable—or undesirable—options. E.g., going to a restaurant that’s closed is a problem resolved by going someplace else to eat. Then, choosing where to eat is a dilemma. In the pursuit of Healthy Survivorship, I think of the distinction in a different way:

A problem is a challenge with a one- or few-steps solution. E.g., a flat tire or a snafu with scheduling my follow-up visit.

A dilemma is a challenge where I am managing uncertainty and/or competing demands and needs. E.g., difficulty maintaining routines for my children while my illness keeps upsetting routines.

Distinguishing problems from dilemmas helps me…

  • Develop needed skills

  • Manage expectations

  • Find healing hope

In all cases, I obtain knowledge about the challenge and options for addressing it. What are the pros and cons of each approach? I ask for help when needed. I respond to problems as best I can, with expectation of moving on, maybe armed with a new tip. I respond to dilemmas by striving to do the best I can for now in a dynamic situation, expecting to face similar dilemmas again and again—and hopeful of gaining insights and skills for handling these dilemmas more easily as time goes on.

As I wrote in “View from Remission”: Even unpleasant times are less painful for they are proof that I am still here.

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