As I write this article my 4-year-old son sits beside me with a cold and a little fever. All he has said since he woke up today is "I'm better now. I'm all better." Does our attitude change how we cope with illness and our level of happiness?

Everyone handles the troubles in their lives in assortment of ways. While some people put on a happy face and intentionally decide they will use their illness as an opportunity, others will drive home from the physician's office anxious about how much longer they will be able to drive because of the seriousness of the pain. They'll lie down on the couch and not leave the house for years. Why do some people thrive even though they have a chronic illness while others simply go into survival mode, even using the illness as an excuse for everything that goes wrong in their life?

People who live with an illness and still radiate happiness and joyfulness for life have some things in common. None of us cope with our illness perfectly, so even if we tend to deal with it well, there is likely a tip below that we could use to improve our outlook on life.

Happy people who live with illness have the following in common:

[1] They possess hope. Research has shown that hope actually increases the speed at which people recover from surgery. Hope is vital and a necessary step in finding contentment despite our circumstances. The 2006 theme of National Invisible Chronic Illness Awareness Week was "My illness is invisible but my hope shines through." We all should live with this attitude.

[2] They persevere. It's no secret that living with chronic pain is. . .painful! Physically, emotionally, and spiritually it can zap our strength and spirit. Typically, our health is one of the main foundations we count on in order to have a change to conquer those dreams. Chronically ill people who are happy have learned how to continue to aim high for their dreams, or to reevaluate their dreams and create new ones. Sometimes the new goals are even more taxing that the original ones, but passion pushes them forward.

[3] They are good advocates when it comes to their health. Paul J. Donoghue and Mary E. Siegel, authors of "Sick and Tired of Feeling Sick and Tired," write "Getting this help in a consistently satisfying manner is as essential as it is challenging. You will need perseverance, courage and skill. You will need to understand your needs and be committed to getting them" (p. 160). People who feel like they are part of the decision making process regarding their care and treatment, and who actively seek out doctors who partner with them, are more happy than those who feel out of control. For example, it's important to have a medical team that will understand your desire to have children, and will give you the best treatment if you decide to go forward with this, rather than punish you by giving you poor care.

[4] People who are happy don't claim the victim role, in fact, they tend to ask, "Why not me?" rather than "Why me?" To fashion this attitude may take effort if it doesn't come naturally. But a lot of these people get involved in different organizations that serve people. And when one is around others who live with illness, cancer, or who have left abusive homes, they quickly understand that this world is not a perfect place. When things are going pretty well in their lives, they recognize it as a blessing, not a right.

[5] They have a strong foundation of who they are, shielding them from taking things too personally. Having a strong faith can make this much easier because one understands that her value and worth as a person doesn't depend on what she can accomplish with her physical strength. She learns what she is responsible for (like an attitude) and not (like an infection that keeps returning). This can help avoid having unnecessary guilt for things out of her control.

[6] They communicate adeptly. Being able to talk with others, explain your feelings, learning to listen effectively, and watching your words carefully, can help you avoid a lot of troubles. Misunderstandings, hurt feelings, and arguments can affect your whole life and your body's capacity to cope with an illness. One must learn to manage bitterness and focus on healthy relationships. Happy people with illness are good at understanding when to talk about their illness and how much to share about their personal lives.

[7] They sincerely care about other people. Your illness may not have been the education you had hoped to get, but people who are happy see their experiences as a gift of knowledge. They can share their ups and downs, and struggles and successes with others who are going through challenging experiences and need a friend or mentor. To truly find happiness, we must search outside of ourselves and reach out to other people.

J.K. Rowling, author, once said, "It is our choices that show what we truly are, far more than our abilities." This quote is perhaps one of the most wonderful examples of a good attitude for those with chronic illness.

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Instant download of 200 Ways to Encourage a Chronically Ill Friend from "Beyond Casseroles" by Lisa Copen when you subscribe to HopeNotes invisible illness ezine at Rest Ministries. Lisa is the coordinator of Invisible Illness Awareness