Obstacle #3: You hate the idea of taking medications for life.
As RA patients age, many develop other conditions, such as high blood pressure, high cholesterol or osteoporosis. So they might have to take medications not only for RA but also to manage other health issues.

Some patients find taking several medications a burden and might slip up.

They also may feel they're being perceived as an "unhealthy" person, says Haskard Zolnierek, Ph.D., an associate psychology professor at Texas State University, San Marcos.

"It can be difficult for people to admit they have a chronic illness that they'll live with for the rest of their lives, and that they can't get better by force of will alone," she says. "They may feel guilty, angry or embarrassed."

Overcome it: To handle the burnout that comes from managing a disease like RA long-term, find a doctor you trust for "support, encouragement and guidance," Zolnierek says.

"If you're suffering from depression, seek help from a mental-health professional," she says. "Depression can make pain and medication adherence worse."

Also, do enjoyable activities that take your mind off your illness, Zolnierek says. For example, join a crafts club or book group, or head to the Y for a dip in a heated pool.

And get support.

"Talk to other patients on similar medications to hear about their experiences," suggests Zolnierek. "It helps you to see that you're not alone, and you may learn things about the disease or treatment that you weren't aware of."

Find support groups through a local hospital or online at Lifescript.com ^[1] or the Arthritis Foundation ^[2].