How you doin'? Talking about diseases

Put your phrases away. We need good conversation.
Put your phrases away. We need good conversation.

How you doin’? Talking about diseases.


The question “How are you?” is a constant one. Very few people answer it as a serious question. If, however, it is answered too personally, it overwhelms those who only ask out of habit or politeness. So, what do we do when we learn that a person we are talking to has a serious disease?

How you doin’?


The question “How’s you doin’?” polarizes. Some people dislike it because they think it is not meant seriously. Others consider it a harmless phrase, which should be met with a friendly phrase. Very few people take it as a serious question. If the answer is too personal, it will overwhelm those who only ask out of habit or politeness, especially if there is no close relationship with the interviewer.




Talking about diseases


Some people interpret the question “How’s it going?” as an invitation to report on the current state of health in astonishing depth.

Whoever asks should not be surprised if there is an honest answer, right?

What should we do if our colleague gives us such detailed descriptions of his headaches that we want to take painkillers ourselves? What if we meet the next-door-neighbor in the supermarket and hear about her cancer diagnosis instead of “Everything’s great!”.




Shared suffering, half suffering?


It is questionable whether the saying ” Shared suffering, half suffering”, which is often heard in Germany, can withstand a statistically tenable investigation. Thus, the context and the relationship of those involved are very important.

Anyone who constantly complains about every little bit of trouble does neither himself nor his environment any favors. This damages one’s reputation and does not exactly make other people seek closeness. Such people are soon no longer taken seriously when the depression turns out to be a mild melancholy and the occasional headache is always decorated as a migraine of the century.

Talking too often about illness is not so good for the soul and overall condition. The constant focus on problems restricts perception, thinking, and action, and additionally lowers the quality of life. This makes you even more unhappy! Too much focus on illnesses is terrible, but not to talk about it at all is not a solution.

A trustful talk about suffering is something that can be very liberating. That is then also a proof of trust, an indication of the importance of the relationship between people. But this is best done in a private setting.




So you’d rather not ask?


When a person asks another person in everyday life “How are you?”, it is usually just a polite phrase. That’s why I don’t like this question very much.

It seems particularly frequent and superficial to me in the USA, where “How are you?” or “How you doin’?” can be heard as often as “Hello!”. I understand the function. To meet each other in such a positive way makes living together easier. A friendly atmosphere is created. Nevertheless, it always seems a little strange to me. I think it’s better if we mean what we say. Admittedly, a “How’s it going?” often comes out automatically. Many people are not aware of the meaning of these words. That’s why I work with my clients on their presence. This requires to means what is said.

If you ask, you should expect to get an honest answer. If you can’t handle it, you shouldn’t even ask. However, if you ask, you may also accept the reaction.




What to do if the answer is unpleasant?


How do we respond appropriately to unpleasant revelations? What reactions and words are appropriate – and when should we be silent? Hardly anyone is prepared for this. That is why such a situation usually catches us by surprise.

It helps to have a good sense of whether further inquiries are desired. It is good to show true compassion, but no one has anything to gain from it if the sick person has to comfort his or her interlocutors. “Cheer up”, “You can do it” or the demand of a promise to become completely healthy again is rarely helpful and can be perceived as an imposition, especially in the case of life-threatening illnesses. Such behavior is just as unhelpful as well-meant advice or exaggerated attempts at encouragement. Often the best reaction: listen, listen honestly! Otherwise, it helps to ask what expectations there are.

While well-trained therapists have learned to take care of themselves and their minds, this is not a matter of course. Take good care of yourself. You may also speak respectfully if something gets too close to you. There are situations for which there are no ready-made solutions.

Preparation of important conversations and negotiations


Communication can be very easy. But often it is not. Sometimes we say things and then later notice from the reaction of our conversation partners that they seem to have spoken to someone completely different. I didn't say that with the best will in the world. - Or did I say that after all?

More or less consciously, conversations are about convincing other people of something - be it a special offer, your personality, a perspective, or a necessity. If this doesn't happen fast enough and above all not exactly to the point and descriptively, the person we are talking to quickly loses interest, and we lose the hoped-for opportunity. — Conversation failed.

You can let me support you in the preparation of your conversations and negotiations (to be on the safe side: no legal advice!). Find out how you and your message are perceived (arguments, body language, language, voice, and much more). I will familiarize you with effective tools and communication strategies. Develop your psychological skills, learn to stay calm, act confidently, remain authentic, and finally convince.

Just ask me personally


Please post any questions that may interest other readers in the comments. Are you looking for professional support?

If you are interested in coaching, training, or consulting, for organizational questions and to make an appointment, you can reach me best by e-mail ( You can reach me by telephone at +49(0)30 864 213 68 and mobile phone at +49(0)1577 704 53 56 from Monday to Thursday from 9:00 to 18:00. Most of the time I am in sessions, so please leave a message with your phone number in Germany, then. Please remember to be very specific about the reason for your call. I will call you back as soon as possible. The privacy policy can be found here.

Transparency is important. Therefore you will find answers to frequently asked questions already here, for example about me (profile), the services, the fees, and getting to know me. If this suits you, I look forward to working with you.



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Presenters who care deeply about their message tend to use their entire bodies to support the message. - Karsten Noack

This article is a short excerpt from the more comprehensive course materials my clients receive in a group or individual training or coaching.

Published: September 1, 2019
Author: Karsten Noack
Revision: January 1, 2021
Translation: ./.
German version:

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