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Motivation with COPD: Why the beginning often feels especially hard

staying motivated with COPD difficult start breathing therapy everyday life
staying motivated with COPD difficult start breathing therapy everyday life
08.02.2026
Starting a new routine or a new year can feel challenging for many people. For people living with COPD, this challenge is often even greater. Shortness of breath, reduced physical capacity, and fluctuating symptoms can make even small plans feel difficult to achieve on certain days.

Motivation is often misunderstood. It is not a constant state but something that changes depending on health, daily condition, and external factors. Especially with advanced COPD, it is important not to link motivation to perfection or daily performance. Instead, the focus should be on developing a realistic and compassionate approach to your own capabilities.

In this article, you will learn how motivation works with COPD, why setbacks are part of the process, and how you can stay consistent even when getting started feels difficult.
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Stay on track with clarity

The Breathment App helps you keep an overview of your breathing therapy and symptoms and makes progress visible—even during phases of low motivation.

Motivation is not a permanent state

Many people put pressure on themselves to feel motivated all the time. With COPD, however, motivation often fluctuates more strongly than in healthy individuals. Days with increased breathlessness, fatigue, or coughing can significantly reduce the ability or willingness to follow routines.

It is important to understand that low motivation is not a sign of weakness or lack of willpower. In many cases, it is a direct result of the condition itself. Accepting this can reduce self-blame and make it easier to navigate difficult phases.

A helpful shift in perspective is to see motivation not as a prerequisite for action, but as something that can grow out of small, manageable steps.

Small successes instead of high expectations

Many plans fail early because expectations are too high. Trying to change everything at once often leads to frustration. With COPD, focusing on small successes is usually more effective.

A small success might be:
  • completing a short breathing exercise despite low energy
  • consciously taking a rest break
  • noticing slightly more stable breathing
  • documenting symptoms on a difficult day
These successes may seem minor, but they are crucial for long-term motivation. They show that progress is possible—even on challenging days.

You can learn more about how realistic goals support motivation in the article Setting Realistic Health Goals with COPD.

Accepting setbacks as part of the process

Setbacks are a natural part of living with COPD. Infections, weather changes, or stressful periods can temporarily worsen symptoms. It is important not to see these phases as failure.

Motivation is more likely to last when setbacks are understood as a normal part of the condition. During such times, reducing expectations is not only acceptable but often necessary. Even a shortened breathing therapy session or a conscious rest period can still be supportive.

People who allow themselves to respond flexibly are more likely to stay connected to their COPD therapy than those who abandon routines when plans do not work out perfectly.
COPD motivation small steps routines long-term consistency

Routines as anchors of stability

Small routines can provide important support during phases of low motivation. They create structure without requiring constant decision-making. When motivation is lacking, established routines can act as anchors.

A simple routine might be a short breathing exercise in the morning or using a breathing technique during physical exertion. These routines do not need to be performed perfectly. Their main value lies in providing orientation and continuity.

How such routines can be built is explained in the article Small Routines Instead of Big Resolutions with COPD.

Making progress visible

Motivation often increases when progress becomes visible. With COPD, improvements are often subtle and develop slowly. Recording breathing exercises, symptoms, or daily limits helps you recognize changes over longer periods.

Especially with advanced COPD, this documentation can also support communication with healthcare professionals. It helps create a realistic picture of how therapy works in everyday life and shows that small steps can have meaningful effects.

For a broader perspective on New Year’s resolutions and realistic approaches, see the pillar article New Year’s Resolutions: Health Goals | Breathment.

Conclusion: Rethinking motivation with COPD

Motivation with COPD does not mean feeling strong or optimistic every day. It grows from acceptance, small steps, and a realistic understanding of your own situation. A difficult start is not a barrier—it is part of the journey.

Allowing yourself to take breaks, adapt routines, and acknowledge small successes creates a stable foundation for staying consistent over time—at your own pace.