Self-management is rarely a smooth process. There will be ups and downs, good and bad days, weeks, even months. It helps to keep an even keel – to get through the rough patches, and not get too excited in the good times. Here are some tips for staying motivated and on-track.

Reward yourself for behaviors, not results. You don’t have to wait until your cholesterol drops 50 points to celebrate. Be good to yourself along the way. Do something pleasurable after you exercise (maybe a long bath or a good book.) Use the money you save by not smoking to go to a show or have your house cleaned. As the book Living a Health Life with Chronic Conditions says, “Rewards don’t have to be fancy, expensive, or fattening.” Use your imagination.

When you seem to get a little worse or hit a plateau, remember that ups and downs are unavoidable. You will get back in control. Problem-solve what is going on, perhaps with your health care provider.

Remember your motivation. Why do you want to get better? To dance at your young grandchild’s wedding, to be able to travel, to enjoy walking your dog, or what? If you don’t have a good reason, can you think of some or create one?

Deal with the situations that get in your way. Read more.