Fatigue is very common in patients with rheumatic disease. Fatigue may be present even when disease activity is low. For example, in people with rheumatoid arthritis, fatigue is a key reason for more trips to the doctors- both rheumatology and primary care, as well as disability and employment loss . For those with lupus, fatigue is named as the most bothersome symptom. The reasons for fatigue are unknown but likely due to many different factors. Some factors include sleep, mood, physical activity, and medications. It can be frustrating for patients and doctors to treat fatigue because medications typically do not make it better. There is some evidence that mindfulness may improve fatigue levels in patients with a variety of different chronic conditions. With routine practice of mindfulness, we hope you will find more energy through an improved sense of well-being.