It’s a metaphor for disability: spoons are like currency in this scenario, or ‘mana’; it’s an expression that people with disabilities often have a very limited amount of energy reserves that they expend on completing tasks, e.g. getting up and dressed, travelling, socialising, etc. Unlike those who are able bodied and do not suffer with chronic illness, disabled folks often cannot ‘push through’ feeling worn out to complete more tasks, and their energy levels day to day can vary a lot (so they don’t always start out with the same number of ‘spoons’ each day to spend on activities)
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