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in Health &middot January 29, 2018

College Tips for Disabled Students

College is tough enough, but add a disability into the mix and it can be even harder. A lot of that depends on your college or university, and there are some things that you can’t fix (like ableist professors). But now that I’ve been through not only undergrad but also grad school all while disabled, I think that I have some college tips that will hopefully make your experience a lot easier. Check them out below and then comment with any tips that I missed!

As a heads up: these might not be entirely inclusive, and I’m sorry for that. I don’t know just how different college is for students with ADHD, for example. Maybe all of my tips cover those needs, but maybe they don’t. If they don’t, it would be absolutely amazing if you could comment with what I didn’t include.

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College can be tough enough without living with a disability. As someone who went through college and grad school, I have plenty of college tips to help you have a great college experience with a disability.

College Tips for Disabled Students

Get set up with Disability Services – Unless your university is ableist as heck, they’ve probably got a disability services department that can help you out. If you live in the US, the ADA protects you from discrimination from professors. But your professor could maybe try to ignore that if you’re not established with disability services as a disabled student. Getting established with them often involves notes from your doctors sharing your diagnosis/es and what accommodations you need. If you have an accommodation letter and your professor still tries to get around your accommodations, disability services can intervene and help.

Go see Student Health – If your disability is related to a chronic illness or health problem, you should also be established with student health. Make an appointment to see a provider to talk about your health issue(s) and bring a list of your prescriptions. It helps to get your info in their system when you feel okay so that nothing gets missed if you come in when you feel terrible. Also, if you’re like me and you have to have monthly bloodwork, bring in a physical slip from the doctor who wants it (rheumatologist in my case). Bringing a physical slip helps them understand what tests your doctor needs to be run and it also usually has your doctor’s fax on it. You can also talk to nurses or doctors at student health about your regular blood work and your student health’s policy on doing blood work for other doctors. For example, when I was in undergrad, I brought a semester’s worth of blood work slips to my student health’s phlebotomist. She kept them in her records, and every month when I came in, she ran that month’s tests then. (After the first year of this, I also got to come in whenever I wanted to without an appointment and she would see me when I could.)

Talk to Student Health about your specialty medications – I’ll talk about “regular” medications in a sec, but first I want to talk about specialty meds. These are the ones that have to be delivered to your house, the ones that regular pharmacies don’t fill. When I was in undergrad, I tried Humira, Orencia, Enbrel, and more. These were all delivered to me at school every month, but since I lived in a dorm, they had to be delivered to various locations around campus that had a street address. See if your student health will allow them to be delivered to them! And if you struggle giving these medications to yourself and your friends don’t want to give them to you, see if your student health has an “injection” nurse. We had one who gave things like allergy shots and others. I had to see her for several months in my junior year because (not joking) I dislocated some of the bones in my right hand and could barely use it, and then I was in a brace for 2 months. Since I’m right-handed, the injection nurse gave me my meds.

Find a pharmacy – Now onto regular medications. One of the great things about pharmacy chains is that you can easily transfer medications between locations. Because of this, I suggest filling your medications through a chain pharmacy; it will make your life a lot easier. And just a piece of advice: give yourself plenty of time between when you fill your prescription and when you need it. Depending on the medication and where your college is, the pharmacy might not have it in stock and they might need to special order it. I experienced this a lot when I was in college and on methotrexate; there were multiple shortages throughout my college experience. It was really stressful because I didn’t give myself enough time.

All college tips

College is a huge adjustment for everyone, but it's even trickier if you're disabled. I've compiled a list of 9 college tips to help you succeed socially and academically.

Identify your preferred local hospital – If you’re lucky enough to go to school in a city/area with multiple hospitals, figure out which you would rather go to should you need to. Knowing ahead of time can reduce a bit of stress in the moment if you have to go to the hospital. Things to include in your decision-making process: which one is in your insurance network, which one has a better [your disability] department, which one treats people with your disability better, etc.

Join disability organizations – Depending on the school, you might have an organization for disabled students. It can be so great to be a part of this organization because you will be around people who understand some of the things that you go through but abled people do not. It can be really difficult to not know anyone else who is disabled, especially if your friends don’t entirely get what your life is like.

Get a great planner – It doesn’t matter if this is a paper planner or an electronic one, but you should really keep track of everything going on in your life. This will (hopefully) help you reduce stress from school if you have a condition that can get worse from stress. As a part of that, it will help you plan ahead so you can work on assignments well ahead of time if you need to. Additionally, if you have a chronic illness, it will help you keep track of medical appointments and more. Learn about what I did at the beginning of every semester that helped me. I love the Erin Condren life planner, and this is how I use mine.

Protect yourself if you’re on immunosuppressants – Everyone gets sick at college because there are so many people living in such close quarters. If you’re on immunosuppressants like me, this is even more common, and because the immune system is suppressed, you probably also get way sicker than other people. This makes it extra important that you protect yourself so you don’t get horribly sick on a regular basis. Here are 5 things everyone on immunosuppressants needs.

Find good friends – Obviously, this is what many people hope to get out of college. But it’s even more important when you’re a disabled student. If you’re like me, you don’t have a ton of energy. During college, I often didn’t have the energy to do things after class all day. I needed friends who wanted to hang out by watching tv and necessarily going to parties. And with my health, I needed friends who would take me to the ER and help take care of me afterwards. And, most importantly, I needed friends who didn’t care about my health or how it might inconvenience them. It can be difficult to find these people, but I know that they’re out there.

What tips would you give other disabled students?

Like this post? Check out:

Traveling with an Invisible Disability: How To Deal with Rude People, Dating with a Chronic Illness, How To Succeed as a Spoonie Student, How To Succeed in College: Getting Set for a Great Semester

Kate Mitchell

Kate Mitchell is a blogger, chronic illness patient, and advocate who helps people understand chronic illness and helps chronic illness patients live their best lives.

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  1. Rebecca @ Strength & Sunshine says

    January 29, 2018 at 3:47 pm

    Contacting disability is crucial and should be #1 for any new college kid!

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Dos and don'ts for when someone in your life is di Dos and don'ts for when someone in your life is diagnosed with autoimmune arthritis! What are some that you would add?⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: "So someone you know was diagnosed with Autoimmune Arthritis". Under the Do column (indicated with a green checkmark) is:⁣
"As how they feel about it⁣
Offer specific ways to help⁣
Treat them normally⁣
Ask follow-up questions⁣
Wear a mask around them when sick."⁣
Under the don't don't column (indicated with an x in a red circle) is:⁣
"Say “At least it’s not xyz!”⁣
Say that and not follow through⁣
Assume nothing about their lives has changed⁣
Conflate autoimmune arthritis with osteoarthritis⁣
Pass your cold to an immunosuppressed person".⁣
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#AutoimmuneDisease #RheumatoidArthritis #PsoriaticArthritis #AnkylosingSpondylitis #JuvenileArthritis
Weekj 26 of 2026 Weekly Scenes of a summer week Weekj 26 of 2026 Weekly 

Scenes of a summer week in Maine! So glad I work from home, which means I can work from my real home (Maine, if that wasn’t clear)

1️⃣ Lots of Harley time
2️⃣ Working from home means saving my PTO for fun things!
3️⃣ Lots of duck families (📸 my dad)
4️⃣ What a lot of my days look like - Harley and my current project (needlepoint). And, yes, I’m still in a cast.
5️⃣ Learned how to play Mahjong, which my parents love
6️⃣ Lake views on the 4th

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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣⁣⁣⁣

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IDs:
1️⃣ Harley the golden retriever on a deck as seen through some plants
2️⃣ Kate takes a selfie
3️⃣ A duck with little ducklings following on a lake
4️⃣ Harley coming up to Kate. Her legs are out on an ottoman, 1 foot in a walking cast, and an in-progress needlepoint project
5️⃣ Looking down at a Mahjong table with the game set up
6️⃣ A kayak on the shore of a lake 

#MaineTheWay #MaineSummer #Needlepoint #MaineLife
Living with chronic pain is really hard. You’re wi Living with chronic pain is really hard. You’re winning every day you’re still here.⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: The background image is a lake at sunset. Text reads what's above the first square and also "katethealmostgreat".⁣
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#ChronicIllness #ChronicPain #RheumatoidArthritis #Fibromyalgia #Endometriosis
I've been spending a fair amount of time at my foo I've been spending a fair amount of time at my foot surgeon's office this year, and boy has it been messing with my head. ⁣
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I spent a lot of time from 2001-2010 dealing with my left foot. Long story short, it took until this foot surgeon saw me in 2010 after fixing this foot for me to be diagnosed with rheumatoid arthritis. But I spent those 9 years going from doctor to doctor, having surgery after surgery, trying to figure out what was causing my pain and to fix it. ⁣
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Was it the tarsal coalition? Did I have another chronic health issue? Etc. ⁣
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I spent from age 10 to 19 unsure what exactly was wrong with me and in huge amounts of pain. We thought we figured it out, and then something else happened. ⁣
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We know exactly what is wrong with this foot this time around: in 2024, I got 3 stress fractures, and no one put me in a boot. They almost fully healed before breaking in 2025, and then the same thing happened in 2026. ⁣
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This is a different part of the foot than I used to deal with, but any problems with my feet and especially my left foot messes with me. While this doctor eventually fixed the problems and even got me diagnosed with RA, every time I go back to his office, I have to fight not to become 17 again. ⁣
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PTSD is a bitch.⁣
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(PS - if you want to know why I'm going back to this guy when it messes with me, it's because I don't trust anyone else to fix my foot.)⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: Kate takes a selfie in a doctor's office. ⁣
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#PTSDAwareness #ChronicallyIll #TarsalCoalition #RheumatoidArthritis #Osteoporosis
Week 25 of #2026Weekly Happy to be in Maine for Week 25 of #2026Weekly 

Happy to be in Maine for a few weeks! I didn’t get up to a lot, so another week of very few pictures

1️⃣ IVIG 
2️⃣ Lots of beautiful birds have been coming to my mom’s bird feeder!

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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣⁣⁣⁣

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IDs: 
1️⃣ Looking at Kate’s lap. Tubes are coming out from under her shirt and there’s a Kindle
2️⃣ Birds arriving at a bird feeder as seen through a window

#ChronicallyIll #InvisibleIllness #ChronicPain #IVIG
What do you have to do every day for your chronic What do you have to do every day for your chronic illnesses? ⁣
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For context, I have rheumatoid arthritis, fibromyalgia, endometriosis, POTS, heart disease, osteoporosis, and more. ⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: ⁣
Things I Do Every Day for My Chronic Illnesses⁣
Take pills at least 4 times a day⁣
Don’t eat gluten, dairy, corn, soy, or eggs⁣
Sleep 7+ hours a night⁣
Consume 80-100 grams of protein, 120 mg of calcium, 5-10 grams of sodium⁣
Wear a mask whenever I leave the house⁣
Do pilates 4+ days a week⁣
Work from home⁣
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#ChronicallyIll #InvisibleIllness #RheumatoidArthritis #Fibromyalgia
Filmed this back in April (hence the sweater) but Filmed this back in April (hence the sweater) but it applies to whenever I have appointments! 

Video: Kate talks to the camera while holding a purse. She holds up individual items mentioned in the video before putting them in the bag. There are captions. 

#ChronicallyIll #RheumatoidArthritis #Osteoporosis #ChronicPain
There are a lot of medical advancements that I'm g There are a lot of medical advancements that I'm grateful for, but one of them is the ability to do IVIG at home. ⁣
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I'm on IVIG - or, in my case, subcutaneous immunoglobulin replacement therapy - because I have to kill the better part of my immune system. There are, in fact, some parts of my immune system that don't attack me, which is why we add them back in. This helps reduce my chance of serious infection and also made my rheumatologist feel comfortable enough to increase my Rituxan dose. ⁣
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This is a weekly treatment that I do, but it's so much better that I can do it at home than going into the hospital. It takes around 2.5 hours from taking my pre-meds to tossing my needles into a Sharps container. While it's another thing that I have to do, because I do it at home, I don't have to risk exposure to infections at the hospital or deal with Boston traffic, which would add another hour to the process. ⁣
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I can finish my treatment and then go about my day, which I'm very grateful for.⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: A Kindle on Kate's legs. There are tubes for an infusion coming out of her shirt.⁣
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#IVIG #ChronicallyIll #RheumatoidArthritis #Autoimmune #AutoimmuneDisease
Weeks 23 and 24 of 2026 Weekly! The last two wee Weeks 23 and 24 of 2026 Weekly! 

The last two weeks were prepping for my infusion, having/recovering from my infusion, and getting caught up after. This meant things were very busy but also I don’t have a lot to show for them. 

1️⃣ New glasses! I really like having multiple pairs so I can switch them as I want.
2️⃣ One of my current projects. I got this standing hoop for my birthday and I’m working on an alphabet (uppercase and lower, although I’m still working on the lower) with extra floss.
3️⃣ Infusion time! I got my higher dose so hopefully my symptoms improve a lot in the upcoming weeks🤞🏻

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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣⁣

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IDs: 
1️⃣ Kate takes a selfie. Her new glasses are thin silver circles
2️⃣ An in-progress cross-stitched alphabet in a special hoop stand that Kate is sitting on.
3️⃣ Kate takes a selfie in an infusion chair.

#ChronicallyIll #RheumatoidArthritis #AutoimmuneDisease #CrossStitcher
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