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in Health &middot April 27, 2016

Not All Disabilities Are Visible

Too often recently, friends or online acquaintances of mine have been accused of faking their disability. If you’ve ever been around my part of the Internet, you know that I’m disabled. I have autoimmune arthritis, fibromyalgia, anemia of chronic inflammation, and asthma. I’ve been in pain every day since 2001, and over the past 6 years, it has become moderate to severe every day. I experience pain in 54 joints. I am unable to work full-time or go to school full-time at the moment. I take 40 pills a day and 4 inhalers. I’m at Massachusetts General Hospital every single week. I’ve had 5 surgeries. But you would never know any of this by just looking at a picture of me. And I’m not alone, as you’ll learn in this post, because the vast majority of people who have disabilities have invisible ones. But because the majority of people have the idea that everyone who is disabled looks disabled, too many treat disabled people poorly. They shame them, don’t allow them to park in certain places, don’t allow them to use a wheelchair, and more. This is so beyond not okay, and it stems from the misconception that everyone who is disabled looks disabled.

Interestingly enough, the other day The Today Show did a segment yesterday on opiates and addiction after Prince’s death (because apparently he had surgery once which means maybe he overdosed according to their logic). I was already planning on this post and then I saw that. That segment made me incredibly angry because it perpetuated misconceptions about addiction and chronic pain. I’m not going to get into that again, but if you would like to learn more, check out my blog post on it (oh, and Ariana Huffington thought it was a position that should be heard and invited me to publish it on Huffington Post).

ETA: This post has also appeared on Huffington Post! You can see it here.

Not All Disabilities Are Visible (with Disability List)

 

What makes someone disabled? The definition of disabled is “incapacitated by illness or injury” or “physically or mentally impaired in a way that substantially limits activity especially in relation to employment or education.”

Everyone who is disabled looks disabled, right? Nope! As the folks at Invisible Illness Awareness Week figured out based on data from the 2002 US Census Bureau, 96% of people who live with an illness live with an invisible one, and 73% of people who live with a severe disability do not use devices like a wheelchair. This means that when you look at them, you wouldn’t know that they’re disabled. Think about how many people you see who are clearly disabled during an average week. Statistically, for every person you’ve seen who looks disabled, you’ve seen at least 4 more who are disabled but don’t look it.

[bctt tweet=”73% of people with severe disabilities don’t use a visible assistive device like a wheelchair” username=”kmitchellauthor”]

So how can you tell if someone is disabled? Often, you can’t, so if someone says that they are, you need to take them at their word. If someone looks fine but parks in disabled parking – and have a placard for it – you can’t accuse them of faking it. If someone looks fine but wants or needs a wheelchair, don’t question it.

However, we do need to make sure that people who don’t have disabled parking don’t park in those spots. They also can’t park there with their blinkers on while they wait for someone. If you believe that you should be able to park there because of a health issue, talk to your doctor. If your doctor disagrees with you, don’t park there. If your doctor agrees with you, you still need to wait until you get your placard in the mail before you park there. Anyone who parks in the disabled parking spots without a placard of plate is breaking the law.

What can you do about that? If you see someone park in the disabled parking spot without a placard, call them out on it or write down their license plate and contact the police. People parking in those spots without a placard are breaking the law pure and simple. The more they get away with it, the more they will do it. Oh, and doing this can prevent someone who needs it from going somewhere and doing something they can’t do without the parking.

Here’s a great document from the University of Massachusetts about invisible disabilities, including a disability list, although it isn’t entirely inclusive. If you have more time to delve into specific categories, check out the Social Security website’s list of impairments considered for someone’s eligibility to receive disability and the qualifications for each impairment.

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. Emily of Em Busy Living says

    April 27, 2016 at 11:26 am

    I love that you share about your disabilities and physical struggles so openly. It has been eye-opening.

    (Also, I’m a total idiot and in the ‘free entry’ thing I just typed my OWN blog name. Because I did it before reading, like the smart person I am today, ha! Sorry!)

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    • Kate Mitchell says

      May 3, 2016 at 5:02 pm

      Thank you! I know that not everyone feels as comfortable being so open, but there are still a lot of people who live with the same health issues I do, so I hope I can make their lives better.

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Trackbacks

  1. 8 Ways To Help Arthritis Sufferers | Kate the (Almost) Great says:
    May 9, 2016 at 8:00 am

    […] a Millennial with Arthritis Wants You To Know So Someone You Know What Diagnosed with Arthritis Not All Disabilities Are Visible We Need To Talk About […]

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  2. Kate the (Almost) Great | Boston Lifestyle Blog - Everyday Ableism - Kate the (Almost) Great | Boston Lifestyle Blog says:
    January 23, 2017 at 8:01 am

    […] Believing that someone is faking needing a wheelchair because they can walk – Not everyone who uses a wheelchair is unable to walk. For many people (including myself), I use one because I can’t walk more than short-ish distances, meaning 1 mile at a time on not-awful days and less than 0.5 miles on awful days. If I go to a museum, I to use need a wheelchair because I can’t handle walking all over the museum. This is the case for many, and the extent to which someone can walk depends on their personal health. In fact, 73% of people with a severe disability do not use an assistive device like a wheelchair. […]

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  3. Kate the (Almost) Great | Boston Lifestyle Blog - A Letter to the Mom Who Yelled at Me on the Bus for My Disability - Kate the (Almost) Great | Boston Lifestyle Blog says:
    July 28, 2017 at 7:01 am

    […] I was trying to explain was 96% of people with disability don’t use an assistive device, like a wheelchair or a cane. You can’t expect everyone who is disabled to “look” […]

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    Reply
  4. Kate the (Almost) Great | Boston Lifestyle Blog - Examples of Ableist Language | Kate the (Almost) Great, Boston Lifestyle says:
    October 7, 2017 at 6:06 pm

    […] Being angry because someone who parks in a handicapped spot (and has a disabled placard) can walk. – I have talked a LOT about how there are invisible disabilities, so I won’t restate that here. One thing I will say is that I can walk and “look” fine (depending on how closely you look) but am very much not fine. See: Not All Disabilities Are Visible […]

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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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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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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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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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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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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. 

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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
Week 22 of 2026 Weekly 1️⃣ Off to see my foot doc Week 22 of 2026 Weekly

1️⃣ Off to see my foot doc … and my foot is healing! Yay!
2️⃣ A very cool notification to get!
3️⃣ This is 35 🎂
4️⃣ Featuring Harley snuggles 
5️⃣ And then it was my mom’s birthday! 
6️⃣ With Harley again 

ID: 
1️⃣ Kate takes a mirror selfie 
2️⃣ a notification from WordPress saying “Receive views from 150+ counties. The United Nations has nothing on you!”
3️⃣ Kate smiles for the camera in a cafe 
4️⃣ Kate in the same outfit with Harley the golden retriever on her lap. 
5️⃣ Kate’s mom smiling in a restaurant 
6️⃣ Kate with Harley again 

#GoldenRetrieversOfInstagram #ChronicallyIll #ChronicPain #InvisibleIllness
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