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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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  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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Week 19 of #2026Weekly I’m not going to lie - my Week 19 of #2026Weekly 

I’m not going to lie - my life now focuses even more on maintaining my body. Trying to avoid foot surgery + keep my bone density up so I don’t break another bone for a while on top of all the other things I do to manage my 10+ illnesses … it’s a lot of work. I did go to actual work this week lol but my camera roll is all chronic illness stuff this week. 

1️⃣ The machine that will hopefully prevent surgery!!! Every day, I do 40 minutes of this ultrasound machine (20 min on 1 fracture, 20 min on the other) and it will speed up healing 🤞🏻🤞🏻🤞🏻 
2️⃣ Continuing my exercise routine per my endocrinologist. Up to 30 minutes of Pilates 4 days a week … and since I don’t do exercises requiring pressure on my feet, the cast comes off. 

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1️⃣ Looking at an at-home ultrasound treatment machine 
2️⃣ Kate’s cast next to her yoga mat 

#Osteoporosis #RheumatoidArthritis #ChronicIllness #ChronicPain
I personally have rheumatoid arthritis, fibromyalg I personally have rheumatoid arthritis, fibromyalgia, and Sjögren's syndrome, which makes 3 forms of arthritis.⁣
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May is Arthritis Awareness Month, which is the perfect time to remind people of these facts. Here's today's fact.⁣
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Like, comment, and share to spread awareness 💖 ⁣
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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: Fact or Fiction? Let's Check! ⁣
Fiction⁣
Arthritis means only 1 thing.⁣
Fact⁣
There are over 100 kinds of arthritis, including osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, and more!⁣
katethealmostgreat⁣
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#ArthritisAwareness #RheumatoidArthritis #Fibromyalgia #SjogrensSyndrome #Arthritis
SHARING YOUR HEALTH EXPERIENCES PUBLICLY⁣⁣⁣ ⁣ I sh SHARING YOUR HEALTH EXPERIENCES PUBLICLY⁣⁣⁣
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I share my personal health experiences online, which I find it somewhat easy to do because I've been talking publicly - albeit to a smaller audience - since my health problems started in 2001. ⁣⁣⁣
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If you share something online, you need to be prepared for people to ask questions or argue with you. Should they? No. Will that stop them? Also do. ⁣
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That's one of the reasons that talking online about what can be trauma is not easy or for everyone. That's why it's important to practice self-care and to consciously think about what you want to share online before you do it. ⁣⁣⁣
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For example, I generally only talk publicly about a health situation once it has passed, especially if it's an emergency. I also make sure that I'm in a good place mentally before I talk about it. That way, I don't share things I'll regret sharing publicly later. It also helps me be less anxious about sharing these details.⁣⁣⁣
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And I don't share everything! There's lot of stuff that I haven't talked about not only online but with people in real life. It might seem like I share everything I've experienced, but I don't. ⁣
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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: Kate works on a laptop offscreen. She's a redheaded white woman wearing a beige-and-navy striped sweater, silver Claddagh necklace, and pink glasses.⁣
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#ChronicallyIll #RheumatoidArthritis #ChronicPain #Endometriosis #SjogrensSyndrome
Week 18 of 2026 Weekly 1️⃣ Cross-stitch and IVIG Week 18 of 2026 Weekly 

1️⃣ Cross-stitch and IVIG 
2️⃣ Another trip to the foot doctor. We’re officially in Try To Avoid My 6th Foot Surgery mode 🤞🏻 
3️⃣ At least there were lilacs?

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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 down at Kate’s lap. Tubes are coming out of her shirt. She’s working on a cross stitch.
2️⃣ Kate takes a selfie in a doctor’s office. She’s wearing a lilac mask.
3️⃣ A lilac bush

#IVIG #CrossStitching #ChronicIllness #ChronicallyIll #InvisibleIllness
FAQ: Have I Tried Yoga for My Pain? This is a se FAQ: Have I Tried Yoga for My Pain? 

This is a series where I answer questions I frequently get about my rheumatoid arthritis. I am not a medical professional and this is not medical advice - just saying the truth about my body in particular. 

Video: Kate speaks to camera. There are captions. A black text box reads “FAQ: Have I Tried Yoga for My Pain?” 

#RheumatoidArthritis #AutoimmuneArthritis #Arthritis #ArthritisAwarenessMonth
May is Arthritis Awareness Month, which is the per May is Arthritis Awareness Month, which is the perfect time to remind people of these facts. Here's today's fact.⁣
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Like, comment, and share to spread awareness 💖⁣
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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: Fact or Fiction? Let's Check! ⁣
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Arthritis only affects people as they age.⁣
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Arthritis can affect anyone at any age, including kids as young as 3.⁣
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#ArthritisAwareness #Arthritis #RheumatoidDisease #RheumatoidArthritis #ArthritisAwarenessMonth
I’ve been on IVIG since September. So what does su I’ve been on IVIG since September. So what does success look like? ⁣
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*This is all just for me and my case!*⁣
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1️⃣ I haven't gotten sick at all since I started, not even a cold. ⁣
2️⃣ My lungs are clear of any ground glass opacities, which was what pushed us over to finally doing IVIG regularly. ⁣
3️⃣ We feel better about saying that I don't have any infections. Because symptoms are often signs of the body fighting an infection, we couldn't always trust that I wasn't sick because I didn't have symptoms. ⁣
4️⃣ Because of all of this, we're increasing my next Rituxan dose! This will mean better RA symptoms and hopefully no new illnesses for a few years.⁣
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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 bunch of IVIG supplies, including a pump. ⁣
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#ChronicallyIll #ChronicIllness #ChronicPain #AutoimmuneDisease #Autoimmune
Week 17 of 2026 Weekly 1️⃣ Making some real progr Week 17 of 2026 Weekly

1️⃣ Making some real progress with this cross stitch
2️⃣ Walking casts have multiple uses, including holding down your mat! (Don’t worry - I only did broken-foot-compatible things) 

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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 An in-progress cross stitch. You can see that Kate stitched 2 bears.
3️⃣ A walking cast lies on a black yoga mat 

#CrossStitching #CrossStitcher #RheumatoidArthritis #Osteoporosis #LoopsAndThreads
Can we talk about fatigue for a sec? ⁣⁣⁣ ⁣ Fatigue Can we talk about fatigue for a sec? ⁣⁣⁣
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Fatigue is so much more than being tired. It's sleeping 10 hours at night and then struggling to stay awake during the day. It's trouble focusing because, even though you just had 3 cups of coffee, you're thinking about sleep. It's needing to factor rest in during the day because you have plans at night. ⁣⁣⁣
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It's a lot. ⁣⁣⁣⁣
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It's no secret that I have multiple chronic illnesses. But did you know that all of them - all 11+ of them - have fatigue as a symptom? Sometimes the fatigue is worse than the pain and, uh, I live with a lot of pain.⁣⁣
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This picture was taken when I was super anemic and waiting for 4 iron infusions. Now, months later, I can see it. And I also don't know how I got through the months of that anemia. ⁣
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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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