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in Health &middot January 23, 2017

Everyday Ableism

No one ever thinks that they’re discriminating, or at least no one wants to think that they’re prejudiced in some way. This is because there are two basic types of prejudice: overt and covert, or obvious and implied. When it comes to ableism – or the discrimination against disabled people – the vast majority of it is implied. And part of this is that ableism hasn’t been talked about a whole lot in comparison to other forms of discrimination, so there are so many people who say ableist things or do something that is ableist probably without realizing it. That’s the type of ableism I want to talk about today: the everyday ableism, or the discriminatory things that are said and done perhaps without even realizing that they’re discriminatory.

TW: Mention of rape (because one thing I’m talking about is triggers, but it’s only mentioned in that context)

We Need To Talk about Ableism

Ableism is the act of discriminating against people with disabilities, but most people aren't aware that these basic words and actions are ableist. Here's what they are and why they're discriminatory so you can help people with disabilities by being a good human.

Words

Saying someone is acting “Crazy” – The word “crazy” means “not mentally sound” (x), and many people consider it a slur. Mental illness is a category of diseases, and they can’t be helped. There are two types of situations when “crazy” is used: to describe someone with mental illness (which is rude) and to describe something that is surprising (which is straight up ableism). In either situation, this is a word that should be left in the past.

Using the r word or some variation of it – This is DEFINITELY a slur. It may have been the official word at one point to describe what’s now called intellectual disability, but that is not the case any more. To quote Spread the Word To End the Word, “The R-word hurts because it is exclusive. It’s offensive. It’s derogatory” (x). You shouldn’t be using it in any way shape or form. You shouldn’t use it to describe someone with an intellectual disability (ID) and you shouldn’t use it to mean “stupid” (also, many believe stupid is also derogatory, but I don’t know enough about that enough to discuss it here). This is especially because ID does not mean that someone is not that smart; it is an actual, real disability.

Calling someone a “cripple” or using it as an adjective – I hate this word. I hate it so much. The only people who get to use it are people who are physically disabled. For example, I can call myself a cripple, but you can’t unless you’re a close friend (and that’s my personal preference and will not be true for everyone). And please, dear God, do not use it as an adjective or verb. “The storm crippled the town,” “Crippling traffic,” etc., all take my serious health problems and diminish it.

Throwing around mental illnesses like adjectives, aka saying “I’m depressed” when you mean “I’m upset about this” or “the weather is bipolar” when you mean the weather keeps changing – Depression and bipolar are real illnesses. They’re not adjectives, and they’re not tools for exaggeration. Using them diminishes how people see the disease and makes it harder for those who have them to be taken seriously.

Saying that someone’s health problem isn’t a big deal – You don’t get to minimize one of the defining elements of my life, especially because saying something like this implies that I’m making too much of my health. Here’s why you shouldn’t tell people, “It could be worse.”

Arguing that triggers are because people are too sensitive – Fireworks can trigger PTSD episodes for war veteran just like seeing mention of rape can trigger an episode for a victim just like lots of flashing lights can trigger a seizure in someone with epilepsy. Thinking people just need to get over themselves because they need triggers is ableist, and using trigger warnings ~ironically~ or for something like “tw: mention of Pats fans” is ableist, too.

[bctt tweet=”Discrimination towards disabled people in everyday life” username=”kmitchellauthor”]

There are many things that people say and do that are actually discriminatory towards people with disabilities. Check out these ableist things so you can prevent further discrimination (beginning with yourself).

Actions

Parking in a handicapped spot (even with your engine running and hazards on) – Not only is this illegal, but this also prevents the people who need it from going where they need to. I can’t walk for more than short or medium distances, so if I go to the mall – where I’ll be doing a fair amount of walking – and the handicapped spots are full and the only available spots are farther in the parking lot, I might not be able to go to the mall. Once, when I tried to talk to a woman about this, she ended up yelling at me and I ended up sobbing.

Blocking wheelchair access areas on busses, in buildings, etc., or just not providing it – By doing this, you are telling disabled people that they don’t matter and their access to the space doesn’t matter. You’re saying that your desire to get somewhere is more important than a disabled person’s right to be somewhere.

Not providing food options free of allergens – If you don’t provide allergen-free options, you are quite literally preventing people from eating because of something they can’t change.

Thinking that someone who constantly cancels plans is using their health as an excuse – Often, chronically ill people don’t know how they will feel ahead of time, and they might cancel regularly because of it. This is not a reflection on you or a reflection on the kind of person they are; it is a real health problem. If you think that their health problems are an excuse to avoid doing something with you, you are selfish.

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.

Not treating mental illness like a real health problem – I don’t mean believing mental illness isn’t real; I mean treating symptoms or aspects of mental illness like they aren’t health problems. For example, if someone tells you they are living with depression, you are being ableist if you tell them to focus on their blessings and they’ll feel better, or that they’re just having a bad month. Depression is a real disease, and you should treat it like one.

What are other examples of everyday ableism you have experienced or seen?

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. Kate the (Almost) Great | Boston Lifestyle Blog - Examples of Ableist Language | Kate the (Almost) Great, Boston Lifestyle says:
    August 4, 2017 at 7:01 am

    […] Related: Everyday Ableism […]

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  2. Kate the (Almost) Great | Boston Lifestyle Blog - Dating with Chronic Conditions | Kate the (Almost) Great, Boston Lifestyle says:
    September 2, 2017 at 7:57 am

    […] you’re concerned about continuing ableism, you can send them these posts: Everyday Ableism, Examples of Ableist Language in Everyday Life, and We Need To Talk about […]

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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:
    September 2, 2017 at 7:58 am

    […] Everyday Ableism, Not All Disabilities Are Visible, The 8 Things a Millennial with Arthritis Wants You To Know, The Time I Ended Up Sobbing in a Parking Lot […]

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  4. What You Should Know about Disability | Kate the (Almost) Great says:
    February 17, 2024 at 11:55 am

    […] a lot about ableism, so I’ll leave these pieces here for you to read instead of repeating myself: Everyday Ableism, Examples of Ableist Language in Everyday Life, and On Inspiration […]

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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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