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in Health &middot December 22, 2020

What Is Self-Advocacy? An Answer + Strategies To Help

When I first started this blog, it was partially to have a creative outlet and partially to have a platform through which I could focus my advocacy. I was inspired to advocacy because of the number of people who said, “I thought that was just for old people!” when I was diagnosed with rheumatoid arthritis. (Just … no. On several levels.) By the time I was diagnosed, I had already had several situations where it was emphasized that I knew my body better than anyone with fancy degrees, so I was already practicing self-advocacy without realizing that was the term. But what is self-advocacy, and how can we be better at it?

I’m aiming to answer that question in this post, as well as to provide you with tips and resources to help you. It’s a really fascinating topic, and it’s much bigger than I realized when I started writing about it. That being said, let’s get into it.

Contents hide
Self-Advocacy Definition
Why Is Self-Advocacy Important?
Self-Advocacy Tips
Self-Advocacy Strategies
Self-advocacy might sound like a term, but it also describes a movement. In this blog post, chronic illness blogger Kate the (Almost) Great answers the question, "What is self-advocacy?" and gives some context and tips.

Self-Advocacy Definition

Self-advocacy is “used as a name for civil rights movements and mutual aid networks for disabled people” and became more widely used during the disability rights movement in the latter part of the 20th century (x). As the word implies, it is about standing up and advocating for yourself.

You might think that this is obvious and doesn’t need to be a whole movement. And that’s because of all the advocacy and self-advocacy that happened in past decades.

SelfAdvocate.Net says, “When you have good self-advocacy skills you can have more control and make the life decisions that are best for you” and not necessarily the ones that make other people happy (x). I’m not talking about people like your loved ones, although hopefully the people who care about you are happy by life decisions that make you happy. I’m talking about people like doctors who meet you for 15 minutes and assume they know everything they need to know about you. I’m talking about people like professors who don’t really care about you as a person because they’re so focused on being annoyed at providing you with accommodations.

Our lives are bigger than just the people involved with our care and we should be able to make the life decisions that we want.

The self-advocacy movement in the US is led by Self-Advocates Becoming Empowered. Their website says that their mission is “To ensure that people with disabilities are treated as equals and that they are given the same decisions, choices, rights, responsibilities, and chances to speak up to empower themselves; opportunities to make new friends, and to learn from their mistakes” (x).

SelfAdvocate.Net says that these are some situations where self-advocacy is useful:

  • When you want to be listened to
  • When you are being assessed
  • When you are making a complaint
  • When you are developing or reviewing a care plan

Source

We Need To Talk about the “Disease Warrior” Model

Free Medical Symptom Organizer

Why Is Self-Advocacy Important?

You might think that self-advocacy is obvious and clear and unnecessary to even mention about, let alone have a whole blog post dedicated to it.

But you need to remember the history of disabled people’s rights in the United States.

In 1990, over 1,000 people marched to the White House in the the quest for the Americans with Disabilities Act to be passaged. As a part of that march, over 60 people left their wheelchairs and mobility aides to crawl up the steps of the Capitol (x).

It was “a physical demonstration of how inaccessible architecture impacts people with disabilities” and it led to the ADA finally becoming law (x).

In 1975, the Individuals with Disabilities Education Act was passed. This law “makes available a free appropriate public education to eligible children with disabilities throughout the nation and ensures special education and related services to those children” (x).

Before 1975, it was not law “to provide children with disabilities the same opportunity for education as those students who do not have a disability” (x).

Living in America has never been easy for people who weren’t white, cis, male, abled, Christian, and straight. Self-advocacy is one way that disabled people have been able to make their lives just a little bit better. It’s the sort of movement that has led to people not treating us like we’re children when we’re adults, whether or not it’s intentional.

About the Americans with Disabilities Act

what is self-advocacy, self-advocacy tips, self-advocacy strategies, how to be an advocate, how to be a self-advocate, disability rights, disability rights movement, how to advocate for yourself, disability advocacy, chronic illness, chronic pain

Self-Advocacy Tips

Now that we’ve talked about what self-advocacy is, let’s talk about what you can do to advocate for yourself.

First and foremost, remind yourself that you know your body and your life better than other people do. Doctors might know your condition better than you, but they don’t know your experience with it. A teacher might know strategies for teaching someone with a learning disability, but they don’t know your experience with your learning disability better than you. At the end of the day, you are the expert in your experience.

My second tip, unfortunately, is that you might have to fight people, so be prepared to stand up for yourself. I don’t mean punch them, but I’m referring to a more figurative fight. You might have to fight your doctors office to get them to believe you or to prescribe a medication you want to try. You might have to fight a professor to abide by the ADA. You get the picture. My best advice is that you should be prepared to fight and hope that you don’t need to do it. If no one needed to fight for themselves, then the disability rights movement wouldn’t exist.

I was in college before there were as many gluten-free food options that weren’t hamburgers without buns. Heading into my senior year, my friend and I were trying to get an apartment-style dorm that had a kitchen so that I could cook for myself. Due to the lottery system, we didn’t get it, so we had a meeting with the person in charge of dorm assignments to try and work it out for my medical situation. I went into that prepared to argue why I needed to have a kitchen, and the guy agreed almost immediately. I was so surprised that he asked my friend, “Did she have a PowerPoint or something?” Friends, I did, in fact, have a PowerPoint prepared. But even though I didn’t need it, I’m glad that I was so prepared because if he hadn’t been the kind of person who understood food intolerances, it would have been a big problem for me.

Back to the tips!

Third, learn to speak the language that the other person knows. I’m not talking about English versus Spanish. Instead, I’m talking about the lingo that the other person understands. When it comes to doctors, for example, you need to be able to describe your pain in a way that they understand. Similarly, when it comes to teachers or school, you need to know the names of the laws that protect you and how exactly they protect you. Speaking the other person’s language will make them respect you more than they would otherwise, unfortunately.

Finally, be prepared to fail and need someone else to help you. I know that this sounds like a bummer and the opposite of self-advocacy. But something that I have learned over the years is that it’s better to succeed at getting what you need but fail at self-advocacy than it is to fail all around. Get the treatment that you need. Get the accommodations at your job or your school. And then regroup before you try self-advocacy again.

Why did you fail the last time? Was it because the other person clearly wasn’t going to listen to you at all? Was it because you were nervous and overwhelmed and forgot things? Was it some combination?

While self-advocacy is great and important, it’s more important for you to get your legally-allowed accommodations.

Living Life with Chronic Illness: Common Problems & Their Solutions

what is self-advocacy, self-advocacy tips, self-advocacy strategies, how to be an advocate, how to be a self-advocate, disability rights, disability rights movement, how to advocate for yourself, disability advocacy, chronic illness, chronic pain

Self-Advocacy Strategies

Now that I’ve shared my tips, I want to talk about some strategies you can use.

SelfAdvocate.Net has a great series of statements on this page that explains how you self advocate. Which makes sense considering, you know, SelfAdvocate.Net is all about self-advocacy.

The Disability Resource Center at UC Santa Cruz has 5 tips for advocating for yourself, which includes practicing being assertive. That makes total sense because a key to self-advocacy is not backing down when someone tries to brush you off.

If you have autism, you should definitely check out the Autistic Self Advocacy Network. They have published a variety of resources on topics like navigating college, transitioning to adulthood, accessing services, and more. Check out their resource library here.

The National Deaf Center has great resources of self-advocacy, and their website says, “an increase in self-advocacy skills contributes to an increased quality of life, sense of agency, and overall well-being” (x).

These are only 2 organizations that have information on self-advocacy. I really suggest searching for “self-advocacy” and your disability because I can’t list all of the self-advocacy resources here. There’s not enough space – which is a great problem to have!

My favorite strategy is to plan ahead what you need to talk about ahead of time. As you guys probably know from my earlier story about the PowerPoint and from following me and/or reading this blog, I’m big on planning. Which means that I have a whole bunch of free downloads for you to help you advocate for yourself. These should help you advocate for yourself in a variety of situations.

My chronic illness symptoms – This 2-page document has several questions designed to help you in your appointments themselves. It has questions about your sleep, your pain, and how your illness(es) impacts your daily life.

Symptom journal – This is a 4-page document that has 4 different type of symptom journals: pain, fatigue, pain and fatigue, and pain and food. Tracking your symptoms like this will help your doctors understand that your symptom description is based on facts or a prolonged history.

Symptom organizer – This 8 page document asks a variety of questions about a wide variety of symptoms. This is most effective when you fill it out a day or so before you go to a medical appointment. This will help you advocate for yourself because you will have all your symptom information written out and pre-prepared. If you get flustered, you can look at your notes. A lot of the questions are the type that doctors ask, so you’ll already have that information filled out!

Chronically Ill Tips: What To Do When a Doctor Isn’t Listening to You

Medical information worksheet – This is based on a document that I’ve had for myself since 2010. It has all the information that medical offices generally ask for (and give you not enough lines to answer the questions on). This includes current medical concerns or diagnoses, past ones such as surgery information, your current medications, any food limitations, a list of your medical professionals, and your family history.

What I want to tell my doctors – This worksheet does exactly what it sounds like: it helps you identify what you want to tell your doctors. It’s 1 page, which is great if you have trouble focusing.

Resume Tips: 5 Tactics for Putting Advocacy on Your Resume

What has your experience with self-advocacy been like?

Like this post? Share it! Then check out these posts:

The Impact of Chronic Illness on an Individual, How Chronic Illness Affects Relationships, Chronic Illness Advice: Resources for the Newly-Diagnosed Patient, How To Actually Rest When You Take Breaks

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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Comments

  1. Laura Allen says

    December 22, 2020 at 11:46 am

    Wow! I am so sorry you were diagnosed with Rheumatoid Arthritis! I 1000% agree it’s important to advocate for yourself and your health – I love the idea of having a journal and keeping your symptoms in a safe place so you can easily self advocate for yourself!

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  2. Kait says

    December 23, 2020 at 11:24 am

    This is such great information! I haven’t heard much about the history of the self-advocacy movement and the rights of people with disabilities. It sounds like a continuing fight, but it’s good to hear there are many resources out there.

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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. 

#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
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
Lifestyle Changes I Made for My Rheumatoid Arthrit Lifestyle Changes I Made for My Rheumatoid Arthritis⁣
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While these are not my treatments, they have made my life better in some ways. ⁣
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What lifestyle changes have you made, for RA or another condition?⁣
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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: ⁣
A series of pictures. Each has a text box on them related to the picture. ⁣
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1️⃣ Lifestyle changes I made for my rheumatoid arthritis⁣
2️⃣ Wearing a mask⁣
3️⃣ Using a cane⁣
4️⃣ Changing my diet⁣
5️⃣ Working from home⁣
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#ChronicIllness #RheumatoidArthritis #AutoimmuneDisease #Arthritis #ChronicallyIll
What helps you mentally get through a tough time?⁣ What helps you mentally get through a tough time?⁣
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I'm struggling right now with my broken foot, which brings back a lot of tough memories. That plus being due for Rituxan and the heat starting up has made things hard. ⁣
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Here are somethings I do: ⁣
▪ Stick with my routine⁣
▪ Make recipes that I really enjoy⁣
▪ Work on embroidery projects so I can do something productive that involves stabbing fabric⁣
▪ Cut myself slack ⁣
▪ Get Harley hugs⁣
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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 and Harley the golden retriever hugging. Kate is a redheaded white woman wearing a black dress, pink sweater, and round pink glasses.⁣
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#GoldenRetrievers #RheumatoidArthritis #Fibromyalgia #POTS #SjogrensSyndrome
Week 21 of 2026 Weekly 1️⃣ First real cross-stit Week 21 of 2026 Weekly 

1️⃣ First real cross-stitch project: done! 
2️⃣ The magic machine that is hopefully healing my broken foot 
3️⃣ When your 2 refrigerated medications are delivered on the same day

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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 A completed cross-stitch project, which shows 2 bears walking past a lake, trees, and mountains.
2️⃣ An Exogen machine showing use 13 days in a row
3️⃣ A couple of styrofoam refridgerated containers for medication

#ChronicallyIll #CrossStitch #RheumatoidArthritis #SjogrensSyndrome #IVIG
You guessed it, I'm one of that 25%. ⁣ ⁣ May is Ar You guessed it, I'm one of that 25%. ⁣
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May is Arthritis Awareness Month. 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⁣
You only have rheumatoid arthritis if your rheumatoid factor tests positive.⁣
Fact⁣
As many as 25% of RA patients test negative, which is called being seronegative.⁣
katethealmostgreat
Things are tough (all over pain, heat with POTS, i Things are tough (all over pain, heat with POTS, in a walking cast waiting to see if I need my 6th foot surgery), but so am I.⁣
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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. She's a white woman with auburn hair wearing a navy-based floral dress, green glasses, and silver Celtic knot necklace.⁣
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#RheumatoidArthritis #POTS #POTSie #AutoimmuneDisease #ChronicallyIll
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