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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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July is: ⁣ - Disability Pride Month ⁣ - Juvenile A July is: ⁣
- Disability Pride Month ⁣
- Juvenile Arthritis Awareness Month ⁣
- the anniversary of when I was diagnosed with autoimmune arthritis at age 19 after 9 years of symptoms ⁣
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As you can imagine, that makes me very aware of my disability via juvenile arthritis⁣
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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: Screenshot of a Bluesky post. The background is dark teal, and it's written by Kate Mitchell | Kate the (Almost) Great with the username katethealmostgreat.bsky.social. ⁣The text reads what's above the first black box.⁣⁣⁣⁣⁣
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#DisabilityPride #JuvenileArthritis #RheumatoidArthritis #AutoimmuneDisease
There are a lot of reasons why you shouldn't doubt There are a lot of reasons why you shouldn't doubt someone's chronic illness, but this is one of them. ⁣
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I'm always amazed by how people can have the exact same illness or set of illnesses and still have different experiences. Sure, there will be similarities, but which symptoms are the worst, what medications you respond to, and your quality of life can vary significantly. ⁣
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It doesn't mean that one person is necessarily worse off than another; they're just different.⁣
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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. A white text box reads "Chronic Illness Looks Different in Each Person"⁣
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#ChronicallyIll #RheumatoidArthritis #Endometriosis #Fibromyalgia #POTS
This basically sums up my summer so far: Harley, a This basically sums up my summer so far: Harley, a sewing project, and my foot in a cast⁣
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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: Harley the golden retriever has his head on Kate's lap. Also on her lap is an in-progress needlepoint project and Kate's leg (in a walking cast) is elevated.⁣
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#Osteoporosis #RheumatoidArthritis #GoldenRetrievers #Needlepoint #Needlework
Week 28 of 2026 Weekly A very busy week! 1️⃣ Foo Week 28 of 2026 Weekly

A very busy week!

1️⃣ Foot checkup! Walking boot is on occasionally from now until September 
2️⃣ Boston 
3️⃣ IVIG
4️⃣ Dentist 🦷 All good! 
5️⃣ Not a filter - this was the Boston area the second half of the week 
6️⃣ Physical time!

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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 in a doctor’s office
2️⃣ Looking at TD Garden, the bear statue for the Bruins, and Zakim Bridge in the background 
3️⃣ Looking at tubes coming out from under Kate’s clothes. There’s a Kindle on her stomach
4️⃣ Kate takes a mirror selfie before leaving
5️⃣ Medford Square looking like there’s a yellow filter over it
6️⃣ Kate takes a selfie in a doctor’s office

#ChronicallyIll #InvisibleIllness #AutoimmuneDisease #Bostonian #IVIG
Also, if this is how you’re finding out, I’m sorry Also, if this is how you’re finding out, I’m sorry. I’m fortunate enough to have a lot of people who care about me and this is the fastest way to tell everyone. 

Video: Kate talks to the camera while putting on makeup. There are captions. 

#RheumatoidArthritis #AutoimnuneDisease #ChronicIllness #Arthritis #ChronicPain
Week 27 of 2026 Weekly (Delayed because last Sund Week 27 of 2026 Weekly

(Delayed because last Sunday was baaaaad)

1️⃣ Due airport difficulties, we got a few more days with Emma. Harley was THRILLED!
2️⃣ Beautiful bird/squirrel visitors
3️⃣ A beautiful Maine summer 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 Harley the golden retriever putting his front legs up on Emma’s legs to demand hugs.
2️⃣ A bird feeder and hummingbird feeder on a deck. There is a hummingbird at one and squirrel at the other.
3️⃣ A barn, a pond, and the Maine woods

#207 #MaineLife #MaineTheWay #NewEnglandSummer #IGMaine
Reminder: you can be proud of your disability comm Reminder: you can be proud of your disability community while wishing your body cooperated 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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#DisabilityPride #ChronicallyIll #InvisibleIllness #Disabled #Disability
I don’t know the exact date of my RA diagnosis, bu I don’t know the exact date of my RA diagnosis, but this is from right around then in July 2010. ⁣
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When I was diagnosed, I had been having symptoms for 9 years. ⁣
- 9 years of foot pain (partially from tarsal coalition)⁣
- Arthritic damage in said food⁣
- Carpal tunnel off and on for several years⁣
- And more⁣
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I was finally diagnosed because I woke up one morning and was unable to open my jaw more than 8 mm. It turned out that I had horrible arthritic damage to my TMJs, which got me off the waiting list at MGH rheumatology. I left that appointment with an autoimmune arthritis diagnosis. ⁣
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The fact that July is not only my diagnosis anniversary but also Juvenile Arthritis Awareness Month has always seemed right. I may not have been diagnosed with JA, but given the amount of arthritis I had along with my many years of symptoms, it's generally accepted that I had it. ⁣
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This year marks 16 years since diagnosis and this fall marks 25 years since my symptoms started. It's pretty weird that so much time has already passed!⁣
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⬛⁣⁣⁣⁣⁣⁣⁣⁣⁣
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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 at 19 at Fenway Park for a Red Sox game. ⁣
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#RheumatoidArthritis #AutoimmuneDisease #Arthritis #JuvenileArthritis #JRA
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
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