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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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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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⬛⁣⁣⁣⁣⁣⁣⁣⁣⁣
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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🤞🏻

⬛⁣⁣⁣⁣⁣⁣⁣⁣

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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