Work Accommodations for Chronic Illness and Disability - A personal journey and practical advice
- Victoria Martinez
- Jun 8, 2025
- 3 min read
Updated: Jul 5, 2025
By Victoria (Tori) Martinez
It was a Monday morning, and I was staring at my computer screen, trying to summon the energy to tackle my inbox. The fatigue was so dense it felt like I was wading through molasses, and my joints ached as though I had just run a marathon—though I hadn’t even left my chair. Over a decade of living with chronic illnesses and autoimmune diseases had taught me that days like this are part of the package. But what it hadn’t taught me yet was how to make peace with the reality of working full-time while managing my health.
I’ve always loved my work—it's my creative outlet, my intellectual playground, and, let’s face it, my financial lifeline and access to the health benefits I desperately needed. But as my health challenges became more pronounced, the hustle-and-grind culture we glorify seemed less attainable and, frankly, less appealing. At first, I was hesitant to ask for accommodations at work. Would I be seen as less capable? Would I jeopardize my role? Yet, as time went on, I learned that advocating for myself wasn’t just a necessity—it was a form of empowerment. And guess what? There are plenty of accommodations out there that can make a world of difference.
Why Asking for Accommodations Matters
If you’re living with chronic illness or disability, you’re probably all too familiar with the delicate dance between managing your health and meeting workplace expectations. It’s a juggling act where the stakes feel impossibly high. But asking for accommodations isn’t about shirking responsibility—it’s about leveling the playing field. Accommodations are designed to help you perform your job effectively, without compromising your health. And the best part? Employers are legally obligated to provide reasonable accommodations under laws like the Americans with Disabilities Act (ADA).
So, if you’ve been holding back, wondering whether it’s worth the awkward conversations, let me reassure you: it absolutely is. And you’re not alone.
How to Approach the Conversation
Asking for accommodations can feel daunting, especially if you’re worried about stigma or pushback. Here are a few tips I’ve learned along the way:
· Do your homework: Before initiating the conversation, research the accommodations you need and how they align with your role. The Job Accommodation Network (JAN) is a fantastic resource with detailed examples.
· Be clear but compassionate: When discussing your needs, frame the request as a way to maintain your productivity and contribute effectively to the team.
· Know your rights: Familiarize yourself with local and federal laws regarding workplace accommodations. You don’t have to be an expert, but knowing the basics can give you confidence.
· Bring solutions: Employers appreciate proactive approaches. Rather than presenting a list of problems, share practical suggestions for how these accommodations can be implemented.
· Involve HR if necessary: Human Resources teams are often trained to facilitate these conversations and ensure confidentiality.
Finding Support Along the Way
Living and working with chronic illness or disability isn’t easy, but you don’t have to go it alone. Online communities, local support groups, and advocacy organizations can provide a wealth of advice and encouragement. Talking to others in similar situations can also inspire you to explore accommodations you might not have considered.
My Takeaway
Looking back, I can’t believe I waited so long to ask for accommodations—partly because of pride, partly because of fear. But the moment I said, “I need help,” the world didn’t crumble. In fact, it started to rebuild itself in a way that felt sustainable and hopeful. Today, I’m still working and running a small business. I am still contributing and still thriving—at my own pace and on my own terms.
Remember, your health matters, and so does your work. With the right accommodations, you can have both. And trust me, the balance isn’t just possible—it’s worth fighting for.
Here’s to finding yours. Be sure to watch the YouTube video by clicking the image above, on what you can ask for at work.
Resources mentioned in the video:
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