logo-inner
logo-inner
    
  • ciCoach

  • Menu
  • Home
  • Meet Rosalind
    • Why This?
    • About Rosalind
    • Ask Me Anything
    • Press Coverage
    • Testimonials
  • Work With Me
    • Customized Coaching
    • Just In Time Career Coaching
    • Kickstart Your Career
    • Career Change When Living With Chronic Illness
    • Speaking/Workshops
  • Resources
    • Free Resources
    • The Guidebook Series
    • The Keep Working Workbook
    • The Book
  • Newsletter
  • Contact

At Work: What to say and when living with chronic illness

September 22, 2009 by Rosalind Joffe 5 Comments

Take a minute to ask someone, anyone:  “Do you know what the Americans with Disabilities Act is?”   Most likely you’ll hear Yes.

Now ask,  “What does the ADA do?” Maybe you’ll hear that  it protects people with disabilities from discrimination.  Funny how many people, with and without disabilities, know about this Act but don’t really understand what it does and doesn’t do.

I recently came across a post on MS on the Job: Workplace Protections by under ADA, written by a fellow  twitter, @AnnPietrangelo.   She summarizes some key points well and it’s worth reading.

I thought I’d  fill out the picture from my perspective as a career coach for folks with chronic illness.

The first question Pietrangelo covers is:  If your symptoms aren’t obvious (visible to others) and don’t affect your ability to do your job, should you inform your employer and your co-workers?

Pietrangelo writes that you have no legal responsibility, which is true.  I’d add that even if your symptoms are obvious, you have the legal right not to talk about it.

But there’s a lot more to this.   Most of us aren’t going to file a discrimination complaint against an employer.  We just want to get and keep our jobs.

So, you have to figure out what’s in YOUR best interest.   You don’t legally have to disclose your illness/symptoms if they’re impacting your performance but if you don’t, you’re going down a slippery slope.  It’s one way you can slide yourself out of a job .

Here are some  resources to help you think about this.  My Career Thrive Booklets, Are You Talking? and 7 Factors , my book, Women Work and Autoimmune Disease: Keep Working, Girlfriend! I also wrote about it at MoveOverMs.org :  The Ongoing Conversation about MS at Work.

Another question Pietrangelo addresses is: What about the interview process? She writes, “When interviewing for a job, you need not reveal your diagnosis. The potential employer is under no obligation to offer preferential treatment to people with disabilities and is free to choose the most qualified candidate.”

Here, too, you’ve got to think strategically.  If you get the sense from the interviews that this employer is looking for a strong team player with a strong sense of ethics and honesty, does it make sense to wait until you’re hired to ask for necessary accommodations?

On the other hand, let’s say the employer seems to care most about your ability to get the job done.   You know that you can do that with the right accommodations. So you probably don’t want to say anything until you’ve started work and shown your stuff.   But it’s  tricky to withhold this information if you need accommodations  to do the job.

I just went through this with a client who decided not to disclose until the first day on the job.  She felt strongly she wouldn’t get the job if she talked about needing certain accommodations during the job interview.  For her accommodations included voice recognition software and shifting some job responsibilities.

She’s been there two months and a day doesn’t go by that she doesn’t get some comment from her supervisor implying that he was upset she hadn’t told them about her “needs” before she was hired.  She’s feeling paranoid and is having trouble creating positive relationships.  She’s still not sure she would have gotten the job if she disclosed.  So she’s not sure if she’d have done it differently.
Does this help you to think about the issues more clearly?

What do you think?

Filed Under: BOOK - Women Work and Autoimmune Disease, Career Development, Job hunting, Talking about it, Working for others, Working with chronic illness

About Rosalind Joffe

Comments

  1. Christine says

    September 23, 2009 at 9:40 am

    What if you wait till you are *offered* the job, and then when discussing the terms, mention that you need some accommodations? At that point they have publicly acknowledged that they feel you are the best qualified candidate, it would be hard to back out at that point without triggering ADA problems. But if you negotiate the terms that you need, they can’t complain about you surprising them after you start the job. They get to negotiate terms that they can live with. Win-win??

  2. Diana says

    September 23, 2009 at 10:06 am

    I think Christine has an excellent solution that keeps intact the integrity of both the employee and the employer. Not disclosing, in my opinion, just adds more stress to an already stressful situation of living with a chronic medical condition.

  3. Rosalind says

    September 23, 2009 at 12:15 pm

    I couldn’t agree more with both of you. In fact, that is what I suggest in my booklet — and in other blog posts. Like anything, this approach can backfire, though, so once again, think strategically before acting!

  4. Robin says

    September 25, 2009 at 9:47 am

    Damned if you do, damned if you don’t, why self-employment seemed to be the only respectable avenue for me

  5. Rosalind says

    September 29, 2009 at 8:36 am

    I wouldn’t put it that way although I can see why you’d think it! Sometimes that’s true but more often, it’s about making a decision that’s carefully thought out. Self employment can be easier in this regard though!

Leave a Reply

Your email address will not be published. Required fields are marked *

Subscribe to our
weekly "Working with Chronic Illness" Newsletter
AND
Receive a FREE report
"Chronic Illness at Work – Career Success IS Possible."

subscribenow

 

Recent Posts

  • Whose shoulders do you stand on while living with illness?
  • Are You Talking About Mental Illness?
  • Are You Feeling Desperate for a Diagnosis?
  • Is this new job market good for us, the chronically ill?
  • How Are You Doing Talking About Illness?

Categories

  • Attitude
  • BOOK – Women Work and Autoimmune Disease
  • Career Development
  • Health Info
  • Job hunting
  • Musings on LIfe with Chronic Illness
  • Starting a business
  • Talking about it
  • Uncategorized
  • Working for others
  • Working with chronic illness
  • Young with Health Problems
Rosalind Joffe

rosalind@cicoach.com

617.969.1930
How can I help you?
I specialize in working with professionals living with chronic health conditions who want to continue to thrive, not just survive. Learn more by clicking here.
Women, Work and
Autoimmune Disease: Keep Working Girlfriend!

by Rosalind Joffe
with Joan Friedlander
© 2025 Rosalind Joffe, ciCoach | Photograph by Meri Bond