Ableism and Autoimmune Disease: Why Awareness Matters

Ableism is the discrimination, prejudice, or social exclusion of people with disabilities and chronic illnesses. While it is often associated with visible disabilities, ableism is especially harmful to those living with autoimmune diseases, many of which are invisible. Conditions such as lupus, rheumatoid arthritis, multiple sclerosis, and autoimmune hepatitis affect millions of people worldwide, yet their symptoms are frequently misunderstood, minimised, or dismissed.

Autoimmune diseases occur when the immune system mistakenly attacks healthy cells and tissues. Symptoms often include chronic pain, fatigue, brain fog, mobility issues, and organ involvement. These symptoms can

fluctuate daily, meaning someone may appear “well” one moment and severely unwell the next. Because these challenges are not always visible, people with autoimmune diseases are often met with disbelief — told they “don’t look sick,” accused of exaggerating, or pressured to push beyond their physical limits.

Ableism shows up in many forms: workplaces that refuse flexible hours, healthcare systems that downplay patient experiences, and social attitudes that frame illness as weakness or lack of effort. These barriers not only impact physical health but also contribute to anxiety, isolation, and reduced quality of life. When people are not believed or supported, accessing care, accommodations, and understanding becomes an exhausting battle.

Addressing ableism is essential for improving the lives of those with autoimmune disease. Education helps dismantle harmful stereotypes and encourages empathy. Listening to lived experiences validates the realities of chronic illness and promotes more inclusive policies in workplaces, schools, and healthcare settings. Simple accommodations — such as flexible scheduling, rest breaks, and remote options — can make a profound difference.

Challenging ableism is about recognising that disability and illness are part of human diversity. People with autoimmune diseases deserve dignity, respect, and equal opportunities. By raising awareness and fostering understanding, society can move toward a more compassionate and inclusive world — one where individuals are believed, supported, and empowered to live fully, despite chronic illness.