Chronic health conditions often create substantial problems in terms o
f vocational planning. Lack of counselor understanding regarding issue
s related ib to chronicity, particularly disorders exhibiting patterns
of remission-relapse, may hinder placement and employment. This artic
le discusses the medical, functional, and vocational implications of t
wo common rheumatic diseases, Rheumatoid Arthritis and Systemic Lupus
Erythematosus. Vocational planning interventions and job accommodation
s related to ADA are highlighted.