Hi @Mountaindewed, I hope you don't mind me replying to your post. While no one's job is secure with at will employment, usually you will receive a warning, or a series of warnings before a termination. (The same is not true of lay-offs which can happen at any time and in my experience usually come with little or no warning.) If you were to receive a warning due to performance issues, you may want to bring the matter to the attention of Human Resources that you are dealing with a medical condition. You may need a doctor's note or something to substantiate it. It depends on the company. If you need accommodations in order to do your job you would also want to talk to HR. In most cases, companies will make accommodations so long as it does not constitute a financial hardship on the company. This does not mean that you can't get fired because you have a medical condition. It happens all the time unfortunately. If you are unable to do the job duties with an accommodation that can be enough for an employer to let you go, or they will sometimes let you go for other reasons but it's really the medical issue. It's the reason why I don't disclose to my employer my MI because I am afraid of losing my job. They wouldn't fire me for that reason but they could say it is for another reason. But if you haven't received any warnings, I'd say you are pretty safe, as safe as one can be in any job market. Just keep doing the best you can. HUGS Kit