This chapter is written by an expert patient who works with medical professionals. It covers a personal experience of being diagnosed and the psychosocial effects that arose from this period of time. It highlights the requirements for self-management in terms of retaining autonomy, models the definitions of self-management, and discusses the outcomes of different approaches. All chronic illness support, including self-management programmes, require an ongoing relationship between the patient and provider, including considerations of individual barriers; therefore the necessity for both social and medical support for patients’ self-management is also discussed, including differing needs for people from marginalized backgrounds, and suggestions on improving programmes is deliberated.