Nine people with mental health diagnoses wrote a dialogue to discuss how we navigate our conditions and ask for accommodations within an academic setting. We cogitate on the challenges of obtaining a diagnosis, how and when we disclose, the affordances and challenges of our symptoms, seeking accommodations, and advocating for ourselves. We consider how current scholarship and other perspectives are changing the conversation about mental health in the academy. We conclude that while the 2008 revisions to the Americans with Disabilities Act have addressed necessary accommodations, that those with mental health conditions are still seeking access.