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Sorry to hear this, OP.

Might be speaking out my ass here, but I feel like this might be something that gets captured by whatever your firm's long term disability policy is? Have you looked into / considered that?

Edit to add: In no circumstance should you be handing in notice and quitting over this, especially at this stage.

OP, you should talk to your firm's HR and go from there.

Maybe you are wrongly attributing first year problems to your diagnosis? I expect most new people are struggling to get the bigger picture. Just do the best you can and let it go from there. I wouldn't talk to HR yet.

thank you for your replies.

@NoLongerALurker: thanks for the advice, i will take a closer look at my firm's disability policy. i recall the benefits only kicking in if you have worked for a year.

also, maybe my subpar performance is just first year jitters. i really doubt it, but i acknowledge that i'm not thinking from a rational place right now. it is true that it is taking me an extremely long time to complete assignments however. a small research assignment that probably was only supposed to like 2-3 hours tops had me pulling an all nighter and then some to complete. i guess i am just worried about not disclosing and getting more work than i can handle.

My mother has had MS for about 20 years and it progressively has gotten worse as the years have gone on. I'm not sure how to handle your career in big law, but your health should absolutely come first. My mother was diagnosed when MS was brand new and no one knew the symptoms or how to stop its progression. These days, there are pills and even bi-annual medications you can take to completely stop MS in its tracks. Make sure you're seeing an appropriate neurologist and getting the best chance at stopping the progression. It is absolutely crucial at the beginning stages. She continued her career as a court reporter (superior court) after her diagnosis and in hindsight, she wishes she had taken it easier during those first few years of the diagnosis. A job is not worth your health for the rest of your life.