This study investigated how individuals in the community 1 to 5 years after spinal cord injury characterized their occupational and social participation, life satisfaction, and aspects of their occupational therapy that influenced their participation. Semi-structured, open-ended interviews were conducted with 11 individuals referred by occupational therapists who specialize in spinal cord injury rehabilitation and/or are regarded as practicing from an occupation-based perspective. Narrative analysis of data revealed that the participants went through an adaptive process, using many strategies to adjust their attitudes about disability, manage identity, participate in the community, and belong socially. Several approaches were used by therapists to promote the individuals’ participation in occupations and social life.