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“In the journey of life, we often encounter obstacles and challenges that test our emotional resilience. Yet, within these challenges lie incredible opportunities for growth, transformation, and the alchemy of our emotions. This concept of emotional alchemy – the process of transforming challenging emotions into positive, empowering experiences – is a profound and vital aspect of our emotional intelligence and well-being.” ^[1]

So, what is emotional alchemy?

“At its core, it’s the art of transforming raw, often overwhelming emotional energy into something purposeful, healing, and even beautiful. It’s not about bypassing your feelings—it’s about decoding them, using them, and growing through them. You emotionize. You alchemize. You evolve.

• What is emotional alchemy? It’s the transformative process of turning intense emotions like anger, guilt, or fear into personal insight, healing, and growth.
• Emotional alchemy meaning: Rather than suppressing emotions, you learn to emotionize—listening to emotions as messengers and using them as fuel for positive change.
• Why it matters: Practicing emotional alchemy empowers you to navigate trauma, break patterns, and reclaim your emotional power with clarity and intention.” [2]

How to Practice Emotional Alchemy

“You don’t need to disappear into a meditation retreat to start emotionizing. Here’s how to make the process real—on your terms:

• Name what you feel. Seriously. Stop and say it out loud. “I feel rage.” “I feel shame.” “I feel numb.” That’s power.

• Pause the reaction. That moment—the pause—is the most radical act of freedom. Focus on your breath. Let it anchor you.

• Decode the message. Ask: What is this emotion telling me? Is it a boundary issue? A pattern? A need unmet.

• Channel the energy. Emotions are energy in motion. Use it. Move your body. Write. Create. Speak. Change.

• Take aligned action. Let the emotion guide—not dictate—your next move. Let it fuel growth, not destruction.

This is the essence of emotional alchemy: using emotion as a spark, not a snare.” ^[2]

The Emotion is the Messenger

“The first step is to see our emotions as messengers. They are of immense value and provide us with valuable information. Anger may mean that our standards have been violated. Guilt may indicate that we have been in breach of our own standards. Anxiety is a way of alerting us to danger. These emotions are part of our survival kit. They are there to help us shape and experience our lives.

Sometimes the messenger can be over zealous or off kilter, and we find ourselves responding very intensely or inappropriately to situations. There is value in assessing how you are responding to things. Noticing how reliable, biased or true your messengers seem to be.

We can also get very caught up in the form the messenger takes. Seeing the emotion as the end point rather than as a signpost along our way.” [3]

Schemas: Recognize and challenge self-defeating emotional patterns

“Schemas dictate their own reality—things as they seem while we are under their spell.

Schemas are deep-seated emotional patterns that shape our perceptions, thoughts, and behaviors. These patterns often develop in childhood and can persist throughout our lives, influencing how we interpret and respond to various situations.

Common schemas include:

• Abandonment: Fear of being left alone or rejected
• Emotional deprivation: Belief that one’s emotional needs will never be met
• Unlovability: Feeling fundamentally flawed or unworthy of love
• Mistrust: Suspicion of others’ intentions and motives
• Subjugation: Tendency to suppress one’s own needs to please others

Recognizing our schemas is the first step toward change. By becoming aware of these patterns, we can begin to challenge the distorted beliefs that fuel them and develop more adaptive ways of thinking and behaving.”

Mindfulness: Cultivate awareness to break the chain of emotional habits

“Mindfulness gives us breathing space from this conditioning.

Mindfulness practice is a powerful tool for developing awareness of our thoughts, emotions, and behaviors. By cultivating a non-judgmental, present-moment focus, we can create space between our habitual reactions and our responses.

Benefits of mindfulness in emotional work:

• Increased self-awareness
• Reduced reactivity to emotional triggers
• Enhanced ability to observe thoughts without attachment
• Greater emotional regulation
• Improved focus and concentration

Regular mindfulness practice, such as meditation or mindful breathing exercises, can help us develop the mental clarity and equanimity needed to work effectively with our emotional patterns. This awareness allows us to interrupt the automatic chain of emotional reactions and make more conscious choices.” ^[4]

Living the Alchemy Every Day

” Practicing Emotional Alchemy daily involves staying present with our emotions, recognizing their fleeting nature, and using them as guides for a more enlightened and fulfilling life. Each emotional experience, whether filled with joy or challenge, presents an opportunity for deeper growth and insight.

It is not just a concept; it’s a pathway to self-mastery and enlightenment. By embracing this practice, we open up to a life where every emotion is a step toward deeper understanding, balance, and fulfillment. This journey invites us to fully engage with our emotional spectrum, transforming each moment into a milestone on our path to our highest self.”

Resources

[1] https://milkweedartsaz.com/blogs/news/the-art-of-emotional-alchemy-transforming-challenges-into-growth

[2] https://www.urevolution.com/blogs/magazine/what-is-emotional-alchemy

[3] https://www.chantryhealth.com/emotional-alchemy/

[4] https://sobrief.com/books/emotional-alchemy

[5] https://floweroflove.love/blog/self-development/emotional-alchemy-transforming-your-life-with-the-emotional-guidance-scale/

“Living with a disability in one leg or arm is hard enough – daily tasks like walking up stairs and buttoning a shirt aren’t so simple anymore. But when disabilities affect both sides of your body, your ability to do these simple tasks or support yourself may become even more limited.

The VA understands that veterans in this situation face added obstacles, and that’s where the VA bilateral factor comes in. If you’re dealing with a disability on both the right and left sides of your body or in paired skeletal muscles, you may qualify.” ^[1]

What is the Bilateral Factor for VA Disability?

“The VA disability bilateral factor was implemented to assist veterans with a disability affecting both arms, both legs, or paired skeletal muscles.

Eligible veterans receive a 10% addition to their service-connected VA rating before continuing with further combinations or converting to the degree of disability.

The VA acknowledges that veterans with two disabled limbs have a significant impact on daily life.

The bilateral factor applies if you have disabilities affecting your left and right lower extremities or the left and right upper extremities.

However, they don’t have to be the same body parts. For example, you would still qualify if you had left knee and right ankle conditions because there are two conditions on two separate body parts in the lower extremities.

In addition, the VA bilateral factor isn’t applicable unless there is a partial disability of a compensable degree in each of the two paired extremities or paired skeletal muscles.

If the combined evaluation is lower than what would be achieved by not including one or more bilateral disabilities in the calculation, those bilateral disabilities would be removed and combined separately, ensuring you receive the most favorable combined evaluation.

Note: You don’t have to have the same disability on both sides of your body for the VA bilateral factor to apply.” ^[2]

“Am I Eligible for the VA Bilateral Factor?

To qualify for the bilateral factor in your VA disability claim, certain criteria must be met:

Bilateral Disabilities: You must have disabilities on both sides of your body. This can include conditions affecting both arms, both legs, or any other paired organs or areas.

Paired Disabilities: The conditions do not have to be the same on both sides but must affect paired body parts.

Service Connection: The disabilities must be service-connected, directly related to or aggravated by your military service.” ^[3]

“How Does the VA Rating System Work?

The VA determines the severity of your disabilities based on the evidence you submit as part of your claim for VA disability benefits or information the VA obtains through your military records. VA rates each disability from zero to 100 percent in 10 percent increments. If the VA finds that you have multiple disabilities, it will use the Combined Ratings Table to calculate a combined disability rating.

Theoretically, a combined rating represents how much the combined disabilities affect a Veteran’s ability to work—in other words, approximately how much less efficiently the Veteran can work due to the combination of their individual disabilities.” ^[4]

“How Does the VA Combine Individual Ratings?

One commonly misunderstood area of VA disability involves how the VA combines individual ratings, especially concerning the bilateral factor. When a Veteran has two or more service-connected disabilities, each unique disability gets its own individual rating or percentage of disability.

You might think the VA would simply add those ratings to get the combined rating, but they do not. Instead, the VA employs a calculation, colloquially known as “VA math,” to combine them ratings using a descending efficiency scale. Here’s how it works.” ^[4]

“VA Combined Disability Rating: The Math

The combined rating begins by assuming a Veteran has a 100 percent efficiency rate. The VA multiplies the efficiency rate by the disability rating and subtracts the result of that calculation from the efficiency rate.

So, if a Veteran’s highest-rated disability were 50 percent, the first calculation would look like this:

Efficiency rate of 100 x 50 percent = 50. Then 100 – 50 = 50.

If the second-highest disability were 40 percent, the second calculation would look like this:

50 x 40 percent = 20, then 50 – 20 = 30.

In this case, 30 becomes the new efficiency rate, and the Veteran is considered 70 percent disabled.” ^[4]

The bilateral factor is a nuance that many veterans miss. If their doctors don’t know of its significance, bilateral conditions can be left out of medical records, penalizing veterans who are applying for disability benefits. This is another reason why it’s important to show your VA Award Letter to a veterans’ rights attorney if you have any trouble understanding your disability claim.

Contact a specific layer to help with this process.

Resources

[1] https://www.woodslawyers.com/how-the-va-disability-bilateral-factor-affects-veterans-ratings/

[2] https://vaclaimsinsider.com/va-bilateral-factor/

[3] https://www.hillandponton.com/bilateral-factor-va-disability-rating/

[4] https://ptsdlawyers.com/the-bilateral-factor-for-va-disability-compensation/

“Spring has officially arrived. Birds are singing, trees are blooming, and many of us are itching to get outside after the long winter season.” ^[1]

“Spring is a wonderful season full of new beginnings and opportunities. For people with intellectual and developmental disabilities (IDD), it can be a great time to explore new activities and enjoy the warmer weather.” ^[2]

Let’s ‘spring’ into fun with these activities that are accessible and enjoyable for people with IDD.

Conclusion:

“Spring is a wonderful time to enjoy fun and meaningful activities with your loved ones. Whether you’re planting flowers, having a picnic, or making crafts, there are so many ways to spend time outdoors. These springtime activities for disabilities are designed to be inclusive, meaning everyone can join in, no matter their ability. It’s a great way to create special memories and enjoy the benefits of nature, from boosting mood to improving motor skills.” ^[4]

Resources

[1] https://riseservicesincut.org/news/5-spring-activities-for-children-and-adults-living-with-disabilities/         

[2] https://www.crnflorida.com/2023/03/20/3-activities-to-celebrate-spring-for-people-with-disabilities/

[3] https://blog.giv.care/spring-activities-for-adults-with-disabilities/

[4] https://www.mywellnesshub.in/blog/spring-activities-for-kids-with-disabilities/

[5] https://assistinghandscolumbus.com/elderly-outdoor-spring-activities/

[6] https://revivalist.com/spring-activities/  

In 2025, individuals with disabilities can take advantage of several tax benefits that help reduce their tax burden and support financial stability. Here are some key tax tips:

“In 1997, IFFGD designated April as IBS Awareness Month on the U.S. National Health Observances calendar. During April, we work to focus attention on important health messages about IBS diagnosis, treatment, and quality of life issues.” ^[1]

“April is Irritable Bowel Syndrome (IBS) Awareness Month. Worldwide, an estimate of 10 to 15% of the population is affected by IBS, and 25 to 45 million Americans currently live with this gastrointestinal (GI) disorder. Often, individuals who suffer from IBS find themselves on a quest for answers about their overall health, how to manage their symptoms, and treatment availability.” ^[1]

What is IBS?

“Irritable Bowel Syndrome (IBS) describes a collection of chronic symptoms occurring in the large intestine (colon). It is characterized by bloating, abdominal cramping, and a change in bowel habits. Constipation and/or diarrhea are a part of IBS. No one knows what causes the condition, although it’s more common in women than men.” ^[2]

What are the symptoms of IBS?

“Symptoms can include:

• Constipation, diarrhea or a mixture of the two
• Abdominal pain
• Abnormal bowel habits
• Wind, bloating and distension (a widening of the firth of the abdomen)
• Pooing mucus
• 1/3 of IBS patients have bouts of constipation. Another 1/3 have bouts of diarrhea. The final 1/3 don’t fall into a single pattern.
• Feeling tired
• Nausea (feeling sick)
• Backache
• Bladder symptoms.” ^[3]

10 Most Common IBS Triggers

• “Stress and anxiety
• Eating too quickly
• Hormone imbalance like hyperthyroidism and others!
• FODMAP foods
• Medication (like antibiotics, antidepressants)
• Poor sleep
• Eating large meals
• Sedentary lifestyle
• Alcohol
• Caffeine.” ^[8]

Managing Symptoms of IBS

“Beyond the Diagnosis: Strategies for Managing IBS Dietary Modifications: Identifying and Avoiding Food Triggers

Diet plays a pivotal role in managing IBS. Strategies include:

• Following a Low FODMAP diet to minimize gas-producing foods.
• Keeping a food diary to identify specific triggers.
• Incorporating soluble fiber for digestive support.

Stress Management Techniques: Reducing Anxiety and Its Impact on IBS Stress exacerbates IBS symptoms. Effective stress management includes:

• Practicing mindfulness meditation or deep breathing.
• Engaging in regular physical activity like yoga or walking.
• Seeking professional counseling for anxiety or depression.

Exploring Complementary Therapies: Mindfulness, Yoga, and IBS Relief

Emerging research highlights the benefits of complementary therapies for IBS, including:

• Acupuncture to reduce gastrointestinal discomfort.
• Yoga improves gut motility and relieves stress.
• Probiotics to restore healthy gut flora.” ^[4]

Potential future treatments

“Researchers are investigating new treatments for IBS, such as fecal microbiota transplantation (FMT). Considered investigational at this time, FMT restores healthy intestinal bacteria by placing another person’s processed stool into the colon of a person affected by IBS. Clinical trials to study fecal transplants are currently underway.” ^[6]

How do I get rid of IBS permanently?

“There is currently no cure for IBS and no way to permanently get rid of it. Treatment is aimed at symptom relief and prevention.” ^[7]

Is IBS a protected disability?

“Irritable Bowel Syndrome (IBS) Is Considered a Disability … Yes, irritable bowel syndrome (IBS) can be considered a disability under the Americans with Disabilities Act (ADA) and may qualify for Social Security disability benefits.” ^[5]

April is IBS Awareness Month

“IBS symptoms will present differently in different people. The exact cause of IBS is unknown, but the condition has been linked to certain foods and mood disorders. It is important to track your flare-ups to help understand your triggers.” ^[7]

“As we observe International IBS Awareness Month this April, let’s come together to help spread knowledge about this condition so those suffering from its uncomfortable symptoms can find the relief they deserve through lifestyle changes and appropriate treatments. By increasing our understanding of Irritable Bowel Syndrome, we can empower ourselves, our families, and our communities with valuable information about how best to manage this often-invisible illness. Together we can make a positive difference!” ^[8]

Resources

[1] https://iffgd.org/wp content/uploads/IFFGD_IBS_Awareness_Month_2020_Media_Toolkit_Final.pdf

[2] https://gastrohealthpartners.com/ibs-awareness-month/

[3] https://gutscharity.org.uk/awareness/ibs-awareness-month/

[4] https://foodguides.com/blogs/from-the-experts/ibs-and-disability-can-irritable-bowel-syndrome-qualify

[5] AI Overview

[6] https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/diagnosis-treatment/drc-20360064

[7] https://www.healthline.com/health/irritable-bowel-syndrome#fa-qs

[8] https://www.drvanessamendez.com/ibs-awareness-month/

“Many people with disabilities use a service animal in order to fully participate in everyday life. Dogs can be trained to perform many important tasks to assist people with disabilities, such as providing stability for a person who has difficulty walking, picking up items for a person who uses a wheelchair, preventing a child with autism from wandering away, or alerting a person who has hearing loss when someone is approaching from behind.” ^[1]  

What is a “Service Dog”? 

” The American with Disabilities Act (ADA) is part of federal law, and under it, individuals with disabilities are allowed to have a service dog. Also referred to as service animals, these working dogs can help in a variety of ways. According to the ADA, the description of a service animal is as follows: 

Service animal means any dog that is individually trained to do work or perform tasks for the benefit of an individual with a disability, including a physical, sensory, psychiatric, intellectual, or other mental disability. Other species of animals, whether wild or domestic, trained or untrained, are not service animals for the purposes of this definition. The work or tasks performed by a service animal must be directly related to the individual’s disability. 

The ADA clarifies that service dogs are distinct from pets and emotional support animals. Individuals with service dogs have specific permissions that do not apply to those with pets or emotional support animals. 

Organizations like Educated Canines Assisting with Disabilities (ECAD) that train service dogs can be accredited by Assistance Dogs International. ECAD’s accreditation signifies that we meet industry standards, such as humane training methods and compliance with legal regulations.” [2]  

Which Breeds Make the Best Service Dogs? 

“We know that dogs have an outstanding sense of smell that far surpasses humans. In fact, their sense of smell is 10,000 – 100,000 times better than that of people. But it takes more than a good nose to be a service dog. The breeds most commonly used as service dogs share the following key characteristics: 

A desire to work. Your service dog should be happier on a walk or at the dog park than they are laying around at home. 

A calm demeanor. Your service dog can’t cause disturbances in public or be easily startled by their surroundings. 

Intelligence. Your service dog has to perform complex tasks that require innate intelligence and good decision making. 

A friendly disposition. Your service dog must be friendly and comfortable around people and other animals. 

A loving disposition. Your service dog must be able to form a strong bond to best serve your needs. 

With that in mind, here are a few of the dog breeds that make the best service dogs: 

• Labradors (American and English) 
• Golden Retrievers 
• German Shepherds 
• Poodles 
• Boxers 
• Great Danes 
• Resources” ^[3]  

Tasks Service Dogs Can Perform 

“Because service dogs are trained to help individuals with a wide range of disabilities, they can provide many types of assistance. A service dog may be trained to: 

• Pull a wheelchair 

• Help navigate for the visually impaired  

•Assist in retaining balance and stability (“Vertigo Service Dogs”)  

•Alert others to a medical crisis 

•Provide assistance in a medical crisis 

•Bring items like medication or phone.” ^[2] 

Who is responsible for the care and supervision of a service animal? 

“The handler is responsible for caring for and supervising the service animal, which includes toileting, feeding, and grooming and veterinary care. Covered entities are not obligated to supervise or otherwise care for a service animal.” ^[1] 

Service Animals Rights 

“The Americans with Disabilities Act requires state and local governments, public accommodations, and commercial facilities to allow service animals to accompany individuals with disabilities in all areas where members of the public are allowed to go. 

Those places can ask a service animal owner: 

• Is the dog a service animal required because of a disability?  

• What work or task has the dog been trained to perform?   

However, they may not ask the owner: 

• What is your disability?  

• Can the animal demonstrate the task it performs for you?  

• Do you have any documentation to prove your animal is a certified, trained service animal?  

The Individuals with Disabilities Education Act (IDEA) and Section 504 of the Rehabilitation Act provide additional legal standards.” ^[4]  

https://esadoctors.com/ada-service-animal-laws/#

What disabilities qualify someone for a service dog? 

“To qualify for a service dog, you must have an eligible physical, emotional or mental health disability. The ADA defines a disability as a “physical or mental impairment that substantially limits one or more major life activities.” A major life activity includes: 

• Breathing, eating or sleeping 
• Concentrating or thinking 
• Learning or working 
• Lifting, standing or walking 

Although the ADA does not name every qualifying impairment, some disabilities that meet the requirements for a service dog include: 

• Arthritis 
• Asthma 
• Cancer 
• Cerebral palsy 
• Multiple sclerosis (MS) 
• Seizures” ^[5] 

What mental disorders do service dogs help with? 

“Psychiatric service dogs can help with a variety of mental health conditions, including:  

• Post-traumatic stress disorder (PTSD): Service dogs can help wake people from nightmares and reduce fears when exposed to triggers.  

• Depression: Service dogs can help create structure and routine, which can help prevent depression symptoms.  

• Anxiety disorders: Service dogs can provide support for people with anxiety disorders.  

• Bipolar disorder: Service dogs can help people with bipolar disorder maintain a regular sleep cycle, recognize manic or depressive episodes, and stay alert for dangerous behavior.  

• Obsessive-compulsive disorder (OCD): Service dogs can help interrupt cycles of unwanted behavior and help people focus their thoughts.  

• Schizophrenia: Service dogs can provide emotional support and help people with schizophrenia complete tasks or stay safe.  

• Autism: Service dogs can help people with autism.  

Service dogs can also help with: Attention-deficit/hyperactivity disorders, social phobias, Agoraphobia, Claustrophobia, and panic disorders.  

Mental health service dogs are trained to take specific actions in response to their owners’ conditions.” ^[6]  

https://www.servicedogcertifications.org/five-different-types-of-service-dogs

What are the benefits of having a service dog? 

“A service dog can greatly improve the quality of life for individuals with mental or physical disabilities. While there are a lot of factors that will determine if a service dog is right for you — including whether you have the physical and financial ability to care for it — it may be worth considering one if you need help in the following areas. 

• Mobility assistance. Service dogs can be valuable for people with limited mobility, such as wheelchair users. … 
• Allergy detection. … 
• Vision and hearing support. … 
• Mental health support. … 
• Diabetic alert. 

Conclusion

Not every disabled person will benefit from a service dog.  Individuals who are afraid or uninterested in dogs would not be a good fit. However, if a person is naturally drawn to animals for comfort and interaction, a service dog could make a remarkable difference in that person’s life.  

If you’re considering bringing a service dog for a disabled person into your home, carefully consider if you can meet their needs as there may be costs associated with training and care. It is essential to keep the dog up to date on veterinary care, provide it with regular exercise, maintain a healthy living environment, and give it a warm, loving home. 

Resources 

[1] https://www.ada.gov/resources/service-animals-faqs/ 

[2] https://www.ecad1.org/index.php/resources/how-service-dogs-help 

[3] https://udservices.org/types-of-service-dogs/ 

[4] https://disabilityrightsflorida.org/disability-topics/disability_topic_info/service_animals 

[5] https://www.missionhealth.org/healthy-living/blog/5-reasons-why-having-a-service-dog-can-make-a-difference 

[6] Generate IA 

What is a seizure? 

“A seizure is a burst of uncontrolled electrical activity between brain cells (also called neurons or nerve cells) that causes temporary abnormalities in muscle tone or movements (stiffness, twitching or limpness), behaviors, sensations or states of awareness. Seizures are not all alike. A seizure can be a single event due to an acute cause, such as medication. When a person has recurring seizures, this is known as epilepsy.” ^[1]   

Symptoms 

“Symptoms vary based on the type of seizure. They also can range from mild to severe. Seizure symptoms may include: 

• Temporary confusion. 

• A staring spell. 

• Jerking movements of the arms and legs that can’t be controlled. 

• Loss of consciousness or awareness. 

• Cognitive or emotional changes. They may include fear, anxiety or a feeling that you’ve already lived this moment, known as Deja vu. 

A classification system distinguishes the different types of seizures. Health care professionals typically classify seizures as focal or generalized. Seizures are classified based on how and where the brain activity causing the seizure began. If health care professionals don’t know how the seizures began, they may classify the seizures as unknown onset.” ^[2]  

What are the types of seizures? 

“The type of seizure you have depends on which part of the brain the seizure starts in, if you are aware during the seizure or not, and is a change to your movement. 

Seizures are classified into 3 major groups: 

Focal onset 

Focal onset seizures start in one small area of the brain (known as the ‘focus’) and may spread to other brain areas. They used to be known as partial seizures. You may be fully aware of what’s happening (‘focal aware’) or your awareness may be affected (‘focal impaired awareness’). 

Generalized onset 

Generalized onset seizures affect both sides of the brain from the start. This may cause you to lose consciousness (‘black out’). The seizures may be: 

Generalized motor seizures — you may make stiffening and jerking movements, known as tonic-clonic seizures (previously called ‘grand mal’), or have other muscle effects 

Generalized non-motor seizures — you have changes in awareness, may stare or have repeated movements like lip-smacking or pulling at clothes 

Unknown onset 

Unknown onset seizures are those that haven’t been diagnosed as either focal or generalized in onset because it’s not clear where the seizure started in the brain. This may be because you were asleep or alone when the seizure started.” ^[4]  

Causes 

“Nerve cells in the brain, known as neurons, create, send and receive electrical impulses. This allows the cells to communicate. Anything that disrupts the communication pathways can lead to a seizure. Some types of seizures may be caused by genetic changes. 

The most common cause of seizures is epilepsy. But not every person who has a seizure has epilepsy. Sometimes seizures may be caused or triggered by: 

• A high fever. When this happens, the seizure is known as a febrile seizure. 

• An infection of the brain. This may include meningitis or encephalitis. 

• Severe general illness, including a severe infection of COVID-19. 

• Lack of sleep. 

• Low blood sodium. This can happen with medicine that makes you urinate. 

• Certain medicines that treat pain, depression or help people stop smoking. They can make it easier for seizures to happen. 

• A new, active brain injury, such as head trauma. It can cause bleeding in an area of the brain or a new stroke. 

• The use of legal or illegal drugs that may be sold on the streets, such as amphetamines or cocaine. 

• Alcohol misuse, including during times of withdrawal or extreme intoxication.” ^[2] 

How can I help someone having a seizure? 

“If someone near you has a seizure, there are things you should and shouldn’t do: 

• Stay with them during the seizure, until it is over. 

• Roll them on their side in the recovery position during the seizure if they have fluid or vomit in their mouth. 

• Put something soft under their head and shoulders. 

• Remove any sharp or unstable objects from the area. 

• Don’t try to hold the person down or stop the jerking — just try to stop them from injuring themselves. 

• Don’t move the person unless they are in danger. 

• Don’t put anything in their mouth. 

• Notice how long the seizure lasts and watch their breathing, so you can tell the person’s doctor or emergency responder. 

After the seizure is finished you should do the following: 

Talk to them calmly to reassure them, until they regain consciousness (are fully awake and aware of what’s going on). 

If they fall asleep after the seizure don’t wake them but watch their breathing. 

Don’t let them eat or drink until the seizure has completely stopped.” ^[4]  

Adults with IDD and Seizures…. 

“It’s not shocking news to hear that individual with disabilities have more health issues than the general population. Unfortunately, individuals with intellectual disabilities also have an increased risk of developing epilepsy. According to the Epilepsy Foundation Metropolitan New York, about 30% of children with epilepsy have another developmental disability, and the risk of children with developmental disabilities below the age of 5 years old having a seizure is 4 times higher than other children at that age. As adults, 10-20% of individuals with intellectual and developmental disabilities (IDD) also have epilepsy and for those individuals with and IDD and cerebral palsy it increases to 50%.  

The best way to try to control seizures is to be aware of all the facts surrounding them – times of day they occur, how long they last, frequency per day, possible triggers (missed medication, overtired, dehydrated, alcohol use) and any feelings/effects afterwards. The more information you can present to your physician the better they will be able to understand the big picture of what’s happening and provide better care for the individual.” ^[7]  

You’re not alone 

“Remember, you don’t have to go it alone. Reach out to family and friends. Ask your health care professional about local support groups or join an online support community. Don’t be afraid to ask for help. Having a strong support system is important to living with any medical condition.” ^[6]  

Resources 

[1] https://www.hopkinsmedicine.org/health/conditions-and-diseases/epilepsy/types-of-seizures 

[2] https://www.mayoclinic.org/diseases-conditions/seizure/symptoms-causes/syc-20365711 

[3] https://www.healthline.com/health/seizures#types 

[4] https://www.healthdirect.gov.au/seizures 

[5] https://www.pennmedicine.org/for-patients-and-visitors/patient-information/conditions-treated-a-to-z/seizures 

[6] https://www.mayoclinic.org/diseases-conditions/seizure/diagnosis-treatment/drc-20365730 

[7] https://thearc.org/blog/seizure-treatment-individuals-idd/#:~:text=As%20adults%2C%2010%2D20%25,palsy%20it%20increases%20to%2050%25. 

“Every March, the National Association of Councils on Developmental Disabilities (NACDD) and its partners collaborate to lead Developmental Disabilities Awareness Month (DDAM). The annual campaign highlights how people with and without disabilities come together to form strong communities. ^[1]

NACDD’s 2025 theme, We’re Here All Year, emphasizing that community, accessibility, and opportunities for people with developmental disabilities should be recognized and championed every day—not just in March.

This month reminds us that individuals with developmental disabilities are valuable members of our communities and deserve full participation in all aspects of life, including education, employment, recreation, and civic engagement.” ^[1]

History of Developmental Disabilities Awareness Month

“Developmental Disabilities Awareness Month was made official in 1987 when US President Ronald Reagan recognized the event. The stated purpose was to increase public awareness of the needs as well as the potential of Americans who have disabilities. In addition, the event is also celebrated as a way to provide encouragement and resources to help them to achieve their full potential and lead productive lives.

While the term developmental disabilities can refer to a wide range of situations and struggles, the Centers for Disease Control (CDC) defines it as an impairment in physical, language, learning or behavioral areas. This may include diagnoses such as autism spectrum disorders, cerebral palsy, down syndrome learning disabilities, ADHD, hearing loss, vision impairment or other developmental delays.

Today, Developmental Disabilities Awareness Month is supported and observed by a number of different non-profit organizations, government agencies, educational institutions and other groups. These thirty-one days offer a perfect opportunity to learn, grow, encourage, support and share in families, schools, communities, cities and all across the globe!” ^[2]

What are some Developmental Disabilities?

“Developmental disabilities are a diverse group of conditions that may affect physical, cognitive, or social development. These can include (but are not limited to):

• Autism Spectrum Disorder (ASD)
• Attention-Deficit/Hyperactivity Disorder (ADHD)
• Intellectual Disabilities
• Learning Disabilities
• Cerebral Palsy
• Down Syndrome
• Epilepsy
• Language Disorders
• Sensory Disabilities (such as hearing loss and vision impairment)” ^[5]

5 Facts About Disabilities

1) “Eugenics was used as a counter

In the early 20th century, it was thought that disabilities could be “cured” through the application of eugenics, which was later discredited as a movement.

2)‘Feeble-minded’ was a descriptive term

In the 19th and early 20th centuries, people with developmental or intellectual disabilities were referred to as ‘feeble-minded,’ ‘idiots,’ or ‘imbeciles.’

3) The cut-off age is 22

According to the N.A.C.D.D., in order to qualify as a developmental disability, the disability has to occur in individuals younger than 22 years.

4) Schizophrenia was misnamed

Swiss psychiatrist Eugen Bleuler first used the word ‘autism’ for a kind of schizophrenia.

5) 70 is the cut-off for intellectual disability

An I.Q. score of less than 70 qualifies a person as intellectually disabled.” ^[3]

How to Get Involved

“Engage with this pivotal movement and make a difference with the following actions:

• Participate in Local Events: Join workshops, seminars, or inclusive activities in your community celebrating the month.
• Educate & Advocate: Share informative resources, stories, and statistics about developmental disabilities on social platforms.
• Support Organizations: Contribute to, or volunteer with, organizations dedicated to supporting individuals with developmental disabilities.
• Promote Inclusivity: Encourage schools, workplaces, and community centers to adopt inclusive practices and programs.
• Listen & Learn: Engage with individuals with developmental disabilities, listening to their experiences and perspectives, and learn from them.” ^[4]

Relevant Hashtags Boost the conversation online and spread awareness with these pertinent hashtags:

#DevDisabilitiesAwareness2025 #InclusionMatters #CelebrateDifferences #EveryAbilityCounts #AdvocateInclusivity

Resources

[1] https://nacdd.org/ddam2025/

[2] https://www.daysoftheyear.com/days/developmental-disability-awareness-month/

[3] https://nationaltoday.com/national-developmental-disabilities-awareness-month/

[4] https://www.awarenessdays.com/awareness-days-calendar/developmental-disabilities-awareness-month-2025/

[5] https://www.twinkl.com/event/developmental-disabilities-awareness-month-usa-2025

“Developmental disabilities such as autism, cerebral palsy, Down syndrome, or others create challenges in accomplishing daily activities, especially self-care. People with these disabilities may need extra help to achieve and maintain good health, which includes oral health. 

For patients with disabilities, maintaining good oral health can present unique challenges. For some, the sensory, physical, or cognitive challenges associated with disabilities can make dental visits daunting.”  

“There a some of Dental clinics that understand these challenges and believe regular dental check-ups are especially crucial for patients with special needs.” ^[1] 

Common Dental Challenges Faced by Individuals with Disabilities 

“Each person’s needs are unique, but patients with disabilities may encounter specific obstacles when it comes to oral health, such as: 

1) Difficulty with Daily Oral Care 

Individuals with physical disabilities may have limited dexterity, making it harder to brush and floss effectively. Those with cognitive disabilities may struggle with the routine of daily oral care. Regular dental visits help address these challenges by providing thorough cleanings and guidance on adaptive home care tools. 

2) Higher Risk of Gum Disease and Tooth Decay 

Medications used to manage specific disabilities can lead to dry mouth, which increases the risk of tooth decay and gum disease. Regular dental visits allow dental team to monitor oral health closely and provide preventive care that reduces these risks. 

3) Sensory Sensitivities 

Many individuals with sensory sensitivities may find dental visits overwhelming due to sounds, lights, or the feel of dental tools. Establishing a routine and familiarizing patient with the process can make visits more predictable and comfortable over time.” ^[2]  

When is the best time to be treated? 

“Some patients prefer to be seen at certain times of the day depending on their needs. For instance, evening appointments may not be suitable for patients who tire easily or may spend the day worrying. Some patients rely heavily on routine and may need regular appointments at the same time.” ^[3]  

How accessible are treatment clinics? 

“Practices should offer facilities for wheelchair users, including access to the practice, and ground-floor surgeries. If wheelchair access is particularly important, contact the surgery and ask if this is something they are prepared for. Some clinics have specially adapted surgeries for patients with mobility problems.” ^[3] 

Why is medication an issue? 

“Many patients with disabilities have to rely on medication to keep their condition under control. It is therefore important to ask the doctor to prescribe sugar-free medicines, especially if they are syrups. It is important to tell the dental team about any medication that the patient is taking, in case the treatment is affected, or the team need to take any extra precautions.” ^[3]  

“Tips for Choosing the Right Dentist 

Finding a dentist who genuinely understands and meets the patient’s needs is more important than simply picking one who lives nearby. 

The following advice will help you choose the optimal fit: 

– Check for ADA Compliance: Make sure the dental office is ADA-compliant. This indicates that the workplace has wider doorways, ramps, and other wheelchair-accessible features.   It also shows that the practice is focused on creating an inclusive, patient-friendly environment. 

– Look for Dentists Who Accept Medicaid: Dental care can get pricey, so finding a dentist who accepts Medicaid or other insurance plans is important, especially if you are on a tight budget.  Many special needs dentists are familiar with Medicaid and can help ensure patients get the care they need without financial stress.” ^[4] 

4 Oral Hygiene Tips for Special Needs Patients 

“Keeping up with oral hygiene at home requires the right tools and routines. For people with special requirements, the following useful advice can help make brushing and flossing easier:  

1. Use Electric Toothbrushes with Soft Bristles 

Electric toothbrushes are a game-changer!   For people who have trouble brushing by hand, they can make the process simpler and more efficient.  To guarantee a gentle, comfortable cleaning experience, choose for electric toothbrushes with soft bristles. These toothbrushes often do most of the work, getting into all the nooks and crannies easier. 

2. Consider Adaptive Devices for Better Grip 

For patients who have difficulty holding a toothbrush, adaptive devices like toothbrush holders or special grips can be a big help. These tools assist people keep control over their brushing, which contributes to a thorough cleaning.  Even angled toothbrushes are available, which reach all areas of the mouth. 

3. Break Hygiene Routines into Small Steps 

Dental care routines can sometimes feel overwhelming, especially if the patient has a limited attention span or difficulty following multi-step instructions. Breaking down the routine into smaller steps, like brushing the top teeth first and then moving to the bottom, can help avoid frustration. 

4. Fluoride-Free Toothpaste Options 

Did you know some toothpaste brands offer fluoride-free options?   This can be a great choice for those sensitive to fluoride’s taste or texture. Make sure they feel comfortable during each brushing session.” ^[4]  

Extra information: 

“Mouth Matters Session 1: Intended audience: people with I/DD and other disabilities, their families and disability service providers support staff, and dental professionals and students. View the recorded webinar here. View transcript here. 

“Mouth Matters Session 2: Intended audience: dental hygienists, other dental professionals and dental students. (Might also be of interest to people with I/DD and other disabilities, their families and disability service providers support staff.) CEUs are available for dental hygienists, dentists, and other health professionals. View the recorded webinar here. To access the webinar please click the top bar dated June 10th, labeled “SoD-Mouth Matters Webinars.” If you would like to receive CDEs, please visit www.ohsu.edu/cde and register for the course.” ^[5]  

https://echo360.org/section/e33b507f-c7bf-4f59-8005-a7c9d75cbb2d/home

Conclusion 

‘Regular dental check-ups are more than just a routine—they are an essential part of maintaining your oral health and overall well-being.” [6] “Caring for patients with special needs requires pretreatment planning and proper assessment, including scheduling appointments for the appropriate time, performing a thorough medical/dental history in consultation with physicians, social workers and caretakers, and appropriate patient communication. The entire dental team should be educated about how to best care for patients with special needs so the initial impression is an inviting one. Obtaining informed consent and conducting proper documentation are essential prior to treatment. The various treatment mo­di­fications for intraoral care can range from pillows and mouth props to toothbrush modifications and stand-up dental treatment. Care­givers, as well as patients, should be educated about nutrition and preventive oral care so that optimal oral health can be achieved and maintained.” [7] 

Resources 

[1] https://www.nidcr.nih.gov/health-info/developmental-disabilities 

[2] https://www.dentalsleepstlouis.com/why-routine-check-ups-can-help-patients-with-disabilities/ 

[3] https://www.dentalhealth.org/dental-care-for-people-with-special-needs  

[4] https://pvpd.com/dental-care-for-people-with-disabilities/ 

[5] https://www.ohsu.edu/oregon-office-on-disability-and-health/oral-health-people-disabilities  

[6] https://slotownsmiles.com/blog/why-regular-dental-check-ups-are-essential-for-oral-health/ 

[7] https://decisionsindentistry.com/article/dental-care-patients-special-needs/ 

People with intellectual disabilities are living longer and, as with the wider population, increasingly experiencing serious illnesses such as cardiovascular, respiratory diseases, and cancer, showing how important to do a health checkups very often and included a colonoscopy when is necessary.

What is colonoscopy?

“A colonoscopy is an exam used to look for changes — such as swollen, irritated tissues, polyps or cancer — in the large intestine (colon) and rectum.

During a colonoscopy, a long, flexible tube (colonoscope) is inserted into the rectum. A tiny video camera at the tip of the tube allows the doctor to view the inside of the entire colon.

If necessary, polyps or other types of abnormal tissue can be removed through the scope during a colonoscopy. Tissue samples (biopsies) can be taken during a colonoscopy as well.” ^[1]

Why would we all need a colonoscopy?

“People with intellectual disabilities (PWIDs) are living longer and, as with the wider population, increasingly experiencing serious illnesses such as cardiovascular and respiratory diseases [1]. However, cancer is an age-related disease and has not received the same attention as other medical problems in this population [2, 3]. Evidence on overall cancer incidence in PWIDs is limited due to the lack of reliable epidemiological data [4] but is currently estimated to be as frequent as in the general population.” ^[4]

“A colonoscopy may be preventive, diagnostic or therapeutic — and often, it’s all of these. The healthcare provider may advise to have a colonoscopy for routine cancer screening if there is a statistically higher risk of developing colorectal cancer. Since anyone can have colorectal cancer at any time without warning or symptoms, screening is the best way to stay ahead of it. While screening, the gastroenterologist may also remove suspicious tissues for testing and prevention.” ^[2]

How to Prepare for a Colonoscopy?

“Preparation is a critically important part of the exam. If the bowel is not adequately cleaned out before the exam, the doctor will not be able to identify polyps, the pre-cancerous lesions. Before the procedure, the patient will have to take an oral laxative solution (called “a bowel prep” or “preparation”) to clean out the bowel. Specific prep instructions vary, but the prep usually begins 1 to 2 days before the procedure. It is important to read the prep instructions (given separately) to understand what the patient should do 1 day or 2 days before the colonoscopy.” ^[5]

Will I receive sedation for the exam?

The patient will receive “conscious sedation” for the exam, which means that an intravenous line is placed, and medications are given intravenously. This is not general anesthesia, although almost all patients are comfortable during the procedure. Because of the sedation, the patient will need a driver to take him/her home.

Managing Comorbidities

“Disabled adults often have multiple chronic conditions, such as heart disease, diabetes, or respiratory issues. These comorbidities need to be carefully managed before, during, and after the colonoscopy to prevent complications.

• Pre-Procedure Assessment: A thorough assessment of the patient’s health status can identify any potential risks. This includes evaluating heart and lung function and ensuring stable blood sugar levels for diabetic patients.

• Post-Procedure Care: After the colonoscopy, disabled adulst may require additional monitoring to manage any lingering effects of sedation or to address any complications that arise.” ^[7]

How often should I do a colonoscopy or at-home screening for colon cancer?

“It’s recommended that people have a colonoscopy performed every 10 years, beginning at age 45 and up to age 75. This is the recommendation for people who aren’t at increased risk of colon cancer. If someone have personal or family history of colon cancer or other cancers, it is important to talk to a personal provider. They may recommend more frequent screenings.” ^[3]

Emotional and Psychological Considerations

“Addressing Anxiety

Many seniors/disabled adults may feel anxious or fearful about undergoing a colonoscopy. This anxiety can stem from concerns about the procedure itself, potential findings, or previous negative experiences with medical procedures.

• Communication: Open and honest communication between the healthcare provider, patient, and their family is crucial. Explaining the procedure, its benefits, and what to expect can help alleviate fears.
• Support Systems: Encouraging the presence of a family member or caregiver can provide emotional support and reassurance. Additionally, discussing any past experiences and addressing specific concerns can help ease anxiety.”^[7]

Cognitive Impairment

Adults with cognitive impairments, such as dementia, may face additional challenges when preparing for and undergoing a colonoscopy. Special care and considerations are necessary to ensure their safety and comfort.

• Tailored Communication: Using simple, clear language and providing information in small, manageable segments can help people with cognitive impairments understand the procedure.
• Caregiver Involvement: Involving caregivers in the preparation and recovery process is essential. Caregivers can assist with following preparation instructions, monitoring the patient’s condition, and providing post-procedure care.” ^[7]

Conclusion

“Colonoscopy is a vital screening tool for seniors and disabled adults, playing a critical role in the early detection of colorectal cancer and other gastrointestinal issues. However, it requires special considerations and care due to the unique challenges associated with aging.

By addressing these considerations, such as medication management, effective bowel preparation, and tailored post-procedure care, healthcare providers can ensure a safe and effective colonoscopy experience for them.

Open communication, proper support systems, and careful management of comorbidities and cognitive impairments are essential components of the care process. With these measures in place, disabled adults can undergo colonoscopy with greater comfort and confidence, ultimately benefiting from early detection and improved health out.” ^[7]

Resources

[1] https://www.mayoclinic.org/testsprocedures/colonoscopy/about/pac-20393569

[2] https://my.clevelandclinic.org/health/diagnostics/4949-colonoscopy

[3] https://health.ucdavis.edu/blog/cultivating-health/colonoscopy-vs-at-home-colon-cancer-screening-which-is-best-for-you

[4] file:///C:/Users/Staff/Downloads/Willis%202018%20Colon.pdf

[5] https://www.uofmhealth.org/conditions-treatments/digestive-and-liver-health/screening-colonoscopy/colonoscopy-faq

[6] https://journals.lww.com/ajg/fulltext/2010/10001/high_rate_of_colonoscopy_preparation_failure_in.1411

[7] https://curasia.com/colonoscopy-for-seniors-special-considerations-and-c/