Disability Can Be

pressure sores from being in bed all day - to prevent these, change position minimum every 2hrs if possible, and use pillows to support your positions (find visual examples online). you’re especially at risk of pressure sores if you use continence products, so make sure to use a barrier cream and change as soon as possible when soiled.

contractures, especially in the ankles, from being immobile in bed - these can be minimised by doing ankle flexibility exercises, but ONLY if that would be within your energy envelope. otherwise just try to vary your ankle/foot positions. support with pillows if needed.

tinnitus and ear infections from having to wear earplugs so much - i have no advice for this

vitamin d deficiency from being indoors in the dark all the time - supplements and foods rich in vit d can help.

deep vein thrombosis aka blood clots in the legs from immobility - this is uncommon but it’s an emergency if it ever occurs. compression socks can reduce your risk if you can tolerate wearing them, and movement also helps lower the risk, but again, only within your energy envelope.

muscle atrophy - your legs and arms may start to look like sticks after becoming bedbound. unfortunately, as long as exercise is unsafe for you, this is impossible to fix, so it’s something we have to accept, as pushing ourselves is much more dangerous than deconditioning.

vit and mineral deficiencies from dietary restrictions - opt for a healthy diet, supplementation, and regular blood tests to stay on top of deficiencies

dehydration from being unable to sit up to drink - there are sporty contraptions meant for backpackers that let you drink lying down. some water bottles with sports caps also work, i use refilled lucozade bottles for all my water. if you’re too weak to swallow for longer than a day, it’s time to call a doc to see if they can give iv hydration.

dehydration from sleeping a very long time - if you sleep 16+ hours, especially if it happens regularly, you’re probably waking up dehydrated. try to drink water when you wake.

I'm very thin/ atrophied myself, and that definitely puts you at a greater risk. Aside from repositioning/ having a caregiver reposition you at least every two hours, there is also an aid called an alternating pressure mattress that I personally use. It's a little air mattress that you put on top of your regular mattress that attaches to an electric pump. Mine was about fifty US dollars. It has little air bubbles/ pocket things within it. The air pockets inflate and deflate, alternating between which row, every five minutes or so. My dad calls it my breathing bed for this reason, heh. This helps your weight from settling in one place and therefore keeps pressure sores at bay! I didn't explain it super super well, but EquipMeOT sure does.

imo way too many people are going through life thinking they're just going to be sensitive to rejection for life because of how some people (not OP, but definitely plenty of ADHD influencers) talk about this "symptom." I don't think it's terribly productive that it gets constantly cordoned off as its own thing. like a lot of ADHD, while it sucks to have it shape your life up to the point you realize what it is, it is indeed possible to exposure therapy & DBT your way out of it.

What conceptualizing RSD as a category of trauma response to social triggers does is allow us to treat it like any other trauma response. It pulls RSD out of the bioessentialist framework and into the realm of injuries that can be treated, learned associations that can be unlearned. It turns out that the same techniques that help with PTSD triggers, including the same damn meds (hi, clonidine), are effective for helping reduce RSD. (It also explains why RSD is also common in autistic people, who often have a similar history of social error and narratives of self blame, without requiring inherent neurological differences.)

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Sometimes using a wheelchair means you can no longer get to the places that used to be important to you, and not because of man-made inaccessibility. I have sat with someone as they cried because they could no longer visit the place they had scattered a loved one’s ashes because not even the most expensive wheelchair in the world could handle the terrain. As much as I wanted to, my wheelchair meant that I couldn’t position myself in a way that would allow me to give them a proper hug. In that moment, our wheelchairs felt more like heavy weights than freedom.

And sometimes wheelchairs are like the legs of someone who can walk but would maybe benefit from a wheelchair themselves. Sometimes wheelchairs are exhausting and painful and you’re counting down the time before you’re able to be lifted into bed. Sure, like painful legs, you can do more with them than without, but constantly performing gratitude for something that hurts you is exhausting. And again, not because you need a better wheelchair, but because those are the limits of your body and the technology that exists.