Palace in Underland

Always wandering and wondering while chasing a raccoon down a beaver dam. Special needs. Disability. Caregiving. Adulthood. Real life. A little chaos.


The Difficult Conversations Disability Forces Us to Have — and Why Every Family Should Have Them

There is something nobody tells you when you have a child with a disability.

You are going to have conversations other parents may not have for another twenty years.

Or thirty.

Or ever.

Not because you’re smarter.

Not because you’re more prepared.

And definitely not because you wanted to.

Disability just has a way of walking into the room, throwing its purse on the table, and saying, “We’re going to talk about this now.”

Money.

Healthcare.

Sexuality.

Relationships.

Housing.

Employment.

Transportation.

Who gets to make decisions.

What happens when you aren’t here.

What happens when your child becomes an adult.

What happens when you can’t help anymore.

And sometimes, those conversations are incredibly uncomfortable.

But here’s the thing I’ve learned:

A lot of these aren’t actually disability conversations.

They’re life conversations.

Disability just forces you to have them earlier.

And honestly?

I think every parent should.


“What happens if something happens to me?”

This one is probably the biggest.

Parents of children with disabilities are often forced to think about this much earlier.

Who’s going to help my child if I’m hospitalized?

Who knows their medications?

Who knows how they communicate?

Who knows their routines?

Who knows what makes them anxious?

Who knows what they like?

Who knows their doctors?

Who knows their benefits?

Who knows what they need?

And eventually:

Who will help them when I’m gone?

That is a brutal conversation.

Especially when your child needs significant support.

But here’s the uncomfortable part:

Your typical adult child needs a plan too.

They may not need someone to manage their life.

They may not need a guardian.

They may not need daily support.

But what happens if your 27-year-old is unconscious after a car accident?

Who talks to the doctors?

Who handles the bills?

Who knows where their important documents are?

Who knows what they would want?

Who can step in if they temporarily can’t?

Suddenly that conversation about healthcare directives and powers of attorney doesn’t seem like something only “old people” need.


“Who makes decisions if I can’t?”

Parents of children with disabilities often have to think about decision-making long before their child becomes an adult.

Supported decision-making.

Power of attorney.

Healthcare decision-making.

Guardianship.

Person-centered planning.

And the very uncomfortable question:

How do we support our child without taking over their life?

But again, this isn’t exclusively a disability question.

Every adult should think about:

Who do I trust?

Who would I want making healthcare decisions if I couldn’t?

Who could handle financial matters if I couldn’t?

Who knows what matters to me?

Who would advocate for me?

And perhaps most importantly:

Have I actually told that person?

It isn’t enough to think:

“My sister knows what I would want.”

Does she?

Have you talked about it?


“What happens to the money?”

Disability can force families to talk about finances early.

Benefits.

Insurance.

Trusts.

Housing.

Transportation.

Employment.

Medical expenses.

Long-term care.

Sometimes parents are thinking about financial planning while their child’s peers are getting their first credit card.

But typical families need financial conversations too.

Who pays the bills?

Where are the accounts?

What happens if one parent dies?

What happens if both parents die?

Does your adult child know what insurance they have?

Do they know what happens to their retirement accounts?

Do they know where important financial documents are?

Do they understand their own budget?

And parents:

Does your child know enough about money to function without you?

That question can be uncomfortable.

But uncomfortable is not the same thing as unnecessary.


“Where are you going to live?”

Disability parents often have to think about housing earlier.

Will my child live with me?

With a roommate?

In supported housing?

In an apartment?

With a partner?

Independently?

With services?

And sometimes we spend years planning it.

But typical parents eventually have to face a version of this question too.

Your child moves out.

Then moves back.

Then moves out again.

Then gets married.

Then maybe gets divorced.

Maybe they live across the country.

Maybe they’re suddenly caring for their own child.

Maybe they’re sick.

Maybe you’re sick.

Maybe the house they thought they’d live in forever isn’t affordable anymore.

Life changes.

Where we live is not necessarily where we stay.

And teaching our kids how to think about housing, money, transportation, safety, and community is part of becoming an adult.


“What kind of help do you actually need?”

This is a conversation disability families have constantly.

Not:

“Can my child do this?”

But:

“What support does my child need to do this?”

That’s a very different question.

Maybe your child can cook but needs reminders.

Maybe they can manage money but need help creating a budget.

Maybe they can take public transportation but need to practice the route.

Maybe they can work but need accommodations.

Maybe they can live independently but need someone checking in.

And honestly, typical adults could use this way of thinking too.

Because independence isn’t really:

“I do everything myself.”

None of us do.

We use apps.

We ask friends.

We call our parents.

We hire accountants.

We use therapists.

We ask doctors.

We ask coworkers.

We use GPS because apparently nobody knows how to get anywhere anymore.

Needing support doesn’t automatically make someone less independent.

Sometimes the support is exactly what makes independence possible.


“What happens if you make a bad decision?”

This is one of the hardest conversations for parents.

Especially parents who have spent years protecting a child from consequences.

Disability can make this incredibly complicated.

When is something a mistake?

When is it a safety issue?

When should a parent step in?

When should an adult be allowed to make their own decision?

When does protection become control?

Supported decision-making brings this question right to the surface.

And parents of typical children eventually face it too.

Your 19-year-old chooses a major you don’t understand.

Your 22-year-old takes a job you don’t think is a good idea.

Your 25-year-old dates someone you don’t like.

Your 30-year-old moves across the country.

You can give advice.

You can worry.

You can say:

“I really don’t think this is a good idea.”

But eventually, your child becomes an adult.

And part of loving an adult child is accepting that they are allowed to make decisions you wouldn’t make.

Sometimes they’re even allowed to make mistakes.

That’s hard.

Disability just makes us think about it earlier.


“Let’s talk about sex.”

Oh, good.

Everybody’s favorite family conversation.

Except…

It’s incredibly important.

Parents of people with disabilities often have to think carefully about:

  • Consent
  • Relationships
  • Sexual health
  • Boundaries
  • Privacy
  • Abuse prevention
  • Online safety
  • Dating
  • Marriage
  • Reproductive choices

And we should be talking about these things with all of our children.

Having a disability doesn’t make someone incapable of having romantic feelings.

And being a typical teenager or adult doesn’t make someone automatically knowledgeable about healthy relationships.

Every young person needs information about:

What is consent?

What is a healthy relationship?

What does a boundary look like?

What should you do if someone doesn’t respect your boundary?

Who can you talk to?

What information should stay private?

What happens when someone says no?

These aren’t disability questions.

They’re human questions.


“What do you actually want?”

This might be the most important question of all.

Disability parents often have to learn to ask:

What does my child want?

Not:

“What do I think is best?”

Not:

“What would make my life easier?”

Not:

“What would everyone else do?”

But:

“What do you want?”

That can be surprisingly difficult.

Especially when you’ve spent years making appointments, fighting for services, completing paperwork, talking to schools, coordinating therapies, and solving problems.

You become very good at making decisions.

Sometimes too good.

Then your child becomes an adult.

And you have to make room for their voice.

Typical parents need to do this too.

Because eventually:

Your child chooses a career.

Your child chooses where to live.

Your child chooses a partner.

Your child chooses whether to have children.

Your child chooses how they spend their money.

Your child chooses what kind of life they want.

We can offer advice.

We can share experience.

We can tell embarrassing stories from our own mistakes.

But we don’t get to live their life for them.


“What happens when the system doesn’t work?”

Disability parents become experts at this one.

The school didn’t do what the IEP said.

The insurance company denied something.

The doctor’s office didn’t call back.

The agency lost the paperwork.

The waiting list is three years long.

Someone says:

“That’s not our department.”

And suddenly Mom has become a project manager.

But here’s something every family eventually learns:

Systems don’t always work perfectly.

You may need to advocate for yourself.

You may need to ask questions.

You may need to document conversations.

You may need to appeal a decision.

You may need to say:

“Can you show me where that policy says that?”

Your child needs to learn how to do some of this too.

Not because we want them to fight every system alone.

Because knowing how to ask for help is a life skill.


“Who is your emergency contact?”

This sounds simple.

Until you realize how many adults don’t actually know.

Who does your doctor call?

Who does your employer call?

Who does your child’s school call?

Who should the hospital contact?

Who knows where your medications are?

Who knows your allergies?

Who knows what you would want?

Who knows your insurance information?

Who has your emergency contact information?

And no, your phone being unlocked is not an emergency plan.

Neither is:

“My mom knows everything.”

Your mom may not always be available.

Your parents aren’t immortal.

Neither are you.

That’s not depressing.

That’s reality.

Planning for reality is responsible.


“What happens when I’m not here?”

Disability forces parents to think about this question in a way that can be absolutely heartbreaking.

We wonder:

Who will love my child?

Who will advocate?

Who will notice when something is wrong?

Who will help with appointments?

Who will make sure they aren’t being taken advantage of?

Who will celebrate birthdays?

Who will know that they hate certain foods?

Who will understand what they’re trying to communicate?

Who will make sure they’re included?

And if you’re a parent of a typical child, you may think:

“They’ll be fine.”

Maybe.

I hope so.

But “fine” shouldn’t mean:

“We’ll figure it out after I’m gone.”

Talk to your adult children.

Talk about your wishes.

Talk about their wishes.

Talk about money.

Talk about healthcare.

Talk about family history.

Talk about important documents.

Talk about what happens if one of you can’t manage things.

Not because you expect disaster.

Because planning is an act of love.


Disability Didn’t Give Me All the Answers

Here’s something I want to make clear.

Disability parents don’t have some magical knowledge that everybody else lacks.

We screw things up.

We worry too much.

We don’t worry enough.

We make decisions we later question.

We learn things the hard way.

We sometimes spend three hours researching something that could have been solved with one phone call.

We become experts in things we never wanted to know anything about.

But disability has forced many of us to ask questions earlier.

And those questions are valuable for every family.

What does my child want?

Who will make decisions if they can’t?

Who can help them?

What happens in an emergency?

What happens when I can’t help anymore?

How will they manage money?

Where will they live?

Who will advocate for them?

What kind of life do they actually want?

Those aren’t disability questions.

They’re life questions.


Maybe We Should Stop Waiting for the Crisis

We don’t need to wait for a diagnosis.

We don’t need to wait for an accident.

We don’t need to wait for someone to get sick.

We don’t need to wait until our child is 40.

We don’t need to wait until Mom and Dad are 80.

Start the conversation while everyone is healthy.

Make the documents.

Teach the skills.

Talk about money.

Talk about relationships.

Talk about healthcare.

Talk about emergencies.

Talk about independence.

Talk about support.

Talk about what happens next.

Because the goal isn’t to prepare our children for everything that could possibly go wrong.

That’s impossible.

The goal is to make sure that when life inevitably gets weird—and it will—we aren’t starting the conversation in the middle of a crisis.

Disability forced me to have some of these conversations earlier than I wanted to.

Maybe that’s one of the few gifts hidden inside all the chaos.

Not that I wanted the lessons.

I absolutely did not.

But now that I have them?

I’m going to share them.

Because your child doesn’t need a disability for these conversations to matter.

They just need to be alive.

And unfortunately, that’s pretty much all of us.



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