Adults with disabilities report experiencing frequent mental distress almost 5 times as often as adults without disabilities.  Call your doctor if your mental health gets in the way of your daily activities for at least 14 days in a month.

December 3^rd is International Day of Persons with Disabilities. In the United States, up to 1 in 4 adults have a disability. Many people will experience a disability at some point during their lives. Disabilities limit how a child or adult functions. These limitations may include difficulty walking or climbing stairs; hearing; seeing; or concentrating, remembering, or making decisions.

Although “people with disabilities” sometimes refers to a single population, this is a diverse group of people with a wide range of needs. Two people with the same type of disability can be affected in very different ways. Some disabilities may be hidden or not easy to see.

Many Adults with Disabilities Report Frequent Mental Distress

A CDC study found that adults with disabilities report experiencing more mental distress than those without disabilities.¹ In 2018, an estimated 17.4 million (32.9%) adults with disabilities experienced frequent mental distress, defined as 14 or more reported mentally unhealthy days in the past 30 days. Frequent mental distress is associated with poor health behaviors, increased use of health services, mental disorders, chronic disease, and limitations in daily life.¹

During the COVID-19 pandemic, isolation, disconnect, disrupted routines, and diminished health services greatly impacted the lives and mental well-being of people with disabilities.²

Call your healthcare provider if stress gets in the way of your daily activities for several days in a row. Free and confidential resources can also help you or a loved one connect with a skilled, trained counselor in your area.

It’s Okay Not to Feel Okay

Everyone reacts differently to stressful situations. How you respond to stressful situations, such as the COVID-19 pandemic, can depend on your background, your support systems (e.g., family or friends), your financial situation, your health and emotional background, the community you live in, and many other factors.

People with disabilities or developmental delays may respond strongly to the stress of a crisis, particularly if they are also at higher risk for serious illness from COVID-19 and other respiratory viruses (for example, older people and people of any age with certain underlying medical conditions).

How Are You Feeling?

We are often asked this question, and many of us say we’re “fine.” But this has been a difficult time lately, and emotions can be complex. You may be feeling sad, worried, or stressed.

It helps to stay positive and remind yourself of your strengths. Visit How Right Now for inspiration and resources to find what helps.

Healthy Ways to Cope with Stress

• Know what to do if you are sick and are concerned about COVID-19. Contact a health provider before you start any self-treatment for COVID-19.
• Know where and how to get mental health treatment and other support services and resources, including counseling or therapy (in person or through telehealth services).
• Take care of your emotional health. Taking care of your emotional health will help you think clearly and react to urgent needs to protect yourself and your family.
• Take breaks from watching, reading, or listening to news stories, including those on social media. Hearing about the pandemic repeatedly can be upsetting.
• Take care of your body.
  • Take deep breaths, stretch, or meditate
  • Try to eat healthy, well-balanced meals
  • Exercise regularly
  • Get plenty of sleep
  • Avoid excessive alcohol and drug use
• Make time to unwind. Try to do some other activities you enjoy.
• Connect with others. Talk with people you trust about your concerns and how you are feeling.  During times of increased social distancing, people can still maintain social connections and care for their mental health. Phone calls or video chats can help you and your loved ones feel socially connected, less lonely, or isolated.
• Connect with your community- or faith-based organizations. While social distancing measures are in place, consider connecting online, through social media, or by phone or mail.
• Improving the Mental Health of People with Disabilities
• CDC provides funding for two National Centers on Disability that focus on improving the quality of life for people living with disabilities.
• Special Olympics’ Inclusive Health programming focuses on improving the physical and social-emotional well-being of people with intellectual disabilities by increasing inclusion in health care, wellness, and health systems for Special Olympics athletes and others with intellectual disabilities.
• “I learned relaxation techniques and now always try these when I find myself overwhelmed. I would recommend these strategies to others, too. A strong mind is an important part to a happy body,” shares Kayte Barton, a Special Olympics athlete from Minnesota.  Barton was a part of the Special Olympics committee to help develop emotional health programming for Special Olympics athletes across the world in its flagship Special Olympics Healthy Athletes® program.
• Special Olympics’ Strong Mindfulness program offers free, 1-hour mindfulness sessions for people with intellectual disabilities and their families. Participants learn deep breathing techniques, body awareness and progressive muscle relaxation, mindful movement, and guided meditation. They also receive a Strong Minds Activity Guide designed to help them develop their coping skills in everyday life.
• The National Center on Health, Physical Activity and Disability (NCHPAD) seeks to help people with disabilities and other chronic health conditions achieve health benefits through increased participation in all types of physical and social activities. NCHPAD’s M.E.N.T.O.R program, which stands for Mindfulness, Exercise and Nutrition to Optimize Recovery, takes a holistic approach to restoring, improving, and protecting health. The program divides health into three domains: physical, mental, and emotional.  Through this program, people who have acquired a new disability (e.g., spinal cord injury, stroke, traumatic brain injury), a new diagnosis (e.g., multiple sclerosis, Parkinson’s disease), or have a congenital condition (e.g., cerebral palsy, spina bifida) learn the many ways life can be enhanced through health and wellness activities.

Disability and Mental Health Resources

• Coping with Stress
• Healthy Living
• National Centers on Disability
• CDC Disability and Health Promotion
• CDC National Center on Birth Defects and Developmental Disabilities

As CDC honors International Day of Persons with Disabilities, we ask that you join us in being a part of the global movement to change attitudes toward, and promote the inclusion of, people with disabilities.

To learn more, please visit https://www.cdc.gov/ncbddd/disabilityandhealth/features/mental-health-for-all.html