The Hidden Effects of Disabilities on Mental Health

For many, the daily realities of living with a disability can be exhausting. Managing chronic pain, mobility limitations, or sensory impairments often requires significant emotional energy. Tasks that might seem simple—like grocery shopping or attending a meeting—can involve intricate planning and adaptations. And when you look at it from that perspective, it’s no wonder that people with disabilities are five times more likely to struggle with their mental health

In this blog, we’re going to break down the ways that having a disability impacts mental health as well as how ableism can make things harder for people who are struggling here in Chicago. Let’s get into it. 

How does having a disability impact mental health?

Disabilities can affect nearly every aspect of a person's life, from what they do for work and where they live, all the way down to the size of their grocery list and the way they cut their hair. Beyond physical challenges and practicalities, many people with disabilities find that the hidden impacts of their disabilities are overlooked in favor of solving the more tangible struggles they face. The impact of ableism, loneliness, limited energy, and financial strains from accessing healthcare all contribute to the hidden impact of disability on mental health.  This impact can range from navigating inaccessible environments to coping with social stigma and feelings of isolation.

Man walking with his guide dog after receiving counseling in Chicago to address how having a disability impacts mental health

What Everyday Challenges Contribute to Mental Health Strain?

Managing chronic pain, mobility limitations, or sensory impairments often requires significant emotional energy. The ways this might show up in someone’s life can look many different ways, often intertwining with societal barriers, personal circumstances, and the unique demands of each individual's disability.  It can make it more difficult to lead the life you want, through barriers such as managing daily physical barriers, dealing with health complications, or navigating social stigma. 

Social factors also play a significant role. People with disabilities may encounter stereotypes, pity, or outright discrimination. These experiences can make them feel invisible or excluded, contributing to feelings of loneliness and worthlessness. Furthermore, navigating complex healthcare systems and advocating for accommodations can become a relentless source of stress.

How does having a disability impact mental health?

Disabilities affect mental health in ways that aren’t always obvious to others. People with disabilities often face higher rates of anxiety, depression, and chronic stress. These mental health challenges can be tied to a range of experiences, such as managing daily physical barriers, dealing with health complications, or navigating social stigma. 

For example, inaccessible spaces or technologies can make it harder to stay independent, leaving people feeling excluded or overlooked. This exclusion can weigh heavily over time, leading to loneliness or frustration. And because the world is largely designed with able-bodied people in mind, disabled individuals often have to spend extra energy just to keep up—a burden that’s invisible to most.

What is ableism?

Ableism is the umbrella term for any type of discrimination or prejudice against disabled people. It can be blatant, like denying someone a job because of their disability, or more subtle, like assuming a disabled person can’t contribute positively to their job. An attitude of ableism builds barriers that go beyond the physical, fostering environments where disabled individuals feel like they matter less or won’t be believed. These are doubly reinforced for disabled people who are also marginalized in other ways.

Ableism isn’t just external. Internalized ableism—when someone starts believing the negative stereotypes society places on them—can also impact mental health. For example, a person might hesitate to ask for accommodations because they feel like they’re being a “burden,” even when those supports are reasonable and necessary.

Why is it important to be aware of the intersection of disability, mental health, and ableism?

Here are some of the things we can accomplish by working together to better understand the hidden impact of disabilities on mental health.  

This knowledge can help you to:

  1. Develop a Holistic View of Health: Mental and physical health are deeply interconnected. Recognizing this can lead to more inclusive healthcare approaches.
  2. Break Long-held Stigma: Acknowledging ableism—whether internalized, interpersonal, or systemic—helps challenge the biases that harm disabled individuals.
  3. Encourage Inclusion: Being aware of these dynamics promotes advocacy for accessible mental health services and accommodations, reducing feelings of isolation or marginalization.
  4. Build Empathy: Awareness helps able-bodied individuals appreciate the unique challenges disabled people face and take actionable steps to create supportive environments.

How Can You Recognize When You Need Support for Your Mental Health if You Have a Disability?

When you live with a disability, the idea of adding another appointment or doctor can feel like the opposite of help. But leaving your mental health unmanaged will not be the solution you need. 

Here’s a checklist to help you recognize when you or someone you love might need to consider asking for support to manage their mental health: 

  • Experiencing one or more of the following: persistent sadness, anxiety, or feelings of hopelessness that don’t subside with time.
  • Sudden Behavioral Changes: like avoidance of social activities, hobbies, or responsibilities due to emotional distress.
  • Physical Symptoms that don’t improve: Unexplained fatigue, insomnia, or worsening physical symptoms of your disability.
  • A sudden increase in self-criticism: Engaging in negative self-talk or feeling unworthy due to your condition.
  • Struggling with transitions in daily life. Difficulty coping with changes in your abilities or navigating societal barriers.

In a city like Chicago, many resource services are available to support people with disabilities and their families. These services can be life-changing, helping individuals tackle both the emotional impacts of their disabilities and the stressors of daily life. 

A woman who is in a wheelchair and has experienced the impacts of impacts of ableism high fiving a young girl after receiving support from counseling in Chicago

Counseling offers a space for individuals to process their experiences, develop coping strategies, and build resilience. Therapists familiar with the unique challenges of disabilities can help clients address feelings of isolation, navigate grief over lost abilities, or rebuild self-esteem. If you’re living with a disability or love someone who is and you’re looking for a therapist who understands the complexity of your life, we’d love to help. Pure Health Center has a diverse staff of clinicians with professional expertise and lived experience, so get in touch today and we can match you with the right counselor to help you step out of the hidden impacts and into your own power. 

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