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Hidden disabilities in the elderly
Not all disabilities can be noticed by others. Here, we are exploring hidden disabilities, ableism, and how caregivers can provide the best support to those with hidden disabilities.
What are some hidden disabilities that affect older adults?
A hidden disability is a disability or health condition that is not immediately obvious to another person. While many people picture someone with a disability being in a wheelchair or having a similar mobility issue, often disabilities can be subtle or entirely invisible, leading the person to experience stigma or distrust if others do not believe they have any additional needs. An estimated 70-80% of disabilities are invisible, and some examples of hidden disabilities might include:
- Cognitive impairments like dementia or a brain injury
- Mental health conditions like anxiety or depression
- Autism and other neurodivergences
- Hearing impairments
- Vision impairments
- Speech impairments
- Energy-limiting conditions like fibromyalgia
What is “ableism”?
Ableism is a form of discrimination against people with a disability, intentional or not. It is rooted in a belief that those with disabilities are somehow imperfect or inferior to those without. Ableism may take the form of language, attitudes, policies, or environments, and might assume everyone has the same capabilities without taking into account the potential differences in others’ accessibility needs.
Ableism usually comes from a lack of understanding or stigma, and can affect both those with visible disabilities and those with hidden disabilities. In everyday life, this could look like being unable to access a public place, being spoken to in a condescending manner, or being asked intrusive questions.
How can caregivers help those with hidden disabilities?
To help someone with any kind of disability, it is important to:
- Listen to their needs, and ask if you are unsure of how to help
- Learn what their struggles are so you can provide the most relevant support
- Consider the language you use around them
- Do what you can to choose accessible and inclusive venues and activities for them
- Trust their judgement on their abilities, and never push them to do more than they are comfortable with
Caregivers helping disabled people–whether the disability is visible or hidden–should always show respect, include them in decision making, and work to understand their needs and preferences. With support, disabled individuals can continue to work, participate in social events, manage their own health needs, and more.
How can we help?
We've helped thousands of families to stay safe, comfortable and happy at home. Whatever situation you're facing, or whatever the question is, Home Instead is here to help.
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Get in touch What kind of support can home care provide for those with disabilities?
If you need support at home to manage daily life with a disability, your local council may be able to provide this. Start by arranging a Care Needs Assessment to determine what kind of care would be most helpful, or look into private care for more flexible and tailored assistance. There are many ways a home carer can help. For example:
- Being an advocate when visiting your GP or other appointments
- Providing mobility support (if needed)
- Assisting with transport to events and appointments
- Providing medical assistance such as stoma care, catheter care, and more
Helping you apply for and maintain the relevant badges, such as the Blue Badge to improve access when out and about, or the Hidden Disabilities Sunflower Lanyard to make your needs known
Why Home Instead?
If you live with a disability, you are likely seeking a trusted, dedicated caregiver who understands your needs and preferences, the challenges of ableism, and the need to prioritise your wellbeing. At Home Instead, our goal is to provide a fully personalised support package with our friendly Care Professionals, who can provide discreet and knowledgeable assistance. Our team goes the extra mile to understand your unique needs and what is most likely to improve your quality of life.
We are proudly rated 9.6 on Homecare.co.uk, and many of our locations are rated “outstanding” by the Care Quality Commission (CQC), so you can feel confident the disability care you receive from us–whether visiting care or live-in care–is second to none.
Advice & Support
FAQs
- What are hidden disabilities in the elderly?
Hidden disabilities are conditions that aren’t immediately visible but can still affect a person’s daily life. In older adults, these may include dementia, hearing loss, visual impairments, chronic pain, mental health issues, or mobility problems that aren’t obvious at first glance.
- Why are hidden disabilities often overlooked in older adults?
Many older adults downplay symptoms or adapt their behaviour to hide difficulties. Family members may also mistake signs for normal ageing. Regular wellbeing checks and open communication can help identify hidden needs early.
- How can hidden disabilities affect daily life?
Hidden disabilities can impact confidence, safety, and independence. For example, undiagnosed hearing loss can cause isolation, while untreated pain or early dementia can make daily routines harder to manage safely.
- How can home care help support hidden disabilities?
Trained care professionals can recognise subtle signs of hidden conditions and provide tailored support. This may include help with mobility, communication, medication, or companionship, helping older adults remain comfortable and independent at home.
- What should I do if I think my loved one has a hidden disability?
If you notice changes in behaviour, mood, or ability, it’s best to speak with a GP for assessment and guidance. Home care can then provide the right level of day-to-day support while maintaining dignity and independence.
Diane Williams , Head of Quality & Standards
I have worked with Home Instead since July 2016 as a member of the Quality Team, taking the role of Head of Quality & Standards in 2020.
Before joining Home Instead, I built a comprehensive career in the social care sector, beginning in 1991 as a frontline care worker and advancing to senior leadership roles across both private and voluntary sector businesses.
Throughout my career, I have supported diverse care groups in a variety of settings, including community, residential, nursing, and secure environments. My experience spans working with older adults, including those living with dementia; individuals with physical disabilities and complex, long-term health needs; people with learning disabilities, including autism; individuals with enduring mental health challenges; individuals with current or past substance use and those with forensic backgrounds.
In 2002, I qualified as a social worker and have since maintained my professional registration with Social Work England.
Before joining Home Instead, I built a comprehensive career in the social care sector, beginning in 1991 as a frontline care worker and advancing to senior leadership roles across both private and voluntary sector businesses.
Throughout my career, I have supported diverse care groups in a variety of settings, including community, residential, nursing, and secure environments. My experience spans working with older adults, including those living with dementia; individuals with physical disabilities and complex, long-term health needs; people with learning disabilities, including autism; individuals with enduring mental health challenges; individuals with current or past substance use and those with forensic backgrounds.
In 2002, I qualified as a social worker and have since maintained my professional registration with Social Work England.