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Last checked: July 2026

Many teenagers want more privacy, their own space and as much independence from family as possible. These questions might be worth thinking about:

  • Can you get to your bedroom independently? If not, what would make this possible?
  • How easy is access between your bedroom and bathroom? Can it be improved?
  • Do you have a quiet space that’s well set up where you do your homework? If not, what change could there be?
  • Where do you meet your friends at home? Is it private? Is there space for chatting, computer games, playing music?

In the children’s section, the page Your Home > covers other questions. They won’t all be relevant for you but they may help you think about:

  • Anything that doesn’t work well for you now
  • What might become a problem
  • What might work better for you.

Your parents may be willing to look at what options might be possible. Some changes may be simple, others may need advice from an OT. These can take a long time and need a lot of careful discussion.

Another big topic to think about, including:

  • your sexual identity
  • who you’d like to meet
  • how you might do that
  • what sort of relationship you’d like.

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Many young women who have SMA have questions about practical ways of managing periods and options for wheelchair users. We asked members of the SMA Community and medical professionals for their suggestions.

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All teenagers have a lot of changes and stresses to negotiate. Your SMA and the impact it has on you means you have a lot more than most. It’s good to talk and get support.

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Most young people feel more self-conscious as they get older and go through puberty. They often don’t like other people seeing their bodies. Having personal care from another person is probably a necessary part of your life due to your SMA. This can make this an even more challenging time for you.

Some young people continue to feel comfortable with parents and friends providing their personal care. In time, this may be from their partners. Others prefer their care from Personal Assistants (PAs) and to keep things on a more ‘professional’ basis. However, practically it’s not always possible to find good reliable PAs.

Whoever is providing your care, it’s important you trust and feel comfortable with them. If you have any concerns at all about the way someone cares for you, make sure to tell and talk with someone you trust.

You can read more about Employing PAs in Tab 9 in Adults Local Authority Funded Social Care & Support >