Weighed Down for Better Sleep

By Aimee Sterk, LMSW, MATP Staff

a cartoon person awake in bed with bloodshot eyes, sheep jumping over them and a cat snuggled in on their lap.I have a long history of battling insomnia. Lately, I have been having even more problems sleeping following a series of life traumas and increased anxiety. My therapist suggested trying a weighted blanket. I had previously heard of weighted blankets as calming options for people on the Autism Spectrum. I never knew they have a variety of other uses.

According to an article in Psychology Today,

“Weighted blankets are one of our most powerful tools for helping people who are anxious, upset, [and feeling out of sorts],” says Karen Moore (link is external), OTR/L, an occupational therapist in Franconia, N.H. These special blankets are filled with weighted pellets, which are sewn into compartments to keep them evenly distributed. Weighted blankets are also sometimes marketed for general use as an aid to sleep and relaxation.

“These blankets work by providing input to the deep pressure touch receptors throughout the body,” Moore says. “Deep pressure touch helps the body relax. Like a firm hug, weighted blankets help us feel secure, grounded, and safe.” Moore says this is the reason many people like to sleep under a comforter even in summer.

What a revelation!  After posting on Facebook, to friends inside and outside the disability community, looking for local resources to try a weighted blanket, several  friends chimed in that they too thought these blankets would be helpful for them. Some even said they were using one without realizing it—heavy comforters were their preference all year. One friend, who runs an Autism Center, connected me with some online options for buying weighted blankets and making your own. Another connected me with Christie DePrekel at Peaceful Product . These chance connections via social media have changed my life!

Christie of Peaceful Product is local and offered me several weights of blankets to try as I was hesitant to commit to the investment without knowing if the blankets would help me—though I had a feeling they would. I stopped by later the same day to pick up the sample blankets.

I tried a 15 pound and a 10 pound blanket and found I far preferred the heavier variety—and that my sleep and anxiety were much improved. I slept soundly (for me) the night before I had to give a speech to a nationwide audience—which normally would not be how I’d sleep before such a big event. I have found I also like sitting on the couch with the calming weight on me.

Christie mentioned that some members of her family have sensory processing disabilities, which is why she started making the blankets herself—looking to make quality items to meet their needs. Talking to her more about sensory processing, I realized that I too am sensitive to sound, pressure, smell, sight, and touch. Since I was a child I remember self-soothing by rolling my hands back and forth over a favorite blanket. I also achieve great peace when watching repetitive things like sprinklers or machines at work. I have met others friends who have the same type of soothing response. I also have created my  own type of squeeze machine having my partner hug me hard and/or lay on top of me while I’m on the floor, comforted by the intense pressure (until it’s hard to breathe). I wonder if it is all related?

Christie has seen weighted blankets help people with Autism, Aspergers, ADHD, Anxiety, PTSD, Insomnia, Sensory Processing Disorder, and Restless Leg Syndrome.

After deciding I definitely wanted my own weighted blanket, I met Christie at a fabric store and picked out some microplush fabric to cover my blanket (you should have seen me at the store with my eyes closed plunging my hands into the bolts of fabric to test their softness and soothingness). I then specified the size and weight I wanted, and one week later, my blanket was ready.

Weighted Blanket
I choose a colorful pattern of birds for one side of my giant weighted blanket and a lush blue for the other side.

I now sleep with it every night. The pressure is comforting on a primal level. I have trouble with night sweats, so the lightweight microplush has been helpful (the sample blankets were a thick fleece). If the weight didn’t affect the heat of the blanket at all, I would have gotten even heavier of a blanket.

The formula commonly used to choose the weight of the blanket is 10% of the body weight plus 1 or 2 pounds for children.  In older teens and adults this formula can be quite heavy so trying different weights like I did might be your best option. I found that in my arms a 10 pound blanket felt very very heavy.  But, once that weight was spread out over me, I thought it was way too light.

Have you tried a weighted blanket or have you been doing your own version of weighted blanket sleeping without even realizing that is what you were creating on your own?

Do you think something like this might work for you or someone you know?

The Nights are Longer and SAD is Here

By Aimee Sterk, LMSW, MATP Staff

I can feel the change in the seasons and I’m not enjoying it. Shorter days and longer nights start the cycle of Seasonal Affective Disorder (SAD) for me. This time of year I start feeling the energy drain and the pull of my bed increase. According to the Mayo Clinic, the causes of SAD aren’t entirely known but there is felt to be a genetic component and a chemical component the chemical components are related to reduction in sunlight and a corresponding reduction in serotonin and melatonin. Lower serotonin can trigger depression and melatonin helps with sleep.

The risk factors for SAD include living in places like Michigan—the further you live from the equator, the more common SAD is which is likely due to the decreased sunlight during winter.

Luckily for me, there are some treatment options involving assistive technology (AT) and lifestyle changes that really help me:

Light Therapy

light therapy boxA couple of years ago, when I was complaining about the dark falls and winters in Michigan and my belief that I had SAD, my coworker told me about light boxes. Each morning I start the day with 45 minutes in front of my lightbox. In fact, I’m writing this blog with it on. The bright light mimics outdoor light and appears to cause a change in brain chemicals linked to mood, most likely increasing serotonin. Studies have found that light therapy is effective for SAD and may be effective for nonseasonal depression.

I position myself 12-24 inches from the lightbox and have it off to the side of my computer monitor. I use it in the morning almost every day.  My box has bright white full spectrum light and produces 10,000 lumens. In the past, many SAD light therapy boxes were using blue light wavelengths, but recently research has indicated that broad spectrum light is more effective. For the past several years, my lightbox has helped make my SAD much more manageable.

I want people to know about possible side effects of light therapy and contraindications so I’ve copied some warnings below to be very aware of:

Are there any side effects or conditions where light therapy should be avoided?

“Individuals whose skin is especially sensitive to light, such as those with lupus (systemic lupus erythematosus) should consult a physician before attempting light therapy for any condition. You may be advised to avoid light therapy if you have a history of skin cancer or if your eyes are sensitive to light because of conditions such as glaucoma, cataracts, retinal detachment and retinopathy. In addition, light therapy has been reported to lead to mania in some patients with bipolar disorder (manic depression) and to cause suicidal thoughts. For these reasons, patients using light therapy boxes should report any mood changes or disturbing thoughts to their health care practitioners.
Certain drugs can increase sensitivity to sunlight and may cause skin reactions as a result of light therapy. These include antibiotics, anti-inflammatory drugs, some anti-histamines, lithium, the supplement melatonin and the herbal remedy St. John’s wort. If you’re taking any drug or supplement on a regular basis, check to make sure it won’t cause a reaction to light therapy.

Some ophthalmologists have warned that blue light, part of the full spectrum of light used in light therapy, could damage the retina and increase the risk of age-related macular degeneration, a progressive eye disorder that is the leading cause of blindness in people over the age of 55. So far, however, no research has confirmed that risk.

If you’re bothered by the glare from your light box, the blue light is probably responsible. You can screen it out by wearing special eyeglass lenses or clip-ons during treatment. There are also light boxes available that filter out the wavelengths believed to be most harmful.

Other side effects of light therapy are minimal. Some patients report headaches, eyestrain or eye irritation or nausea when they begin treatment, but these effects usually are mild and disappear after a few days.

Exercising

In this case, my DVD player and online streaming device are AT. My therapist informed me that exercise boosts serotonin and I find it helps me feel better about myself while reducing anxiety and stress. I regularly start my day with an exercise DVD or a streaming program when it’s too cold, dark, wet, or snowy outside to exercise out of doors.

Getting outside

There were brief periods of sunlight this past weekend and I made sure to get outside and hike and work in the yard. The Mayo Clinic suggests that getting outside within two hours of waking in the morning is most effective and that even on cold and cloudy days, getting outside is helpful.

Brightening my home and office

I make sure to open my drapes and have installed solar tubes in darker areas of my home (our hallway). I have painted the walls in our darkest rooms bright, light colors. When I’m up before the sun, I turn on all the lights in the area of the house that I am in.

Taking a vacation someplace warm and sunny

Florida-Mangrove-forests-in-the-south-of-the-peninsula-of-florida
One of my favorite vacations was to Florida. I especially loved paddling the mangroves with my husband in the bright sunshine and warmth in the middle of winter.

I know that I hit my limit of coping with Michigan weather every February so I save up all year to go someplace warm and sunny many years. If only I could find a way to bill that to my health insurance. Funny thing is, the article from the Mayo Clinic even recommends taking a trip as a way to manage SAD, Take a trip. If possible, take winter vacations in sunny, warm locations if you have winter seasonal affective disorder .”

Do you have SAD as well? What AT or strategies have worked for you?

 

Butterflies, Bracelets, and Rocks

By Aimee Sterk, LMSW, MATP Staff

My Facebook memories have been showing me that October is often a very hard month for me with many anniversaries of stressful events. I want to share a blog post I wrote two years ago as it came up in my Facebook memories as well and sparked a lot of discussion on my wall.

So here it is–how I was doing two years ago, and what AT got me through (and I’m still using these tools and techniques):

I have PTSD and have been triggered a lot lately. I can sense it happening. Something reminds me of a traumatic event and I start reliving it in my head. I started seeing a new therapist for EMDR (Eye Movement Desensitization and Reprocessing) after my old therapist left her practice and no longer takes my insurance. I dreaded having to start over—and having to share with her what has happened to me. Talking about past traumas re-traumatizes people and exacerbates PTSD. Luckily, my new therapist knew this and didn’t want to dig in—just wanted some generalizations, but as we were getting started, she could tell that I was going back to the experiences—and she had some great new techniques that helped me self-soothe enough so that I could interact with her. I’m now adding the Butterfly Technique and a large egg-shaped rock to my Calming Techniques and Items Toolbox in addition to the bracelet and weighted blanket that were already in there.

The Butterfly Hug Technique involves crossing your arms over your chest and linking

Butterfly Hug
A webcam shot of me holding my hands in the position I use for the Butterfly Hug.

your thumbs at your sternum. Your fingers are pointed up towards your collarbones, not towards your arms, and the finger tips rest just below or on your collarbones, palms facing down against your chest. You then pat yourself in this position for 1-3 minutes. This bilateral stimulation provides a sense of calm. It helps ground you and keep you in the present moment. It was originally used in Mexico helping survivors of a hurricane and has been used with inmates, many of whom have a trauma history, and others with PTSD. I put an image of a butterfly on my phone to remind me that I can do this technique any time. There is a great youtube video on the butterfly hug technique created by Debbie Augenthaler.

Rock
This snowflake obsidian rock fits well in my hand and offers enough weight and size to register strongly with my brain as I pass it back and forth between my hands. It helps with mindfulness.

The other technique she taught me uses a super low-tech piece of AT (assistive technology), a 3-4 inch egg shaped rock that fills the palm of your hand. She instructed me to take this rock (hers was polished marble) and pass it back and forth between my hands. I felt stupid at first, but then realized it was helping and did it for my entire appointment. I asked her what the technique was called and if the size of the rock/weight were important. She said it was a type of Brain Gym technique that also promotes bilateral brain stimulation. The size and weight are somewhat important—the rock needs to be big and heavy enough to register in your hands.  I found a large enough egg at a local store that carries crystals and meditation supplies. I find it helpful to use this technique to reconnect and calm—it allows me to return to mindfulness, being in the present moment and noticing my thoughts without judging them. Mindfulness is universally beneficial and helps with chronic pain, depression, anxiety, and stress and promotes well-being. There is now a free online course for Mindfulness Based Stress Reduction (other courses in person and online are $350-$450). I’m going to give it a try.

metta-bracelet.jpg
The different colored stones in this bracelet help me remember the different pieces of the lovingkindess or metta meditation.

While I wrote about my weighted blanket before, I haven’t shared about my loving kindness bracelet. I originally learned about loving kindness meditation as a mindfulness practice—a way to become present, decrease stress, and increase positive emotions and well-being. There are dozens of studies on the benefits of a loving kindness practice. I had been practicing it irregularly, especially when I was experiencing insomnia, and then more regularly after attending a workshop by Kristin Neff, an expert in self compassion. The loving-kindness meditation is a way to tap into the calming practice of sending love to yourself and to others and the world. I had trouble remembering to stop and do the loving kindness meditation and make it a part of my daily routine until I added my loving kindness/metta bracelet I got from Jan Lundy, an author, speaker, and spiritual director. Jan co-designed a bracelet with four different kinds of stones to represent each of the phrases you repeat in a loving kindness meditation. I can sit and meditate and use the stones as keys to remember:

May I be safe

May I be strong

May I be happy

May I live with peace and ease

I work my way around the bracelet first a couple times for myself, then for others. Jan has full instructions on her website. When I am anxious and overwhelmed, I need a visual cue to help me reset. Having a reminder on my wrist does just that, and then guides me in my practice. Jan’s bracelet is beautiful, but if cost is a barrier, you could go to a craft store or raid your closets and jewelry boxes and pick out beads with meanings for you and string your own.

What AT, techniques, and resources do you tap into for stress, anxiety, depression, and self-soothing?

Smart Shopping: Home Modifications

By Aimee Sterk, LMSW, MATP Staff

home shaped icon with a circle around ittwo men measuring a piece of metal for a home modification

When looking for someone to hire to do home modifications there are several key things to consider as you make the best choice for yourself. Home modifications are sometimes tricky. Some builders who have never done them before think they are no different than any other remodel job. This is just not the case. Just like you would not want your dentist to learn how to fill a cavity on you, it is easier, less stressful, and smoother to work with a builder that has experience in the home modifications. Everyone has to learn sometime, but they don’t have to learn on you.

We at Michigan Disability Rights Coalition/Michigan Assistive Technology Program and our partners around the state have seen dozens of ramps that were dangerously installed—very improperly—by well-meaning builders, neighbors and friends. It is a complicated process to correctly install chair lifts, ceiling lifts and other significant structural adjustments. Even grab bars are easily installed the wrong way—giving way when you need them. Then there are scammers on top of the well-meaning but ill-informed people.

Non-wheelchair_Ramp_IMG_0908
A poorly made concrete ramp built right through the middle of the steps with no rails makes a hazard for the ramp users and the step users.

The remodeling world is full of sharks who are especially like to prey on older adults and people with disabilities they think they can swindle.  News coverage of people who gave a down payment for remodeling or roof work only to have the “builder” never return are far too common and there is an entire television show just about people who have been scammed by builders and left with shoddy work or worse, dangerous situations.

This is not meant to scare you—only to help you prepare to be your own best self-advocate as you look to remodel your home to work better for you.

The Federal Trade Commission and HGTV have excellent articles on hiring a remodeler and the importance of having a contract in writing, and what that contract should include. Take a look at their recommended steps and add them to the Smart Shopper tips on our website.  Together these two articles provide an excellent starting point. Keep in mind a couple of other key factors:

  1. Contact your local Center for Independent Living and Area Agency on Aging. Both of these organizations are connected to reputable builders in their area. Often, the Area Agency on Aging or Home and Community-Based Waiver Agency contracts with local builders themselves to help people stay in their own homes. Centers for Independent Living help people move back to the community after nursing home stays. These organizations will have an idea of who is good and who doesn’t do good work in your area.
  2. Get multiple bids in writing.
  3.  Find out standard down payments in your area—definitely don’t pay the entire bill up front.  In California, the most you should pay for a down payment is 10%–to help protect from scam artists.
  4. Actually talk to references the re-modeler provides for work similar to what you are considering.
  5. Work with licensed builders—ask to see a copy of their license. The City of Niles has compiled a great list of Warning Signs a Contractor is unlicensed.
  6. Make sure the contractor is insured.
  7. Consider working with builders who have certification as Aging in Place Specialists.
  8. Only work with builders who are willing to explain things to you in a way you understand and treat you with respect. If they aren’t respectful when they are interviewing to do work for you, it isn’t going to get any better when you hire them.
  9. If a contractor bids on your project and their price is way below the other bids—be very wary—this is likely a scam. You get what you pay for.
  10. Try to get referrals from other people with disabilities in your area—word of mouth is a great way to learn about good, reliable builders in your community who know how to do home modifications. Your best bet is to work with someone who is local and has a good reputation with people you talk to.
  11. Good contractors are often very busy. If someone can do the work right away—this may also be a sign that they are not so good. Consider the additional recommendations on How to Shop for a Contractor.
  12. Make sure the contractor gets a building permit in their name—so they are liable for the work being done, not you.
  13. Trust your gut—if you are feeling uneasy, there is a reason, look for someone else.
  14. While you’re at it, you may want to consider the Michigan Assistive Technology Loan Fund for financing your home modifications.

Do you have tips or experiences to share?

 

Flying Friendlier Skies with Mobility AT

shadows of people inside an airline terminal with suitcases and departure signs

By Aimee Sterk, LMSW, MATP Program Staff

I was recently reminded of the RESNA (Rehab Engineering Society of North America) annual conference I attended in Indianapolis a couple years ago. There I met representatives from Scootaround who told me about a program I hadn’t heard of—Total Mobility Management for Airlines—they help people whose wheelchairs and powerchairs are damaged by airlines. Scootaround gets the devices repaired or replaced and supplies loaner chairs to use in the meantime.

Scootaround staff informed me that they have a nationwide network and work with all of the airlines to provide full service repair of scooters, wheelchairs and powerchairs. I had never heard about this service. While I don’t use a mobility device myself, I have many friends that do and have heard horror stories about airline experiences. In fact, several of my friends travel exclusively by car/train because of damage done to their powerchairs by airlines.

These stories made were in the back of my mind as I excitedly asked about how the program works. It looks like they get paid by the airlines to process these claims and provide this service. They have claims staff available 24 hours a day, every day. They work with local vendors with good track records at the arrival and/or departure location to service the devices. They also offer training and support to airline personnel on handling assistive devices.

Have you tried Scootaround’s airline service? What was your experience?

It looks like they also provide scooter rentals all around North America and help companies/events planners too by providing devices for conferences. Have you tried them for these services? What was your experience?

We are always looking to expand our knowledge of resources available.  Please share your knowledge and stories. Happy Traveling!

Disability Pride

 

A woman holding a sign that says my pride is being myself Carol
A woman at a disability pride seminar created her own disability pride poster– My Pride is Being Myself, Carol

By Aimee Sterk, LMSW, MATP Staff

Society urges people with hidden disabilities, like me, to deny we have a disability.  From the time we are born, we are bombarded with messages that disability is a negative thing – something to be avoided and feared. Our society teaches us people with disabilities are less capable, less valuable, less important, and less desirable than people without disabilities.

Some people treat us with disdain, some avert their eyes, some look with pity or tell us they are “ praying” for us—looking at the lives of people with disabilities as inspiration—imagining themselves with a disability and imagining that it would be horrible. All of these undermine our personhood as people with disabilities. We are either saints worthy of admiration for just living our day-to-day life, or pitiful and worthy of shame.

As people with disabilities we hear, live, and breathe these low expectations and then incorporate these messages inside our very being, where negative emotions are turned inward, creating low self-esteem and poor self-confidence. These views have long lasting, detrimental effects on our mental health. When people do not acknowledge their disability, cannot accept and embrace it, aren’t aware of the disability community, and do not advocate for their needs, the result is a small life full of self loathing.

When we deny we have a disability or believe that our disability is something negative, this can keep us from advocating for ourselves, accessing assistive technology (AT), and asking for accommodations that we need for full participation. I’ve felt guilty about my needs and kept quiet to my own detriment, putting off using AT that helps me.

Many programs exist to meet our needs, but they often do so from a charity model, with a “ pity” focus, making the person with a disability into a recipient of services instead of an active, vibrant part of the community who has a legitimate need for supports, assistive technology, and accommodation.

Organizations that operate out of a charity model or service model see people with disabilities’ lives as tragedies. In these organizations, the staff and administration are people without disabilities making decisions on how to best serve the needs of people with disabilities.

black border around words Disabled and Proud! The 'i' is represented by an arm with its hand in a fist.

Disability pride is the belief that disability is a natural and beautiful part of human diversity. Disability pride stands in direct opposition to ableism. Just as someone can be proud of being a man, woman, culturally diverse, or any other unique identity, one can also embrace their disability as part of their identity. With disabilities, there are barriers and oppression. There are also barriers and obstacles and oppression that result from being a woman, black, or lesbian. That doesn’t mean people with disabilities would rather become people without disabilities. I was recently with a group of colleagues meeting with someone without a disability and he said “of course no one  wants to have a disability.” I didn’t even know how to respond at the time, but looking back, to me that is akin to saying “of course, no one wants to be a woman.” While I have experienced discrimination based on disability and based on gender, I do not wish away being a woman or being disabled. They are both part of who I am. I am a proud disabled woman.

text Cure Ableism

There are many benefits to disability pride including: 1) higher self-esteem and self-confidence; 2) a sense of belonging and community with other people with disabilities; and 3) increased belief in interdependence and advocacy for accommodations. Individuals who find disability pride are more likely to be included in the community and successful in their lives, housing situations, places of employment, educational settings, personal relationships, and their community.

I’m ready and working to live in a different way. I have seen the gifts of my disabilities including being part of a greater community of people with disabilities, developing practices that have deepened my faith and connectedness, having a deeper understanding of myself and compassion for others, building my creative problem-solving skills, and building my resilience. My disabilities are a part of who I am and how I live my life. As I learn to love all of myself, I seek organizations that also provide services in a way that does not reflect pity or charity thinking. I work to change systems to build inclusive communities that support all of our gifts and talents. I also surround myself with people who love and support me and other people with disabilities who have disability pride. This is good, lifelong, important work.

Everybody Poops

By Aimee Sterk, LMSW, MATP Staff

the cover of the book "Everybody Poops" with pictures of a person, a horse's butt, a goose, and an apple

As a new mom, I’m pretty familiar with poop–all kinds of poop. And I’m pretty aware of my son’s pooping (or not), when he has a poopsplosion, what he’s eating that is causing what reaction… From the very beginning in the hospital, the medical professionals tell parents about tracking health and bowel movements. I even have the book Everybody Poops on my Amazon wishlist. I want my son to view pooping as something healthy that everyone does–albeit sometimes in different ways. I don’t want him to have anxiety or shame about pooping which can lead to lifelong digestive problems. Yeah there’s a lot of poop thoughts up in here.

In our office, we tend to talk about poop a lot too and bowel programs… and they came up again at a meeting yesterday. I mentioned how I frequently talk about toilet aids when meeting with professionals and teaching about low tech AT for community living. Often, I’m met with nervous laughter. That bugs me.

Rant warning here. Look, we as a society have made poop a taboo topic, but in doing so, we’ve made it so people with disabilities who need AT to assist with toileting, are so ashamed that they don’t ask for or get information about this need. Parents of young adults with disabilities continue wiping their sons/daughters for years when they could be using AT to wipe themselves. What happens when you go off to college or move out on your own and you’ve never learned to wipe yourself? There’s already plenty to learn about budgets, laundry, meal prep. For goodness sakes, people with disabilities should learn about AT for the bathroom when their peers are learning to wipe themselves. Pooping is an important, daily (for many) activity. People need to do it to stay healthy and out of the hospital. Professionals and people with disabilities need to drop the shame game and talk about going to the bathroom–and what devices and supports are needed to go to the bathroom as safely and as easily as possible. People who want to be able to wipe themselves need to be able to get information on devices that can help. People who can’t wipe themselves and need assistance doing so, need information on personal assistance care, safe toileting options, and AT for the bathroom–a note from friends in the know, bidets can be amazing!

Stop with the poop shaming!
Let’s learn a lesson from each other and from what I’m trying to teach my son. Pooping matters. Everybody poops. There are great AT items that can help with pooping and with wiping.

And for the AT info piece–this was previously published in our blog and its worth repeating here:

the freedom wand device with toilet paper inserted in the grasping end and a hand holding it

Many people invent things out of a necessity they have themselves. This was the case for Deborah Tacoma. After an accident where she broke her back, Deborah found she could not twist and reach to wipe and take care of her personal hygiene needs in the bathroom. She did some research and found various items but didn’t find one that fit her body size, arm length and reduced finger strength—so she invented one, the FreedomWand ®. It is available on Amazon.com for $10 less than the FreedomWand website.

In promoting her product, Deborah has talked to many people with many types of disabilities that have trouble wiping and taking care of all their bathroom needs but are ashamed to talk about it with their doctors or others that might have helped them find AT—people are ashamed and suffer for that shame risking skin breakdown, pain, and infections.

The FreedomWand® is an easy-to-use multipurpose, portable toilet tissue aid that can also be used to hold a razor, loofah, or ointment applicator. It has extendable reach of up to 25 inches or as few as 9 and can be taken apart and stored in the carrying bag that comes with it. The bag and wand can fit in a backpack or large purse.  Instead of a push-button release which can be difficult for some people, it has a slide button.

Our Small Changes Big Differences kits have FreedomWands® for you to see in-person and decide if they might work for you. The kits also have dozens of other devices to help people with disabilities live in the community. Find the kit nearest you and give them a call to set up a demonstration. Deborah also has a video showing how the product works.

And for what its worth, also from my new parent experience, pregnancy constipation is no joke and squatty potties really do help with constipation and that crew understands that we need to talk about poop–and even have fun with it.

What do you think? Can you help break the poop shaming cycle society has created? What AT do you use or have you heard of that helps with toileting?