Understanding Invisible Disability

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Updated 25 May 2025

When we think of disability, the first symbol that comes to mind for many people is a blue figure using a wheelchair - an image known as the International Symbol of Access (ISA) (Access Australia 2024).

Adopted as an international standardised symbol to indicate wheelchair-accessible environments, the ISA is now used in various settings to indicate a range of accessibility and disability-related matters.

Where the ISA arguably fails, however, is in its representation of the broader disability community. For instance, among the 4.4 million Australians (1 in 6 people) living with disability, only 4.4% use a wheelchair (Shrine of Remembrance 2022).

inivisble disability international symbol of disability
Does the International Symbol of Accessibility properly represent the broader disability community?

What is Invisible Disability?

Sometimes, disability can be identified by the presence of aids such as wheelchairs, canes, hearing aids and glasses (Disabled World 2025).

However, this is not always the case.

Invisible disability (or hidden disability) is an umbrella term used to describe disabilities that are not immediately noticeable when looking at someone. The term applies to a wide spectrum of conditions, including physical, mental and neurological disorders that impair daily functioning (IDA 2025).

Invisible disabilities include conditions such as chronic pain or illness, mental illness, injury and congenital disorders (Disabled World 2025).

It’s estimated that 8 out of 10 Australian people living with disability have an invisible disability (Life Without Barriers 2024).

Despite not being immediately obvious to others, invisible disabilities can cause significant daily challenges for those who have them (IDA 2025).

Because of their hidden nature, invisible disabilities can go unacknowledged, leading to a lack of sympathy and understanding within society (IDA 2025).

invisible disability aid guide dog cane
Sometimes, disability can be identified by the presence of aids such as canes or service dogs.

List of Invisible Disabilities

The following list covers some of the many invisible disabilities. Many of these conditions have their own Ausmed articles where you can find more information.

Note that this is not an exhaustive list.

(Disabled World 2025)

Supporting People Living With Invisible Disability

As stated by the National Disability Insurance Scheme (NDIS) Practice Standards (2021), disability support workers have a responsibility to provide supports that:

  • Are person-centred
  • Treat participants with dignity and respect
  • Promote participants’ individual values, beliefs, culture and diversity
  • Protect participants’ privacy
  • Allow independence and informed decision-making
  • Are free from violence, abuse, neglect, exploitation and discrimination.

With this in mind, the following practical tips may help you support people living with an invisible disability:

General considerations
  • If you know that someone is living with an invisible disability, ask them what they can and cannot do
  • Never force or convince someone to do something that they say they are unable to do
  • Encourage people living with invisible disability to participate in activities at a level they are comfortable with, and ask how you can support them to participate
  • Only offer assistance if the person wants it, and if they do, ask what they want you to do specifically
  • Speak directly to the person, not to those around them
  • Smile and be willing to communicate
  • Avoid handshakes as a default greeting
  • Never distract service dogs
People living with auditory impairment
  • Let the person establish their preferred method of communication (sign language, lip-reading, note writing etc.)
  • Talk to the person directly, even if they have an interpreter
  • If the person reads lips, face them directly when speaking. Speak clearly and at a moderate speed
  • Avoid finishing the person’s sentences for them
  • Be patient and pay attention while the person is speaking
  • Ask the person to repeat what they have said if you do not understand
  • Be prepared to communicate via computer, pen and paper, or an alphabet board if required
People living with visual impairment
  • Excuse yourself before leaving the person
  • If guiding the person, let them take your arm and walk slightly ahead of you
  • Never pull or push the person along
  • Be specific when describing nearby objects
People living with cognitive impairment
  • Keep communication simple
  • Rephrase statements if required
  • Pay attention to what the person is saying and how they respond to you
  • Be patient and give the person time to show or tell you what they want to communicate

(Weiss 2019)

Conclusion

invisible disability caring for patients

In your professional life, you are likely to interact with many people living with invisible disability. Therefore, it is important to avoid making assumptions and always treat your patients with respect.

Even if you can’t visibly see the challenges they face, acknowledge and understand their experiences as best you can.

Additionally, remember that disability affects people in different ways, and for that reason, it is important to always provide individualised and person-centred care.

Test Your Knowledge

Question 1 of 3

Which of the following conditions could be classified as invisible disabilities?

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Last updated25 May 2025

Due for review30 May 2028
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