Sand Therapy Case Study with Visible and Invisible Dis/Abilities (VID) Persons

Persons with visible and invisible disabilities (VID) and low mobility bring unique therapeutic needs to sand therapy. In addition to emotional dysregulation, many experience heightened anxiety, defensiveness, and iatrogenic trauma that can influence treatment outcomes. This article outlines the physical, emotional, and contextual factors—such as low income, limited mobility, and rural living—that therapists must consider when working with this population. The goal is to support trauma-informed, sensitive practice while reducing unintentional ableism in the therapeutic process. Case examples illustrate how trauma-informed approaches can enhance emotional regulation and therapeutic progress for clients with disabilities.