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Helpers and Assets

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You can get physical-world helpers and have real-world physical assets in place to help you cope with external reality, external people, develop your presence skills as well as give more motivation to being in the present, etc.


  • You can have a service animal (currently in the US, only dogs and miniature horses are fully qualified as service animals) who can provide actual trained tasks and emotional support. This is a trained, housebroken, working animal who can accompany you in public spaces, businesses, at work, at school, etc. There are a few restrictions for service animals such as when you're visiting someone in the hospital or undergoing surgery for reasons of maintaining sanitary conditions for wounds etc. Otherwise, they're able to go everywhere you can go and respond to commands or observed signals such as dissociating with trained behaviors. For a list of examples of how a service animal can help people with psychological issues please see this link:
  • You can have an emotional support animal. If your need is undocumented, then they are limited like any other pet. If your need for an emotional support animal is properly documented (and the documentation required varies), they have additional leeway in certain circumstances (mainly housing and air travel accommodations). US Laws on this vary and are in a very grey territory so anything can change at any time. Emotional support animals do not need as much training as service animals, but for a pet to get certified there are traits and training they must exhibit (friendly, housebroken, etc.) so that their behavior does not disturb or threaten others. Emotional support dogs may get more access if they do not disturb others.
  • You can have human assistance such as home attendants. In the US, there are a variety of ways to get this assistance if you need in-home care. If you need in-home medical assistance, such as to administer shots or care for bandaging and wounds, then you need help from a licensed home care agency. A newer "consumer-directed" program allows you to hire your own workers (which can include friends or family), train them, and they are paid through a 3rd party through Medicaid. These are excellent choices if you are unable to perform daily tasks of living, and you can have part-time or full-time assistance. They can assist with travel, making appointments, making meals, keeping your home clean and sanitary, reminding you to take medications, doing laundry, personal hygiene routines, bedtime routines, getting ready for work or school, etc.


  • Electronic assistance includes devices and applications such as mindfulness meditation applications, calendars with alarms and appointment reminders, there are alarm clocks that vibrate your pillow or bed to help you wake up, smoke alarms that flash a light in case you have deaf alters or are hearing impaired and may not hear if there's a fire, etc. Electronic pet applications may comfort and occupy littles in a safe way, for example.
  • Stimulation devices such as those used for people on the Autism spectrum can be useful for people with dissociation and anxiety issues from PTSD as well. Safe chew toys and "adult" (disguised) pacifiers, fidgets, weighted blankets, compression vests, tools for "brushing" one's body, even scraps of cloth that feel nice, stuffed animals ("stuffies") to hug and pet, worry stones, necklaces or bracelets with beads, etc. can all help one ground, get into the Here & Now New, or self-comfort.

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