Neurological disorders and injuries

Autonomic Nervous System Disorders

Conditions where the body's automatic functions, like heart rate and digestion, don't work correctly.
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About

Dysautonomia is a group of conditions where the autonomic nervous system doesn’t work properly. One common form is Postural Orthostatic Tachycardia Syndrome (POTS), which causes a rapid heartbeat, dizziness, and fatigue when standing up. These conditions can affect heart rate, blood pressure, digestion, and temperature control.

This condition is often invisible.

Many disabilities, including this one, may not have outward signs—people can be significantly impacted even if they appear “fine” on the outside.

Common Challenges

  • Fatigue or faintness, especially when standing or walking
  • Brain fog and difficulty concentrating
  • Sensitivity to heat or temperature changes
  • Sudden need to sit or lie down
  • Unpredictable flare-ups that impact attendance
  • Gastrointestinal discomfort or nausea
  • Difficulty with physically demanding or fast-paced jobs

Practitioner Help

  • Explore roles with seated tasks or flexible duties
  • Support energy management and pacing strategies
  • Help with workplace communication and disclosure (if desired)
  • Assist with planning around symptoms and daily fluctuations
  • Connect participants with occupational therapists or exercise physiologists familiar with Dysautonomia
  • Offer support during flare-ups or recovery periods

Common Accommodations

  • Access to water and snacks to help with symptoms
  • Flexible working hours or part-time work
  • Ability to work from a seated position
  • Adjustable temperature controls for conditions sensitive to heat/cold
  • Allowing breaks to rest or recalibrate balance
  • Regular breaks or access to quiet rest areas
  • Access to physiotherapy during work hours
  • Access to assistive devices (mobility aids, assistive technology)
View more on enableDex

Notes

Dysautonomia and POTS can vary widely in symptoms and severity. Some people may appear well while experiencing significant internal symptoms. Consistency, flexibility, and support are key to maintaining employment.

Resources

  • Postural orthostatic tachycardia syndrome (POTS) - medical condition | healthdirect
  • Australian POTS Foundation – Postural Orthostatic Tachycardia Syndrome
  • Dysautonomia: Symptoms, Causes, and Life Expectancy
  • POTS and Dysautonomia – Dysautonomia International
Neurological disorders and injuries

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