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Living With Spina Bifida: Young Adults

Photo: A man in a wheelchair

The transition from adolescence to adulthood can be a time of growth and success, as well as difficulty. For people with spina bifida, it is especially important to begin planning for transitions in childhood so they are able to lead independent lives as adults.

Young adults affected by spina bifida can face challenges, such as:

  • Learning to take care of their own health needs.
  • Working.
  • Going to school.
  • Volunteering.
  • Finding and using transportation.
  • Living outside their parents’ home.
  • Developing healthy relationships.

Physical Health – What to Expect

Young adults with spina bifida can provide or manage much of their own care. Some examples include:

  • Finding new doctors that care for adults affected by spina bifida.
  • Obtaining medical insurance if they are no longer covered under their parents’ health plan.
  • Talking to health care professionals about their condition.
  • Making doctor appointments.
  • Ordering or reordering medications and supplies.
  • Seeking immediate medical help when needed.
  • Managing their own bathroom plan.
Physical Activity

Regular physical activity is important for all people, but especially for those with conditions that affect movement, such as spina bifida. CDC recommends 60 minutes of physical activity a day. There are many ways for people with spina bifida to be active. For example, they can:

  • Roll or walk in the neighborhood.
  • Lift weights.
  • Participate in sports activities (for example, swimming) and teams for people with or those without disabilities.

For more information, please visit the following websites:

National Center on Physical Activity and Disability (NCPAD) – Spina Bifida Guidelines


Disabled Sports USA

Sexual Health and Sexuality

It is important that young adults with spina bifida are comfortable asking their health care professionals questions about their sexuality, sexual functioning, contraceptives, and reproductive concerns.

Spina bifida causes nerve damage that can affect sexual functioning. Females with spina bifida are affected less often than males. Most people with spina bifida are fertile, and many can have children.

Health care for men with spina bifida

Health care for women with spina bifida

Folic Acid

Folic acid is very important. All women who can get pregnant should be sure to take 400 micrograms (µg) of folic acid every day, even if they aren’t planning a pregnancy any time soon. Half of all pregnancies in the United States are unplanned. If a woman has enough folic acid in her body before and during pregnancy, it can help prevent major birth defects of the baby’s brain and spine―including spina bifida.

Photo: Three women smiling

People who have spina bifida themselves are more likely to have children with spina bifida. A woman with spina bifida who is planning to get pregnant should talk with her doctor about getting a prescription to take 4,000 µg (4.0 milligrams) of folic acid each day at least 1 month before getting pregnant and during the first three months of pregnancy.

For more information, please visit the following websites:

Healthy Pregnancy

Folic Acid

Mental Health and Well-Being

Overall mental health and well-being are very important for everyone. Mental health is how people think, feel, and act as they cope with life. To be at their best, people need to feel good about their lives and value themselves.

Young adults with spina bifida might feel isolated from others, or have low self-esteem. This can cause them to become depressed. There are different ways to treat depression. Exercise can be effective. Counseling or medication also might be needed.

Everyone feels worried, anxious, sad or stressed sometimes. If these feelings do not go away and they interfere with daily life, adults should talk with other people, such as a family member or health care professional, about their feelings.

If you have questions about mental health or where to get mental health services, your doctor or a licensed mental health professional in your community may be able to answer those questions or refer you to someone who can. A nearby health facility or your state mental health agency also may be able to help.

For more information, please visit the following websites:

Depression and Anxiety in Individuals with Spina Bifida

Getting Around

To be independent, young adults need to be able to find and use transportation safely. Many adults with spina bifida have issues that can affect safe driving. A driver rehabilitation evaluation specialist can identify what these issues are and if special changes are needed to a car to make it accessible for driving by someone with spina bifida. Adults also can learn to find and use other transportation safely, such as buses and cabs.

Being safely mobile in their homes and communities will help adults be more independent. As adults with spina bifida plan for employment, college, or vocational training, they will need to find and use transportation safely.

Looking to the Future

Many young adults are still getting used to their new independence. They recently might have started working, volunteering, going to college or other training, or living on their own. Even so, continuing to plan for the future is very important. This includes setting goals and how to achieve them. At times, unexpected problems can make life difficult. It is important for young adults to not give up and to keep working towards chosen goals, even if the goals sometimes need to be modified, or take longer than planned. Planning now will help young adults continue to grow and succeed as they get older.

Finding Support

Having support and community resources can help increase confidence in managing spina bifida, enhance quality of life, and assist in meeting the needs of all family members. It might be helpful for parents of children with spina bifida to talk with one another. One parent might have learned how to address some of the same concerns another parent has. Often, parents of children with special needs can give advice about good resources for these children.

Remember that the choices of one family might not be best for another family, so it’s important that parents understand all options and discuss them with their child’s health care providers.


Sandler, Adrian, M.D.(2004). Living with Spina Bifida: A Guide for Families and Professionals. University of North Carolina Press: Chapel Hill.

Merkens, Mark J., M.D. and the Spina Bifida Association’s Professional Advisory Council (2006). Guidelines for Spina Bifida Health Care Services Throughout the Lifespan. Third Edition. Spina Bifida Association.