I think the worst thing about the perception of health, both mental and physical, and being disabled in either regard, is that the need for extra support is often viewed, institutionally and therefore culturally, as a dehumanizing element rather than a simple fact of the human experience. No man is an island, and yet, when it comes to needing anything from an IEP to a caretaker, these things are used to subvert one's rights and create the expectation of failure and that's a little ableist innit.