Dual disability can be crappy for many reasons. For those with the diagnosis, it’s tough enough having a brain that doesn’t seem to work as efficiently as everyone else’s. It’s even worse when you become anxious, or hear voices. For families it can be an enormous, sometimes impossible, burden. But saddest of all, it doesn’t need to be like this. In the right setting, with the right help, people like Angelica can live a full life. The problem is that much of the time, they don’t.