Often for chronic conditions which involve decreased physical coordination there can be difficulty expressing yourself using physical gestural cues. Lifting your arm to point, squeezing tightly to get your point across or walking far further away to make sure that you aren’t followed are examples of extremes of physical gestures which can be used to convey information or can be missing completely from an interaction. An individuals ability to sustain an interaction physically can make it appear that they are disinterested. Alternatively an individuals need to engage with someone through repeated physical interaction where they are not reading the physical gestural cues from others represents challenging behaviour. Being able to maintain personal space during interactions with others and knowing what types of relationships and what types of activities involve closer distances is important to understand. Communicating through touch contains large quantities of details which it is important to be able to read. When there are large needs and the individual is unable to manage their physical body they may have difficulty removing themselves physically from others. This is a safety risk for all involved and carers can feel threatened with others watching the way they interact.