AAC for highly active person


June 12, 2026

Home > AAC > Implementation > Strategies
person downhill skiing

By: Pixie Sky; NWACS Board Member

Reading time: 3 minutes

Pixie generally use high tech symbol based AAC device . Is amazing technology that give Pixie a voice . Make possible for Pixie to communicate almost anything :

  • needs
  • wants
  • feels
  • funny observations
  • ideas
  • thoughts
  • opinions
  • and so much more !

Pixie also very active and do many different outdoor activities in all seasons such as :

  • alpine skiing
  • rock climbing
  • hiking
  • kayaking
  • camping
  • swimming
  • summer camps
  • And even just go walk with Pixies service dog , in all sorts of weather conditions !

High tech AAC devices not can be used in all these situations . Pixie live in Seattle , is very often raining . Pixie not know of any high tech AAC device is fully waterproof and can be actually used in any weather . Touch screens not work when wet ! 

Pixie have make many different types low tech AAC . Getting laminator was absolutely essential ! Pixie have made many different sets of laminated communication cards for different types of outdoor activities .

page of a sketchbook with drawings Pixie made to communicate
communication drawings done by Pixie

For skiing Pixie made cards such as “ too cold or wet “ , “ need a break “ , “ lost gloves / something else “ . Pixie have a card with the difficulty levels of ski runs and a laminated trail map Pixie can point to .

communication cards Pixie made to use when snow skiing

Sometimes is easier and faster to use communication cards for phrases that get used often , like at libraries .

communication cards Pixie made to use at the library

Pixie also made many different cards for general use , for when not can use high tech AAC device . Maybe it need charged , or too wet , or just not have access . Maybe Pixie too overwhelmed to use high tech AAC device , that happen actually a lot more often than most people think !

communication cards Pixie made for general communication purposes

Communication cards are great but is important to not go too crazy . Making too many cards , get more difficult find  specific card , especially when overwhelmed . But also need enough to communicate important things .

Pixie usually ask people what are familiar with the specific activity and with disabilities like Pixie , what they think is essential things that need be communicated during activity . And can always add more cards as need , and remove cards that not work ! 

But even laminated cards not can be used everywhere . When Pixie go rock climbing , for example , not can use cards because Pixie on rock wall is too far from people on ground . In these situations Pixie use simple hand signs to communicate with people on ground , which have be taught to every new person Pixie go rock climbing with .

Insurance companies usually pay for just 1 AAC device , every some amount of years . Pixie think with WA Medicaid , is one new “ speech generating device “ ( high tech AAC device )  every 5 years . And that is *NEVER* enough , not enough to communicate effectively and fully in all situations . AAC communication need to be fit to each individual person , and all situations and environments that each individual person lives in and experiences . This be absolutely not possible with just one AAC device .

emergency communication cards Pixie made and has with them at all times
emergency communication cards Pixie always has with them

Nobody else is expected to use just one way of communicating ! Even people with no speech or communication problems still use many many different ways of communicating , like :

  • speech
  • text messages
  • voice calls
  • social media
  • email
  • video calls
  • and more !

People with speech problems deserve to have just as much access to many different methods of communication that fit each person’s needs .

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Pixie Sky

Pixie Sky

Preferred Pronouns: they/them

Pixie is autistic, nonverbal, and a full-time AAC user. Pixie has used many multimodal systems to communicate. They get frustrated with AAC device vocabularies sometimes because they’re all made for children, which limits their communication to child-appropriate words even though Pixie is an adult. Pixie loves skiing with a Special Olympics team and does many activities with Outdoors for All, like rock climbing, bicycling, kayaking, and hiking. Pixie is an artist at Vibrant Palette, an art studio specifically for disabled artists. They also really like animals and have 3 guinea pigs, 2 cats, and a Service Dog.

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