I do a lot of different things with Karen so she doesn't feel completely helpless/worthless, which she's not, but can feel that way. I write the text and send it to her, and she can forward it to someone she wants to text. I have her press 1 or 2 on the confirm/deny text. I have her respond to "love" texts with emojis. I send her here at home. She can write slowly, a little, so I tell her to write her text, and we can take a picture of what she wrote on paper and send it. Etc. Etc. Little things are so so big for her sometimes. Anything to feel normal is my goal. She can't drive but dreams she will again someday, so I take her to empty school or industrial parking lots on the weekend and she "practices" her driving skills. Thanks for your note.