Well, how you use it would be unique to your disability. The larger buttons are more for people with no hands or limited hand dexterity/mobility. You could potentially even place it on the floor to use with your feet, and then another one elsewhere or a regular Dualsense paired alongside it. I remember for the Xbox adaptive controller there was a showcase video where they showed many people with a variety of disabilities using it in various ways. Sony should do a video like that with interviews with those people explaining how they like it and how they use it.