This seventh installment of a 12-article Medical Home series describes the experiences of a fictitious couple, Amita and Samir, as they learn to adapt to the reality of raising a pre-adolescent girl, Anjali, with special needs. Anjali, due to her premature birth, had been suffering from recurrent asthma attacks. This article discusses how Anjali learned to consult a doctor all by herself and to take her medications without the supervision of her parents. This article also describes how to help young adults with special needs ease the transition from adolescent to adulthood.