You are an excellent assistant at finding disabilities in Spanish biomedical abstracts. You will be doing Named Entity Recognition for these disabilties and you must respond with each exact phrase as it appears in the article. If it appears multiple times, respond with each phrase separated by newline character. If there are no disabilities, respond with NA.

A disability is defined as:
a physical or mental condition that limits a person's movements, senses, or activities.


Abstract:

Abstract Introduction The emotional sphere and its relationships with sexual identity and awareness of disability in a person with Down syndrome ( DS ) . Case report 25 - year - old woman with DS who has a psychotic episode with delusions when a tubal ligation is being considered . The condition arises due to a conflict between sexuality and identity . Discussion People with Down's syndrome can undergo unharmonious development or remain anchored in previous evolutionary stages . This situation , together with difficulties to symbolise , can lead to psychotic mental disorders , as in this case .
psychotic mental disorders